Rosacea Flashcards
1
Q
What is rosacea?
A
A chronic condition affecting the cheeks, nose, chin and forehead and is characterised by redness, dilated blood vessels, papules and pustules.
2
Q
What is the epidemiology of rosacea?
A
- Common in the 3rd and 4th decade
- More common in women but more severe in men
- Particularly high prevelance in Ireland
3
Q
What are the causes and risk factors for rosaea?
A
Causes:
- Idiopthic
- Topical corticosteroid
Risk factors:
- changes in temperature
- alcohol
- spicy foods
- sun exposure
- cosmetic products
4
Q
What are the symptoms of rosacea?
A
- Enlarged nose (rhinophyma)
- Papules and pustules formation
- Patients are more prone to flush and blush
- Easily irritated by topical products, spicy foods, alcohol, cosmetic products, sudden change in temperature and hot drinks
- Ocular symptoms-itch, redness, grittiness, burning
5
Q
What are the differential diagnosis for rosacea?
A
- Facial angiofibromas
- Acne vulgaris
- Perioral dermatitis
- Contact dermatitis
- Seborrhoeic dermatitis
6
Q
What are the investigations that can be done for rosacea?
A
- Examination
- Bacterial culture to rule out folliculitis
- Skin biopsy
7
Q
What are the treatments available for rosacea?
A
- Soap substitutes to minimise irritation to the skin
- A hat and and sunblock to prevent photoexacerbation
- Topical metronidazole or azaleic acid cream
- Oxytetracyclines-oral antibiotic to inhibit papulopustular growth but does not really do much for redness
- Oral isotretinoin to reduce sebaceous production
- Electrosurgery can be used to reduce rhyphoma
- Laser surgery or cosmetic camouflage may be used to reduce redness
- topical metronidazole/azaleic acid
- oral oxytetracycline
- oral isotretinoin
