Acne rosacea

Question 1

What is acne rosacea

Answer 1

long-term skin condition causing redness mainly on the face

Question 2

Acne rosacea presentation

Answer 2

More common in women with lighter skin.
Recurrent erythema and flushing across cheeks, nose, forehead and chin.
May also have a burning or stinging sensation when using water or skincare products
Can get small pink or red bumps that may become filled with yellow liquid
Dry skin and swelling
Telangiectasia

Question 3

Acne rosacea causes

Answer 3

Not known but some triggers may make it worse:

Alcohol, spicy foods, cheese, caffeine, hot drinks, aerobic exercise e.g. running

Question 4

Acne rosacea differentials

Answer 4

Acne vulgaris (younger patient with comedones)
Contact dermatitis (develops quickly)
SLE (more rapid onset)
Seborrheic dermatitis (yellow around eyebrows)

Question 5

Acne rosacea complications

Answer 5

Conjunctivitis
Psychosocial impact
Keratitis (Inflammation of cornea) - painful eye, blurred vision, light sensitivity, red eye, gritty eye.

Question 6

Acne rosacea treatment

Answer 6

Mild/moderate:
Avoid known triggers - wear sunscreen, avoid heat/sunlight, gentle skincare products, avoid hot drinks and caffeine, avoid cheese and spicy food. 
Topical metronidazole 
Topical axelaic acid
Ivermectin cream
Severe:
Oral tetracycline or erythromycin
Refer if ocular involvement