B10. Rosacea, rhinophyma
- Chronic inflammatory skin disease
- More common in females
- Triggers
- Alcohol
- Stress
- Smoking
- Hot weather
- Clinical features
- No comedones or seborrhoea
- Erythematotelangiectatic rosacea
- Central facial erythema
- Telangiectasia
- Papulopustular rosacea
- Papules, pustules and erythema
- Phymatous rosacea
- Skin thickens
- Inflammatory nodules
- Rhinophyma – large, bulbous nose
- Ocular rosacea
- Conjunctival hyperaemia
- Blepharitis
- Dry eyes
- Keratitis
- Rhinophyma
- A complication of long-standing rosacea
- Fibrous thickening of the nose, prominent pores on the nose
- Treatment
- Avoid triggers
- Topical
- Metronidazole
- Ivermectin
- Azelaic acid
- Oral
- Tetracycline
- Metronidazole
- Isotretinoin
- Rhinophyma – surgical treatment