Rosacea

• 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