Chapter 79 - Rosacea

Question 1

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Persistent central facial erythema, frequent flushing; may be telangiectatic vessels

Answer 1

Subtype 1: erythematotelangiectatic

Question 2

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Erythematous dome-shaped papules, some with surmounting postulation in a centrofacial distribution on a background of persistent erythema

Answer 2

Subtype 2: papulopustular

Question 3

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Persistent facial swelling with hypertrophy of tissue (rhinophyma); different variants described

Answer 3

Subtype 3: phymatous

Question 4

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Ocular inflammation (eg, blepharitis, conjunctivitis, or meibomian gland dysfunction; chalazion)

Answer 4

Subtype 4: OR

Question 5

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

DIAGNOSTIC FEATURES (2)

Answer 5

• Persistent centrofacial erythema associated with periodic intensification by potential trigger factors
• Phymatous changes

Question 6

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

MAJOR FEATURES (4)

Answer 6

• Flushing or transient erythema
• Inflammatory papules and pustules
• Telangiectasia
• Ocular manifestations
  – Eyelid margin telangiectasis
  – Blepharitis
  – Keratitis, conjunctivitis, or
  sclerokeratitis

Question 7

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

SECONDARY FEATURES (4)

Answer 7

• Burning sensation of the skin
• Stinging sensation of the skin
• Edema
• Dry sensation of the skin

Question 8

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal end, apex of nose

Answer 8

1

Question 9

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal half nose, apex, alae

Answer 9

2

Question 10

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal half of nose, apex, alar nodules

Answer 10

3

Question 11

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Complete nose, including bridge and nasofacial sulci

Answer 11

4

Question 12

TABLE 79-6
Classification of Ocular Rosacea

Mild VS Moderate VS Severe

Mild itch, dryness or grittiness of the eyes; fine scaling of eyelid margins; telangiectasia and erythema of eyelid margins; mild conjunctival injection

Answer 12

Mild

Question 13

TABLE 79-6
Classification of Ocular Rosacea

Mild VS Moderate VS Severe

Burning of eyes; crusting or irregularity of eyelid margins with erythema and edema; formation of chalazion or hordeolum)

Answer 13

Moderate

Question 14

TABLE 79-6
Classification of Ocular Rosacea

Mild VS Moderate VS Severe

Pain, photosensitivity, blurred vision, loss of eyelashes, severe conjunctival inflammation, corneal changes, scleritis or episcleritis, uveitis, iritis

Answer 14

Severe

Question 15

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Use powder cosmetics with a matte finish.

Answer 15

ALLOWED

The best is green (complementary color of red).

Question 16

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Try cosmetics before buying them if possible.

Answer 16

ALLOWED

Question 17

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Wear light earth tones (tan, peach, matte green) for eye shadow.

Answer 17

ALLOWED

Question 18

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Apply a separate sunblock after topical medication and before cosmetics.

Answer 18

ALLOWED

Question 19

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Use moisturizer on dry skin with at least SPF20+.

Answer 19

ALLOWED

Question 20

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Avoid cosmetics using formaldehyde, propylene glycol, alcohol, toners, and palmitic, oleic acid, and other irritants.

Answer 20

ALLOWED

Question 21

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Use a flat or soft brush applicator without rubbing.

Answer 21

ALLOWED

Question 22

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Use facial foundation of power or cream variety with matte finish.

Answer 22

ALLOWED

Question 23

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Wear only black mascara.

Answer 23

ALLOWED

Question 24

TABLE 79-17
Dos and Don’ts for General Rosacea Care

ALLOWED VS NOT ALLOWED

Use pencil forms of eyeliner.

Answer 24

ALLOWED

Question 25

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Start applying new medications or cosmetics on weekends or vacations on one site and take photos to compare sites to reveal potential irritations.

Answer 25

ALLOWED

Question 26

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use cream or liquid cosmetics.

Answer 26

NOT ALLOWED

Question 27

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use old cosmetics.

Answer 27

NOT ALLOWED

Question 28

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Wear deep eye shadows (blue, purple, red, or pink).

Answer 28

NOT ALLOWED

Question 29

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use cosmetics containing perfume.

Answer 29

NOT ALLOWED

Question 30

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Purchase cosmetics with more than 10 ingredients.

Answer 30

NOT ALLOWED

Question 31

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Apply with a sponge or fingers.

Answer 31

NOT ALLOWED

Question 32

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Massage creams into the skin.

Answer 32

NOT ALLOWED

Question 33

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use peeling “rejuvenating” agents.

Answer 33

NOT ALLOWED

Question 34

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use light-reflective powders containing mica.

Answer 34

NOT ALLOWED

Question 35

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Use nail polish.

Answer 35

NOT ALLOWED

Question 36

TABLE 79-17 Dos and Don’ts for General Rosacea Care ALLOWED VS NOT ALLOWED Waterproof eye cosmetics are best avoided.

Answer 36

NOT ALLOWED