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Acute lupus erythematosis

Lupus is distinguished by its classic "butterfly" rash sparing the nasolabial folds and the presence of systemic symptoms, unlike the more diffuse rash of airborne contact dermatitis.

Dermatomyositis

The presence of a heliotrope rash on the eyelids and Gottron papules on the knuckles are key signs of dermatomyositis that are absent in airborne contact dermatitis.

Drug phototoxicity

This is an acute, sunburn-like reaction to a specific drug-sunlight interaction, whereas airborne contact dermatitis is an eczematous reaction to environmental allergens.

Eczema

Atopic eczema typically favors flexural areas, whereas airborne contact dermatitis has a classic distribution on exposed sites with sparing under the chin and behind the ears.

Erysipelas

This bacterial infection is distinguished by its unilateral, warm, tender, and sharply demarcated presentation, which is very different from the bilateral, eczematous rash of airborne contact.

Fifth disease

This viral exanthem is known for its "slapped cheek" appearance in children, which is a brighter, more confluent erythema than the dermatitis seen here.

Impetigo

Identified by its characteristic honey-colored crusts, impetigo is a focal bacterial infection, not a widespread dermatitis.

Rosacea

Rosacea is distinguished by papules, pustules, flushing, and telangiectasias in a central facial distribution, without the eczematous features of airborne contact.

Seborrhoiec dermatitis

This is characterized by greasy, yellowish scale in the nasolabial folds and eyebrows, a different quality and location of inflammation.

Steroid overuse

Chronic steroid use leads to skin atrophy, telangiectasias, and perioral dermatitis-like papules, not a primary widespread eczematous eruption.

Sunburn

This is a uniform, painful erythema directly corresponding to UV exposure, whereas airborne contact dermatitis is an itchy, eczematous process.

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