Flashcards in Rosacea Deck (19)
What is chronic acneform eruption on face with flushing and telangiectasia?
Do you this comedones with this?
Who gets rosacea?
30-50 yo, females > males, fair skinned > dark skinned
What is clinical diagnosis for rosacea?
persistent erythema of central portion of the face lasting at least 3 mo
What is supporting criteria for rosacea dx?
flushing, papules, pustules, telangiectasias
What are secondary characteristics of rosacea?
burning, stinging, edema, plaques, dry appearance, ocular manifestations, phymatous changes
What is the erythematelangiectatic type?
central flushing with burning and stinging, redness sparing periocular skin
What can trigger erythematelangiectic rosacea?
emotional stress, hot drinks, alcohol, spicy foods, exercise, cold or hot weather, hot baths and showers
What is papulopustular rosacea?
classic example, middle age women, red center with small papules with pinpoint pustules
What is rhinophyma?
progressive rosacea, chronic nasal inflammation, irreversible hyperplasia of nasal tissue,
Who gets rhinophyma?
How do you treat rhinophyma?
isotretinoin topicals and surgical correction
What are the ocular manifestations of rosacea?
blepharitis, conjunctivitis, episcleritis, rosacea keratitis --> corneal ulcers
What will pt with ocular rosacea complain of?
stinging, burning, dryness, irritation with light or foreign body sensations
What are precipitating factors with rosacea?
ETOH, spicy food, hot coffee, tea, soups, caffeine, exercise, skin care products, sudden temperature changes
What is something that can look like roseacea?
carcinoid syndrome - flushing - GI tumor
SLE - butterfly rash
How can you rule out the ddx of rosacea?
carcinoid and SLE do not have papules or pustules
What is the treatment of rosacea?
Topical Metronidazole 0.75% or 1%
(MetroGel, Metrocream, MetroLotion)
Topical azelaic acid
15% gel or foam (Finacea), or 20% cream (Azelex)
Topical brimonidine gel 0.5% (Mirvaso)
Topical form of the alpha-2 agonist
Topical & PO Antibiotics - as in Acne
Isotretinoin (13 cis - retinoic acid)
For refractory disease, alternative is Dapsone