Rosacea Flashcards
1
Q
Rosacea
A
- auto-inflammatory skin condition
- central face most common
- can be mistake for sunburn or acne
- rosacea and acne can co-exist
- more common in women
- Age of onset: 30-50s
- Affected person flushes easily
- Patients often report very sensitive skin
2
Q
Characteristics
A
facial erythema (redness), flushing, and acne-like pimples, papules, and pustules (NO COMEDONES)
3
Q
Exacerbating Factors
A
- Alcohol
- Sunlight
- Heat
- Hot, spicy food
- Emotional stress
- unlike acne vulgaris, rosacea is not related to androgens
4
Q
Stage 1
A
episodic/persistent erythema, telangiectasia
5
Q
Stage 2
A
erythematous papules and pustules
6
Q
Stage 3
A
the apex of rosacea, rhinophyma (a large, bulbous,, ruddy nose)
7
Q
Common treatments
A
- topicals (antibiotics, anti-inflammatory, others)
- oral antibiotics
- Avoiding precipitating factors
- Green tinted make-up
- Laser for telangiectatic and erythematous component
- Surgery for rhinophyma
8
Q
Topical Treatment
A
- Indicated for erythema and mild to moderate rosacea
- Topical antibiotics: Metronidazole (Metrogel, Metrocream, Metrolotion)
- anti-inflammatory: Azelaic acid (Azelex, Finacea)
- other topical medications, such as benzoyl peroxide, retinoids, and sulfur lotions are sometimes used
9
Q
Oral Antibiotics
A
- indicated for: moderate-severe inflammatory rasacea
- Tetracycline, minocycline, doxycycline, bactrim
- Metronidazole: 250mg/day 4-6 weeks
