Rosacea

Question 1

What is rosacea?

Answer 1

A chronic relapsing remitting disorder of blood vessels and pilosebaceous units

Question 2

What is presentation of rosacea?

Answer 2

• A central facial rash with erythema, telangiectasia, papules, and pustules (no comedones)
  
  • Inflammatory nodules
  • Facial lymphoedema
  • Blepharitis/conjunctivitis
  • Rhinophyma in men (swelling of nose)

Question 3

What are Ix for rosacea?

Answer 3

Clinical diagnosis but can do ANA to rule out lupus

Question 4

What is Rx of rosacea

Answer 4

Soap substitutes, avoid triggers e.g. sun

topical metronidazole, azelaic acid, benzoyl peroxide

Laser treatment +/- tacrolimus for telangiectasias and erythema

For moderate disease, oral tetracycline

Eye: ocular lubricants and ciclosporin