Rosacea

Question 1

What is rosacea?

Answer 1

A cutaneous vascular disorder that occurs around the central face in women 30-50 years old

Question 2

What triggers rosacea?

Answer 2

1. Extremes of heat
2. Stress
3. Strenuous exercise
4. Spicy food
5. Hot drinks
6. Alcohol
7. UV light

Question 3

How would you diagnose rosacea?

Answer 3

1. Phymatous changes
2. Persistent erythema

Question 4

What are the major clinical features of rosacea?

Answer 4

1. Persistent erythema
2. Transient erythema
3. Telangiectasisa
4. Papules and pustules
5. Ocular manifestations

Question 5

What are the minor clinical features of rosacea?

Answer 5

1. Stinging
2. Burning
3. Dry skin
4. Itchy scaly skin
5. Plaque
6. Oedema

Question 6

What is ocular rosacea?

Answer 6

When there is eyelid discomfort, irritation, tearing, foreign body sensation, itching, dryness, photophobia and blurred vision

Eye signs of lid margin telangiectasia

Suspected:
- blepharitis
- conjunctivitis
- keratitis
- anterior uveitis

Question 7

How do you treat rosacea?

Answer 7

1. Avoid triggers
2. Sunscreen
3. General skin care
4. Topical ivermectin
5. Topical brimonidine 0.5% gel
6. Metronidazole 0.75% bd or azelaic acid 15% bd
7. Oral doxycycline 40mg od