Rosacea Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is chronic acneform eruption on face with flushing and telangiectasia?

A

rosacea

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2
Q

Do you this comedones with this?

A

nope

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3
Q

Who gets rosacea?

A

30-50 yo, females > males, fair skinned > dark skinned

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4
Q

What is clinical diagnosis for rosacea?

A

persistent erythema of central portion of the face lasting at least 3 mo

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5
Q

What is supporting criteria for rosacea dx?

A

flushing, papules, pustules, telangiectasias

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6
Q

What are secondary characteristics of rosacea?

A

burning, stinging, edema, plaques, dry appearance, ocular manifestations, phymatous changes

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7
Q

What is the erythematelangiectatic type?

A

central flushing with burning and stinging, redness sparing periocular skin
triggered

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8
Q

What can trigger erythematelangiectic rosacea?

A

emotional stress, hot drinks, alcohol, spicy foods, exercise, cold or hot weather, hot baths and showers

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9
Q

What is papulopustular rosacea?

A

classic example, middle age women, red center with small papules with pinpoint pustules

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10
Q

What is rhinophyma?

A

progressive rosacea, chronic nasal inflammation, irreversible hyperplasia of nasal tissue,

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11
Q

Who gets rhinophyma?

A

men

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12
Q

How do you treat rhinophyma?

A

isotretinoin topicals and surgical correction

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13
Q

What are the ocular manifestations of rosacea?

A

blepharitis, conjunctivitis, episcleritis, rosacea keratitis –> corneal ulcers

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14
Q

What will pt with ocular rosacea complain of?

A

stinging, burning, dryness, irritation with light or foreign body sensations

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15
Q

What are precipitating factors with rosacea?

A

ETOH, spicy food, hot coffee, tea, soups, caffeine, exercise, skin care products, sudden temperature changes

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16
Q

What is something that can look like roseacea?

A

carcinoid syndrome - flushing - GI tumor

SLE - butterfly rash

17
Q

How can you rule out the ddx of rosacea?

A

carcinoid and SLE do not have papules or pustules

18
Q

What is the treatment of rosacea?

A

avoidance
Topical Metronidazole 0.75% or 1%
(MetroGel, Metrocream, MetroLotion)
Topical azelaic acid
15% gel or foam(Finacea), or 20% cream (Azelex)
Topical brimonidine gel 0.5% (Mirvaso)
Topical form of the alpha-2 agonist
Topical & PO Antibiotics - as in Acne
Isotretinoin (13 cis - retinoic acid)
For refractory disease, alternative is Dapsone

19
Q

What is the best treatment for rosacea?

A

laser treatment