The red patches on the face with itching are considered as follows: 1. Acute febrile neutrophilic dermatosis, a vasculitis, can appear as well-defined patches with pseudo-blisters on them, which can be treated with glucocorticoids orally as well as topically. 2. Lichen planus, which can appear as purplish-red patches or plaques, is mostly caused by drugs, endocrine disorders, immune system disorders or genetic factors. 3,