Rosacea

Question 1

A 62-year-old man presents to his GP with a rash on his face. He states the rash has been present for two months. What feature would most urgently require escalation to a specialist?

Answer 1

This image is of a patient with rosacea. There is evidence of widespread erythema over the nose, cheeks and forehead - commonly affected area in rosacea. There is evidence of flushing which is often the first symptom seen in patients affected with this condition, as well as visible papules and pustules on her forehead. There are potentially early stages of rhinophyma and no evident ocular involvement.

Red, inflamed eyes and eyelids are the correct answer. In this patient, it would indicate ocular involvement, which requires prompt escalation to prevent corneal scarring. Although none is immediately evident from the image, a proper examination would be required.

Question 2

Typical presentation

Answer 2

persistent facial rash. On examination, you note erythema of the nose, cheeks and forehead. There are some scattered papules. associated with telangiectasia. The rash is aggravation by sun exposure and hot and spicy food. unknown aetiology

Question 3

Treatment for prominent Telangatascia

Answer 3

Laser therapy