rosacea

Question 1

4 types of rosacea

Answer 1

• erythrotelangiectatic rosacea (aka vascular rosacea)
• papulopustular rosacea
• phymatous rosacea
• ocular rosacea

Question 2

manifestation of erythrotelangiectatic rosacea

Answer 2

(persistent erythema lasting at least 3 months)

• flushing and vasodilation of facial blood vessels
• progresses to permanent erythema, then telangiectasia
• affects central area of face, ears, neck, upper chest

Question 3

manifestation of papulopustular rosacea

Answer 3

persistent development of inflammatory papule and pustule on central face

Question 4

manifestation of phymatous rosacea

Answer 4

skin hyperplasia due to chronic inflammation
- most common in nose, rhinophyma
also has telangiectasia

Question 5

manifestation of ocular rosacea

Answer 5

blepharitis

conjunctivitis

Question 6

personal characteristics assoc. with rosacea

Answer 6

• fair skin
• blue eyes
• european, Celtic origin
• age 30-50
• females > males

Question 7

triggers for worsening rosacea symptoms (14)

Answer 7

anything that can vasodilator really

environment

• hot and cold weather
• sun exposure
• wind

behaviour

• emotional stress
• hot baths and showers
• exercise

consumables

• hot drinks
• alcohol
• spicy foods
• dairy products

medication, cosmetics

• some skin care and cosmetics
• topical steroids,
• niacin
• b-blockers

Question 8

medication treatment of rosacea (broadly, and duration)

Answer 8

topical (mild)
- metronidazole or azelaic acid

oral doxycycline
- add-on or if moderate

treat for 6-12 weeks. like acne

Question 9

difference between acne and rosacea

Answer 9

rosacea won’t have comedos

Question 10

non-medication management of rosacea (6)

Answer 10

knowledge

• educate on chronic inflammatory nature of rosacea
• identify and avoid triggers

topical products

• soap-free, abrasive free cleansers
• moisturise if dry skin
• use green /yellow tint cosmetics to conceal redness
• sun-protection -broad -spectrum sunscreen

Question 11

medications to avoid in rosacea

Answer 11

topical corticosteroids