Rosacea
Rosacea is a very common inflammatory condition affecting the convexities of the face such as the nose, cheeks, chin and forehead
It can present as
- Flushing
- Blushing
- Redness of the face
- Pimples and yellowheads (papules and pustules)
- a red nose
- an enlarged nose (rhinophyma)
- telangiectasis (broken blood vessels)
Treatment
Topical |
metronidazole |
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azelaic acid 20% gel |
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Ivermectin (Soolantra - licensed for moderate-severe lesions of PPR) |
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Brimonidine = mirvaso |
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Systemic |
propanolol for flushing |
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oxytetracycline |
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tetracycline |
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doxycycline (efracea) |
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Isotretinoin |
Long term low dose isotretinoin (Roaccutane) can sometimes help reduce the effects of adult relapsing rosacea. Hofer T. Continuous "microdose" isotretinoin in adult recalcitrant rosacea. Clin Exp Dermatol 2004; 29: 204-5.
Laser
Intense Pulsed Light
For more information on rosacea
About rosacea
My rosacea
Red Faces
Common causes of facial redness
Eczema
Rosacea
Perioral dermatitis Seborrhoeic dermatitis
Solar keratoses
Allergic contact dermatitis eg to hair dye / fragrances
Psoriasis
Sunburn
Lupus erythematosus (discoid / sle)
Jessners lymphocytic infiltrate
Dermatomyositis
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