(BUMPS ON FACE)I HUMAN CASE WEEK #2 14 Y/O boy HEIGHT: 5’4”
(165 CM)WEIGHT: 133.0 LB (60.5 KG)REASON FOR ENCOUNTER:
BUMPS ON FACE LOCATION: OUTPATIENT CLINIC WITH LABORATORY
CAPABILITIES LATEST 2025!
• Age/Sex: 14-year-old male
, • Height: 5'4" (165 cm)
• Weight: 133.0 lb (60.5 kg)
• BMI: ~22.0 (within normal range)
• Setting: Outpatient clinic with lab capabilities
• Duration: Week 2 (suggests persistent or not resolving)
• Chief Complaint: Bumps on face
Differential Diagnosis (Most to least likely based on age and presentation):
1. Acne Vulgaris
o Common in adolescents
o Papules, pustules, comedones (whiteheads/blackheads), often on face
o Triggers: hormones (androgens), genetics, hygiene, diet
o Can be mild to severe, sometimes nodulocystic
2. Folliculitis
o Infected or inflamed hair follicles
o Pustular or papular, may itch or be tender
o Can result from poor shaving hygiene, friction, or bacterial causes (e.g., Staph aureus)
3. Molluscum Contagiosum
o Viral, dome-shaped, flesh-colored bumps with central umbilication
o Spread by contact, often seen in kids and teens
o More common in humid climates or in sports (e.g., wrestling)
4. Allergic Contact Dermatitis
o Reaction to skincare products, detergents, or allergens
o May present with small itchy bumps, erythema
5. Rosacea (uncommon at 14, but possible)
o More common in adults, but early cases possible
o Flushing, pustules, sometimes mistaken for acne
6. Keratosis Pilaris
o Small rough bumps, typically on cheeks, arms, thighs
(165 CM)WEIGHT: 133.0 LB (60.5 KG)REASON FOR ENCOUNTER:
BUMPS ON FACE LOCATION: OUTPATIENT CLINIC WITH LABORATORY
CAPABILITIES LATEST 2025!
• Age/Sex: 14-year-old male
, • Height: 5'4" (165 cm)
• Weight: 133.0 lb (60.5 kg)
• BMI: ~22.0 (within normal range)
• Setting: Outpatient clinic with lab capabilities
• Duration: Week 2 (suggests persistent or not resolving)
• Chief Complaint: Bumps on face
Differential Diagnosis (Most to least likely based on age and presentation):
1. Acne Vulgaris
o Common in adolescents
o Papules, pustules, comedones (whiteheads/blackheads), often on face
o Triggers: hormones (androgens), genetics, hygiene, diet
o Can be mild to severe, sometimes nodulocystic
2. Folliculitis
o Infected or inflamed hair follicles
o Pustular or papular, may itch or be tender
o Can result from poor shaving hygiene, friction, or bacterial causes (e.g., Staph aureus)
3. Molluscum Contagiosum
o Viral, dome-shaped, flesh-colored bumps with central umbilication
o Spread by contact, often seen in kids and teens
o More common in humid climates or in sports (e.g., wrestling)
4. Allergic Contact Dermatitis
o Reaction to skincare products, detergents, or allergens
o May present with small itchy bumps, erythema
5. Rosacea (uncommon at 14, but possible)
o More common in adults, but early cases possible
o Flushing, pustules, sometimes mistaken for acne
6. Keratosis Pilaris
o Small rough bumps, typically on cheeks, arms, thighs
