Skin OTC - Rosacea

Question 1

What are the main features of SLE? (3)

Answer 1

Systemic Lupus Erythematosus (SLE): No pustules, looks like a butterfly rash over cheek area. = REFER!

Question 2

What are the main features of Rosacea? (4)

Answer 2

Flushing, erythema, telangiectases, inflamed papules and pustules affecting cheeks, nose, centre of forehead, chin.
Relapsing/remitting
Differential diagnosis: Seborrhoeic eczema, SLE, photosensitivity

Question 3

What is the difference between acne and rosacea? (4)

Answer 3

Acne:
- Clinical Features: Seborrhoea, comedones, pustules, nodules, cysts, inflammation
- Distribution: face, neck, back, upper chest, asymmetrical
- Age of Onset: Adolescence
- Effects of Sunlight: Sometimes helpful

Rosacea:
- Clinical Features: Pustules, Nodules, Inflammation, Flushing
- Distribution: Face, symmetrical
- Age of Onset: 30s and 40s
- Effects of Sunlight: Exacerbates

Question 4

Outline the management of rosacea.

Answer 4

Topical or oral ABx e.g. metronidazole REFER!