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
  azelaic acid 20% gel
 

Ivermectin (Soolantra - licensed for moderate-severe lesions of PPR)

 

Brimonidine = mirvaso

   
Systemic propanolol for flushing
  oxytetracycline
  tetracycline
  doxycycline (efracea)
  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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