Chapter 79 - Rosacea

Question 1

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Persistent central facial erythema, frequent flushing; may be telangiectatic vessels

Answer 1

Subtype 1: erythematotelangiectatic

Question 2

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Erythematous dome-shaped papules, some with surmounting postulation in a centrofacial distribution on a background of persistent erythema

Answer 2

Subtype 2: papulopustular

Question 3

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Persistent facial swelling with hypertrophy of tissue (rhinophyma); different variants described

Answer 3

Subtype 3: phymatous

Question 4

TABLE 79-2
Classification from 2002 and 2004: Subtypes of
Rosacea

SUBTYPE

CLINICAL CHARACTERISTICS
Ocular inflammation (eg, blepharitis, conjunctivitis, or meibomian gland dysfunction; chalazion)

Answer 4

Subtype 4: OR

Question 5

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

DIAGNOSTIC FEATURES (2)

Answer 5

• Persistent centrofacial erythema associated with periodic intensification by potential trigger factors
• Phymatous changes

Question 6

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

MAJOR FEATURES (4)

Answer 6

• Flushing or transient erythema
• Inflammatory papules and pustules
• Telangiectasia
• Ocular manifestations
  – Eyelid margin telangiectasis
  – Blepharitis
  – Keratitis, conjunctivitis, or
  sclerokeratitis

Question 7

TABLE 79-3
Classification of Rosacea from 2016 and 2017: Diagnostic, Major, and Secondary Features of Rosacea

SECONDARY FEATURES (4)

Answer 7

• Burning sensation of the skin
• Stinging sensation of the skin
• Edema
• Dry sensation of the skin

Question 8

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal end, apex of nose

Answer 8

1

Question 9

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal half nose, apex, alae

Answer 9

2

Question 10

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Distal half of nose, apex, alar nodules

Answer 10

3

Question 11

TABLE 79-5
Classification of Rhinophymata

GROUP

PRESENTATION
Complete nose, including bridge and nasofacial sulci

Answer 11

4

Question 12

TABLE 79-6
Classification of Ocular Rosacea

Mild VS Moderate VS Severe

Mild itch, dryness or grittiness of the eyes; fine scaling of eyelid margins; telangiectasia and erythema of eyelid margins; mild conjunctival injection

Answer 12

Mild

Question 13

TABLE 79-6
Classification of Ocular Rosacea

Mild VS Moderate VS Severe

Burning of eyes; crusting or irregularity of eyelid margins with erythema and edema; formation of chalazion or hordeolum)

Answer 13

Moderate