Rosacea

Question 1

etiology of Rosacea (sometimes referred to as acne rosacea) is a chronic skin disease ?

Answer 1

unknown aetiology

Question 2

Rosacea (sometimes referred to as acne rosacea) typically affects ?

Answer 2

typically affects nose, cheeks and forehead

Question 3

clinical features of Rosacea (sometimes referred to as acne rosacea)

Answer 3

flushing is often first symptom

telangiectasia are common

rhinophyma - nose to enlarge and become red, bumpy, and bulbous

ocular involvement: blepharitis

Question 4

late features of Rosacea (sometimes referred to as acne rosacea)

Answer 4

persistent erythema with papules and pustules

Question 5

what may exacerbate symptoms in rosacea ?

Answer 5

sunlight may exacerbate symptoms

Question 6

management using simple measures of rosacea ?

Answer 6

high-factor sunscreen
camouflage creams may help conceal redness

Question 7

management of rosacea with predominant erythema/flushing BUT LIMITED telangiectasia

Answer 7

topical brimonidine gel

used on an ‘as required basis’ to temporarily reduce redness

typically reduces redness within 30 minutes, reaching peak action at 3-6 hours, after which the redness returns to the baseline

Question 8

management of rosacea with mild-to-moderate papules and/or pustules

Answer 8

topical ivermectin is first-line

Question 9

second line management of rosacea with mild-to-moderate papules and/or pustules

Answer 9

: topical metronidazole or topical azelaic acid

Question 10

management of rosacea with moderate-to-severe papules and/or pustules?

Answer 10

combination of topical ivermectin + oral doxycycline

Question 11

referrals to dermatologist considered in rosacea in ?

Answer 11

not improved with optimal management in primary care
rhinophyma

Question 12

prominent telangiectasia from roseate can be managed with ?

Answer 12

laser therapy