Rosacea

Question 1

What is rosacea?

Answer 1

This is a common condition affecting around 10% of caucasian adults, in which there is recurrent facial flushing and pustule formation

Question 2

Who is more at risk of rosacea?

Answer 2

Females

Question 3

What are some triggers of rosacea?

Answer 3

• Sunlight
• Alcohol
• Spicy foods
• Stress

Question 4

How will rosacea present?

Answer 4

• Recurrent facial flushing due to visible blood vessels
• Pustule formation
• Thickening of the skin around the nose (Rhinophyma)
• Vascular ectasia (Telangiectasia)
• Patchy inflammation with plasma cells
• Perifollicular granulomas
• Follicular demodex mites

Question 5

What condition is shown?

Answer 5

Rosacea

Question 6

How is rosacea managed?

Answer 6

Management involves advice on avoiding dietary triggers as well as medications such as:

• Topical metronidazole
• Topical ivermectin
• Long-term oral antibiotics (Tetracyclines)
• Roaccutane (Isotretinoin)

Question 7

How can telangiectasia be managed?

Answer 7

KTP lasering

Question 8

How can rhinopehyma be managed?

Answer 8

Surgery or laser shaving