B10. Rosacea, rhinophyma

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  • 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