Rosacea

Question 1

what is rosacea?

Answer 1

chronic skin disease of unknown aetiology

Question 2

what are the features of rosacea?

Answer 2

• typically affects nose, cheeks and forehead
• flushing = first symptom
• telangietasia
• persistent erythema + papules + pustules = later
• rhinophyma
• blepharitis

Question 3

name exacerbating factors of rosacea?

Answer 3

• sunlight
• spicy food
• stress

Question 4

what is the management of rosacea?

Answer 4

• topical metronidazole
• severe disease = systemic antibiotics (e.g. oxytetracycline)
• daily high factor SPF

Question 5

what topical treatment can be used in patients with predominant flushing in rosacea?

Answer 5

topical brimonidine gel