Rosacea

Question 1

rosacea features

Answer 1

• nose, cheeks, forehead
• flushing is often first sx
• telangectasia common

later -> persistent erythema with papules + pustules
rhinophyma (late)

ocular involvement = blepharitis

Question 2

different types of rosacea

Answer 2

predominantly erythema/flushing

mild-mod papules +/- pustules

mod-severe papules +/- pustules

Question 3

management of predominantly erythema/flushing (no/ not much telangiectasia)

Answer 3

topical brimonidine gel
- used as required
- reduces redness within 30 mins
- short term, redness returns to baseline

Question 4

management of mild-mod rosacea

Answer 4

topical invermectin

Question 5

management of mod-severe rosacea

Answer 5

combo of topical invermectin + oral doxycyline

Question 6

skin manifestations of SLE

Answer 6

photosensitive butterfly rash
discoid lupus
alopecia
livedo reticularis - net-like rash

Question 7

key difference between SLE rash and rosacea

Answer 7

SLE typically has nasolabial sparing

Question 8

discoid lupus erythematous

Answer 8

benign disorder characterised by follicular keratin plugs + is thought to be autoimmune

• seen in younger females
• rarely progresses to SLE <5%

Question 8

features of discoid lupus erythematosus

Answer 8

erythematous, raised rash, sometimes scaly
- may be photosensitive

more common on face, neck, ears + scalp

lesions heal with;
- atrophy
- scarring - may cause scarring alopecia
- pigmentation

Question 9

management of discoid lupus erythematosus

Answer 9

topical steroid cream

2nd line = oral antimalarial hydroxychloroquine

avoid sun exxposure