Rosacea (3)

Question 1

What is it?

What are its risk factors?

Answer 1

➊ Common chronic disorder of the skin characterised by redness, flushing, and other cutaneous findings

➋ * Pale skin (Fitzpatrick skin type I/II)
* Female
* Extreme temperature
* Sunlight
* Stress
* Hot drinks
* Family hx
* Hot baths/showers

Question 2

What are its signs and symptoms?

How is it investigated?

Answer 2

➊ * Flushing
* Burning or stinging feeling when using water or skincare products
* **Dilated prominent telangiectases **(primarily on the face)
* Persistent facial erythema
* Inflammatory papules and pustules
* Rhinophyma - prominence of sebaceous glands on the nose, resulting in fibrosis

➋ * Usually a clinical diagnosis
* Could do a blood test for ANA is SLE is suspected

Question 3

How is it managed?

Answer 3

• Avoiding common triggers e.g. hot baths, humidity, hot baths, hot drinks, heavy exercise; alcohol, spicy food
• Skincare and sun protection
• Other more specialist options for specific features e.g. topical alpha agonists, isotretanoin, laser treatment