Question

A 22-year-old female student is referred to physical therapy for complaints of migraine headaches. The therapist notices that she has a rosy appearance over her cheeks, nose, and chin. She also admits to having burning episodes, accompanied by intermittent flushing of her cheeks, as well as gastrointestinal disturbances. Which of the following conditions BEST matches the clinical findings?

A. Systemic Lupus Erythematosus
B. Seborrheic dermatitis
C. Rosacea
D. Shingles

Answer 1

The symptoms presented by the student, including a rosy facial appearance and flushing coupled with burning sensations and gastrointestinal troubles, are indicative of Rosacea rather than the other listed conditions.

Step-by-step explanation:

The clinical findings of a rosy appearance over the cheeks, nose, and chin, coupled with burning episodes, intermittent flushing, and gastrointestinal disturbances in a 22-year-old female student suggest the diagnosis of Rosacea. Systemic Lupus Erythematosus (SLE) is also considered in such scenarios due to its facial rash characteristic, but is usually distinguished by a more systemic involvement including joint pain, heart palpitations, and possible organ involvement. Seborrheic dermatitis often involves scalp flaking and is not typically associated with flushing episodes or gastrointestinal symptoms, making it less likely. Shingles, another possible condition, would exhibit a painful, blistering rash usually in a single stripe on one side of the body and not the symptoms described here. Therefore, based on the details provided, Rosacea best matches the clinical findings.