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Acute lupus erythematosis

Presents as a photosensitive malar rash that classically spares the nasolabial folds, unlike seborrheic dermatitis which favors them.

Airborne allergic contact dermatitis

Marked by severe pruritus and often prominent eyelid edema, with a history of exposure to airborne allergens.

Allergic contact dermatitis

Presents with intense itching and follows a pattern of contact with a specific allergen, which is not the typical distribution of seborrheic dermatitis.

Contact dermatitis

Distinguished by its distribution, which conforms to the area of contact with an irritant or allergen, and by the presence of vesicles or bullae in acute phases.

Drug phototoxicity

An exaggerated sunburn reaction in sun-exposed areas due to a medication, an acute event unlike the chronic nature of seborrheic dermatitis.

Eczema

While it can affect the face, it is typically more pruritic and less defined, lacking the characteristic greasy scale of seborrheic dermatitis.

Impetigo

A bacterial infection characterized by honey-colored crusts and vesicles, which can be confirmed by a bacterial culture.

Perioral dermatitis

Identified by monomorphic papules and pustules with a distinct sparing of the skin directly bordering the lips.

Psoriasis

Often called 'sebopsoriasis' when it overlaps, but true psoriasis plaques are typically thicker, more well-demarcated, and have a silvery, not greasy, scale.

Rosacea

Characterized by central facial erythema, telangiectasias, and papulopustules, but lacks the characteristic scale of seborrheic dermatitis.

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