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Orange skin Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Orange skin. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you noticed the orange skin?

    Why: to determine if acute or chronic.

  2. Is the skin color truly orange?

    Why: True orange skin color needs to be differentiated from yellow skin (such as jaundice), bronze skin (see hyperpigmentation), red skin or dark skin.

  3. Is the orange skin localized or generalized?

    Why: if generalized should consider carotenemia (orange colored skin due to overeating of foods that contain orange colored beta carotene such as pumpkins and carrot), jaundice (yellow discoloration), chronic liver disease and hemochromatosis ( bronze discoloration).

  4. If localized orange skin, what areas of the body are affected?

    Why: may assist in diagnosis e.g. "sun kissed" pigmentation of the nipples, palmar creases, pressure area and mouth in Addison's disease; darkened skin on cheeks and forehead called cloasma in pregnancy; hyperpigmented eyelids with atopic dermatitis (eczema); reddish purple flush around the eyes associated with swelling is characteristic of dermatomyositis.

  5. Past medical history?

    Why: e.g. hemochromatosis; Addison's disease; some medical conditions may cause jaundice including hemolytic anemia, gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, hepatitis, cirrhosis of the liver and congestive cardiac failure.

  6. Medications?

    Why: the following are some of the drugs capable of inducing increased pigmentation of the skin:- amiodarone, chloroquine, quinine, minocycline, zidovudine, silver, gold, estrogen hormones, chlorpromazine, phenytoin, bleomycin, cyclophosphamide, doxorubicin, 5-fluorouracil, iron intramuscular injections.

  7. Dietary history?

    Why: e.g. ingestion of large quantities of beta-carotene containing vegetables such as carrots and pumpkin can cause an orange discoloration to the skin, especially in young infants newly introduced to solids; recent consumption of shellfish may suggest Hepatitis A infection that can cause jaundice; recent consumption of broad beans may indicate favism as a cause of hemolysis and jaundice.

  8. Family history?

    Why: e.g. hemochromatosis.

  9. Travel history?

    Why: to determine if travel is to areas with an increased risk of Hepatitis A infection, yellow fever, malaria, dengue fever, Ebola virus, Marberg virus.

  10. Sexual history?

    Why: to determine risk of hepatitis B infection that can cause jaundice.

  11. Alcohol history?

    Why: may suggest risk of alcoholic hepatitis or cirrhosis which can cause jaundice.

  12. Intravenous drug use?

    Why: increase the risk of hepatitis B and hepatitis C infection that can cause jaundice.

  13. Itching of the skin?

    Why: suggests cholestatic liver disease such as viral hepatitis, alcoholic hepatitis, recurrent jaundice of pregnancy, primary biliary cirrhosis, common bile duct gallstones, cancer of the bile ducts, cholangitis, pancreatitis, biliary stricture, some medications.

  14. Pale urine and dark stools?

    Why: occurs with obstructive or cholestatic type jaundice such as gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, some medications, recurrent jaundice of pregnancy.

  15. Symptoms of carotenemia?

    Why: e.g. orange coloration of the skin with greatest intensity on the palms and soles. The orange discoloration of the skin can be distinguished from jaundice in that the sclera of the eye remains white. It is caused by ingestion of large quantities of beta-carotene containing vegetables such as carrots and pumpkin, especially in young infants newly introduced to solids.

  16. Symptoms of Addison's disease?

    Why: e.g. pigmentation on the nipples, palmar creases, pressure areas and mouth, tiredness, weight loss, reduced appetite, nausea, diarrhea, passing urine at night.

  17. Symptoms of hemochromatosis?

    Why: e.g. bronze pigmentation, fatigue, loss of libido, painful joints, symptoms of diabetes, symptoms of congestive cardiac failure.

  18. Symptoms of sarcoidosis?

    Why: e.g. shortness of breath, cough, tiredness, skin symptoms occur in 10% of cases and may include purple or brown plaques or nodules on face, nose, ears and neck in chronic sarcoidosis.

  19. Symptoms of jaundice?

    Why: e.g. yellowing of skin, yellowing of the sclera of the eyes, pale stool, dark urine, itching of skin.

  20. Symptoms of hypothyroidism?

    Why: e.g. lethargy, weight gain, constipation, puffiness of face and eyes, hair loss, dry skin. Hypothyroidism may be associated with elevated levels of carotene in the blood.

Conditions listing medical symptoms: Orange skin:

The following list of conditions have 'Orange skin' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Orange skin or choose View All.


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