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B - Dermatology > Rosacea > Flashcards

Flashcards in Rosacea Deck (28):
1

What is rosacea?

A chronic relapsing disease of the facial skin

2

What causes rosacea?

Unknown

3

What plays a role in the development of rosacea?

Things that cause episodes of flushing and blushing

4

What things that cause flushing can lead to the development of rosacea?

- Temperature extremes
- Strenuous exercise
- Heat from sunlight
- Severe sunburn
- Stress
- Anxiety
- Cold wind
- Moving to a warm or hot environment from a cold one

5

What medications have been known to trigger rosacea flares?

- Amiodarone
- B6
- B12

6

What is a subtype of rosacea triggered by a specific medication?

Steroid-induced rosacea

7

What are the risk factors for rosacea?

- Fair skin
- Family history

8

What are the 4 types of rosacea, that have different presentations?

- Papulopustular rosacea
- Phymatous rosacea
- Ocular rosacea
- Erythematotelangiectactic rosacea

9

Which type of rosacea is the classical presentation?

Papulopustular rosacea

10

What are the features of papulopustular rosacea?

- Red central portion of the face
- Small erythematous papules surmounted by pinpoint pustules
- May have flushing
- Telangiectasia

11

What are the features of phymatous rosacea?

- Marked skin thickening
- Irregular surface nodularities of nose, chin, forehead, one or both ears and/or eyelids

12

When can ocular rosacea present?

May precede cutaneous form by years

13

What are the ocular signs of ocular rosacea?

- Blepharitis
- Conjuctivitis
- inflammation of lids and meibomian glands
- Interpalpebral conjunctival hyperaemia
- Conjunctival telangiectasia

14

What are the features of erythematotelangiectactic rosacea?

- Central flushing
- Fine textured skin
- Erythematous areas with rough scale
- Progression to permanent erythema and telangiectasia

15

What is central flushing in erythematotelangiectactic rosacea often associated with?

- Burning
- Stinging
- Itching

16

What areas are often spared by redness in erythematotelangiectactic rosacea?

Around the eyes

17

How is rosacea diagnosed?

Clinicallly

18

What are the differentials for rosacea?

- Acne
- Peri-oral dermatitis
- Seborrhoeic dermatitis
- Dermatomyositis
- Lupus

19

What does the treatment of rosacea depend on?

The severity and type of rosacea present

20

What is the main effect of rosacea?

Psychological implications

21

What are the non-drug management options for rosacea?

- Avoid aggravating factors
- Avoid precipitating factors
- Facial massage
- Sunscreen application

22

What should patients be reassured about in terms of rosacea?

It's a benign condition with relatively rare complications

23

What drugs can mild to moderate rosacea be treated with?

- Topical metronidazole

24

What drugs can be used for moderate to severe papulopustular rosacea?

Oral antibiotics

25

What can occasionally be used in refractory cases of rosacea?

Isotretinoin

26

What are some non-pharmacological therapies for rosacea?

- Laser treatment
- Camouflage treatment

27

What is the main complication of rosacea?

Rhinophyma

28

What is rhinophyma?

Development of large, bullous nose associated with granulomatous inflammation