Rosacea

• common inflammatory rash

• predominantly affects face

• important differential diagnosis of acne

Typical Patient

• middle-aged woman

• may occur in men

Symptoms / Signs

• facial flushing

• small papules and pustules

• erythematous background

• telangiectasia

• blepharitis

• no comedones

• distribution

  • central cheeks

  • forehead

  • glabellar region

  • end of nose

  • chin

• face flushes easily with heat / alcohol

• migraines more common

• rhinophyma in men

Variants

Pathology

Investigations

Treatments

• tetracyclines for several weeks

• topical metronidazole may help

Prognosis

Complications

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