Rosacea

Question 1

What is rosacea?

Answer 1

A common persistent eruption of unknown aetiology

Question 2

what are clinical features of rosacea?

Answer 2

mainly 30-50 years
ususally females of celtic origin
on forehead, cheeks, nose and chin
"flushing and blushing"
periorbital and perioral areas spared
vascular changes: erythema + telangectasia
inflammation: papules and pustules

Question 3

what are some potential complications of rosacea?

Answer 3

blepharitis
conjunctivitis, rarely keratitis and corneal ulcer
associated rhinophyma in some cases

Question 4

what is the management of rosacea?

Answer 4

cool packs if severe
avoid factors that cause facial flushing
sun protection
soap free cleanser
systemic antibiotics (eg doxycycline) repeat for recurrances (avoid maintenance)
laser therapy