Rosacea

Question 1

Epidemiology

Answer 1

30 - 40s

Irish high prevalence

Question 2

History

Answer 2

Blush tendency long-standing
Exacerbation alcohol, spicy food, sudden temp change, hot drinks, sunlight
Caused by topical steroids

Eye symptoms: burning, itching, redness, grittiness

Question 3

Clinical Features

Answer 3

• Symmetrical rash affecting face
• Dome-shaped erythematous papules
• Erythema & telangiectasia
• Greasy skin but little scaling
• Facial swelling
• Bulbous nose

-Absence pustules on trunk

Question 4

Management

Answer 4

GENERAL
Soap substitutes
Sun protection

MEDICAL
Mild: topical metranidazole
Severe: oral antibiotics and retinoid

Cosmetic camouflage/laser surgery