Rosacea Flashcards
Rosacea is a chronic, inflammatory skin condition that primarily affects the face, causing redness, flushing, and visible blood vessels. What age does Rosacea typically begin?
1 - 16
2 - 25
3 - 30
4 - 50
3 - 30
- typically occurs between 30-60
- peak is between 40-50
What is the estimated incidence of Rosacea in adults?
1 - 0.5%
2 - 5%
3 - 25%
4 - 50%
2 - 5%
Does Rosacea affect men or women more?
- women
Which 2 of the following is Rosacea more common in?
1 - caucasians with blue eyes
2 - indian/pakistanians
3 - northern european/celtics
4 - african amercan
1 - caucasians with blue eyes
3 - northern european/celtics
- essentially more common in paler skin types
- if present in those of skin colour, it may be more difficult to identify
Is Rosacea a permanent condition or does it relapse and have periods of remitting course?
- periods or relapse and remitting course
- this can lead to anxiety and depression
Although the exact cause is unknown, which of the following has NOT been linked to causing with rosacea?
1 - genetic disorders
2 - neurovascular dysregulation
3 - activation of the immune system
4 - metabolic disorders
5 - infestation with Demodex mites
4 - metabolic disorders
Demodex mites = found in normal hair, but too many has been linked to rosacea
Rosacea is a chronic, inflammatory skin condition that primarily affects the face, causing redness, flushing, and visible blood vessels. Which part of the body is typically affected?
1 - face
2 - back and shoulders
3 - legs
4 - arms and back
1 - face
The face is the most common location affected by rosacea, with the forehead, nose, cheeks and chin affected. Which of the following is NOT commonly observed?
1 - Flushing
2 - Papules and pustules
3 - Telangiectasia (visible and dilated blood vessels)
4 - Phymatous changes
5 - Comedones (white +black heads)
5 - Comedones (white +black heads)
- there is an absence of comedones
The face is the most common location affected by rosacea, with the forehead, nose, cheeks and chin affected. What is the condition called where the skin can become thicker, typically affects the nose?
1 - Rhinophyma
2 - Rhinoconjunctivitis
3 - Scaling
4 - Atopic Dermatitis
1 - Rhinophyma
- occurs on the nose
- more common in men
What % of patients with rosacea can experience ocular involvement?
1 - 0.5%
2 - 5%
3 - 25%
4 - 50%
4 - 50%
Cancause:
- gritty eyes
- conjunctivitis (inflammation of conjunctiva)
- blepharitis (inflammation of eyelids)
- episcleritis
- chalazionds
- Keratitis (serious eye problem causing inflammation of the cornea)
How many subtypes of rosacea are there?
1 - 10
2 - 7
3 - 4
4 - 2
3 - 4
- Erythematotelangiectatic rosacea (ETR)
- Papulopustular rosacea
- Phymatous rosacea
- Ocular rosacea
There are 4 subtypes of rosacea. Which if the following matches the description of Erythemato telangiectatic rosacea (ETR)?
1 - Associated with skin thickening, especially around the nose (rhinophyma), and can also affect the chin, forehead, cheeks, and ears.
2 - Presents with acne-like breakouts, including papules and pustules, along with facial redness and swelling.
3 - Characterised by facial redness, flushing, and visible blood vessels (telangiectasias).
4 - Involves the eyes, causing redness, burning, itching, and the sensation of a foreign body. It can lead to complications such as blepharitis, conjunctivitis, and keratitis if not treated promptly.
3 - Characterised by facial redness, flushing, and visible blood vessels (telangiectasias).
There are 4 subtypes of rosacea. Which if the following matches the description of Papulopustular rosacea?
1 - Associated with skin thickening, especially around the nose (rhinophyma), and can also affect the chin, forehead, cheeks, and ears.
2 - Presents with acne-like breakouts, including papules and pustules, along with facial redness and swelling.
3 - Characterised by facial redness, flushing, and visible blood vessels (telangiectasias).
4 - Involves the eyes, causing redness, burning, itching, and the sensation of a foreign body. It can lead to complications such as blepharitis, conjunctivitis, and keratitis if not treated promptly.
2 - Presents with acne-like breakouts, including papules and pustules, along with facial redness and swelling.
There are 4 subtypes of rosacea. Which if the following matches the description of Phymatous rosacea?
1 - Associated with skin thickening, especially around the nose (rhinophyma), and can also affect the chin, forehead, cheeks, and ears.
2 - Presents with acne-like breakouts, including papules and pustules, along with facial redness and swelling.
3 - Characterised by facial redness, flushing, and visible blood vessels (telangiectasias).
4 - Involves the eyes, causing redness, burning, itching, and the sensation of a foreign body. It can lead to complications such as blepharitis, conjunctivitis, and keratitis if not treated promptly.
1 - Associated with skin thickening, especially around the nose (rhinophyma), and can also affect the chin, forehead, cheeks, and ears.
There are 4 subtypes of rosacea. Which if the following matches the description of Ocular rosacea?
1 - Associated with skin thickening, especially around the nose (rhinophyma), and can also affect the chin, forehead, cheeks, and ears.
2 - Presents with acne-like breakouts, including papules and pustules, along with facial redness and swelling.
3 - Characterised by facial redness, flushing, and visible blood vessels (telangiectasias).
4 - Involves the eyes, causing redness, burning, itching, and the sensation of a foreign body. It can lead to complications such as blepharitis, conjunctivitis, and keratitis if not treated promptly.
4 - Involves the eyes, causing redness, burning, itching, and the sensation of a foreign body. It can lead to complications such as blepharitis, conjunctivitis, and keratitis if not treated promptly.
As rosacea is a chronic condition, patients are given which of the following pieces of advice as management of the condition?
1 - use a diary to identify triggers
2 - avoid triggers for flushing (alcohol, spicy food)
3 - always use suncream with UV protection (SP50)
4 - gentle skin care, soap free and non-comedogenic cleaners, mineral products, avoid irritant cosmetic and skin care products
5 - Cosmetic camouflage (foundations with green pigment reduces erythema
6 - all of the above
6 - all of the above
Which one of the following can be used to treat a patients erythema in moderate rosacea?
1 - Brimonidine tartrate (alpha-1 agonist)
2 - Ivermectin 1% cream (OD)
3 - Azelaic acid 15% gel or 20% cream (OD-BD)
4 - Metronidazole 0.75% or 1% gel (OD-BD_
1 - Brimonidine tartrate (alpha-1 agonist)
- shrinks blood vessels, and therefore reduced erythema
Which one of the following is NOT typically used to treat inflammatory papules and pustules in moderate rosacea?
1 - Brimonidine tartrate (alpha-1 agonist)
2 - Ivermectin 1% cream (OD)
3 - Azelaic acid 15% gel or 20% cream (OD-BD)
4 - Metronidazole 0.75% or 1% gel (OD-BD_
1 - Brimonidine tartrate (alpha-1 agonist)
Any topical treatment used when treating rosacea, how long should these be used for?
1 - 1 week
2 - 1 month
3 - 3 months
4 - 6 months
3 - 3 months
Which one of the following iwould typically used to treat ocular rosacea?
1 - Brimonidine tartrate (alpha-1 agonist)
2 - Ivermectin 1% cream (OD)
3 - Artificial tears (+/- ophthal referral)
4 - Metronidazole 0.75% or 1% gel (OD-BD_
3 - Artificial tears (+/- ophthal referral)
Which 2 of the following can be prescribed to a patient who has flushing as part of their rosacea?
1 - Propanolol (beta-blocker)
2 - Clonidine (adrenergic alpha1 agonist)
3 - Doxycycline
4 - Isotretinoin
1 - Propanolol (beta-blocker)
2 - Clonidine (adrenergic alpha1 agonist)
Which of the following is typically used to treat inflammatory papules and pustules in moderate rosacea?
1 - Oxytetratcycline 500mg BD
2 - Erythromycin 500mg BD
3 - Lymecycline 408mg
4 - Doxycycline (subantimicrobial dose MR 40mg OD)
5 - Isotretinoin
6 - all of the above
6 - all of the above
Which of the following non-topical treatments can be used to treat erythema in rosacea, if they have not responded to other treatments?
1 - intense pulsed light therapy
2 - NdYAG laser
3 - pulsed dye laser
4 - all of the above
4 - all of the above
Which of the following would NOT typically be used to treat Phymatous, thickening of the skin?
1 - CO2 laser (ablative laser)
2 - Cryotherapy
3 - Surgical resection
4 - Electrosurgery
2 - Cryotherapy
Does acne or rosacea affect teenagers most?
- acne = teenagers
- rosacea = >30 y/o
Does acne or rosacea affect all ethnicities equally?
- acne = all ethnicities
- rosacea = affects lighter skin with blue eyes more
Does acne or rosacea have comedones?
- acne = comedones
- rosacea = no comedones
Is telangiectasia more common in acne or rosacea?
- rosacea
