Flashcards in Rosacea Deck (28):
What is rosacea?
A chronic relapsing disease of the facial skin
What causes rosacea?
What plays a role in the development of rosacea?
Things that cause episodes of flushing and blushing
What things that cause flushing can lead to the development of rosacea?
- Temperature extremes
- Strenuous exercise
- Heat from sunlight
- Severe sunburn
- Cold wind
- Moving to a warm or hot environment from a cold one
What medications have been known to trigger rosacea flares?
What is a subtype of rosacea triggered by a specific medication?
What are the risk factors for rosacea?
- Fair skin
- Family history
What are the 4 types of rosacea, that have different presentations?
- Papulopustular rosacea
- Phymatous rosacea
- Ocular rosacea
- Erythematotelangiectactic rosacea
Which type of rosacea is the classical presentation?
What are the features of papulopustular rosacea?
- Red central portion of the face
- Small erythematous papules surmounted by pinpoint pustules
- May have flushing
What are the features of phymatous rosacea?
- Marked skin thickening
- Irregular surface nodularities of nose, chin, forehead, one or both ears and/or eyelids
When can ocular rosacea present?
May precede cutaneous form by years
What are the ocular signs of ocular rosacea?
- inflammation of lids and meibomian glands
- Interpalpebral conjunctival hyperaemia
- Conjunctival telangiectasia
What are the features of erythematotelangiectactic rosacea?
- Central flushing
- Fine textured skin
- Erythematous areas with rough scale
- Progression to permanent erythema and telangiectasia
What is central flushing in erythematotelangiectactic rosacea often associated with?
What areas are often spared by redness in erythematotelangiectactic rosacea?
Around the eyes
How is rosacea diagnosed?
What are the differentials for rosacea?
- Peri-oral dermatitis
- Seborrhoeic dermatitis
What does the treatment of rosacea depend on?
The severity and type of rosacea present
What is the main effect of rosacea?
What are the non-drug management options for rosacea?
- Avoid aggravating factors
- Avoid precipitating factors
- Facial massage
- Sunscreen application
What should patients be reassured about in terms of rosacea?
It's a benign condition with relatively rare complications
What drugs can mild to moderate rosacea be treated with?
- Topical metronidazole
What drugs can be used for moderate to severe papulopustular rosacea?
What can occasionally be used in refractory cases of rosacea?
What are some non-pharmacological therapies for rosacea?
- Laser treatment
- Camouflage treatment
What is the main complication of rosacea?