rosacea

Question 1

features of rosacea

Answer 1

affects nose, cheeks and forehead
flushing is often first symptoms
telangiectasia
erythema with papules and pustules
rhinophyma- thickening of the nose
blepharitis
sunlight exacerbate symptoms

Question 2

management of rosacea

Answer 2

high factor sun cream
predominant erythema/flushing: topical brimonide gel
mild-moderate papules or pustules: topical ivermectin (alternative: topical metronidazole or azelaic acid)
moderate-severe: combination topical ivermectin + oral doxycycline

Question 3

when to refer a patient with rosacea

Answer 3

symptoms not improved with optimal management
- laser therapy for patients with prominent telangiectasia
patients with rhinophyma