| What is rhinophyma? | Bulbous enlargement of nose- rhinophyma | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 170 | definition | 0.980 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 | page=1,block=24 | 0.700 | valid |
| What is rhinophyma? | Bulbous enlargement of nose- rhinophyma | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 170 | definition | 0.980 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 | page=1,block=24 |
| What should be done for severe or phymatous rosacea? | refer to a specialist for low dose Isotretinoin/interventional treatment | • Avoid triggers (alcohol, caffeine, spicy food, cosmetics, topical steroids) • Photoprotection • Mild papulopustular rosacea: topical Azelaic acid (15%) or Metronidazole (1%) or Ivermectin (1%) • Moderate disease, not controlled with topicals: Cap Doxycycline 100mg OD for minimum of 4-6 weeks • Severe/phymatous/ ocular rosacea: refer to a specialist for low dose Isotretinoin/interventional treatment ACNE EXCORIEE ACNE VULGARIS DRUG INDUCED ACNE NODULOCYSTIC ACNE ROSACEA • Connective tissue diseases like lupus erythematous or dermatomyositis: Photosensitivity, presence of Raynaud’s phenomenon, arthralgia, muscle weakness, dyspnea, dysphagia, oral/ genital ulcers, abdominal pain, frothy urine, seizures, or alopecia • Steroid induced rosacea: Photosensitivity, hypertrichosis, atrophy and pigmentary changes, prior history of topical corticosteroid application for a long time • Seborrheic dermatitis: Predominant involvement of nasolabial folds, eyebrows with erythema and greasy scales • Contact dermatitis or atopic dermatitis: Significant itching, exudation and crusting • ACNE VARIANTS AND DIFFERENTIALS DIFFERENTIALS OF ROSACEA Acne is a common dermatosis of adolescence and often persists into adulthood Rosacea often mimics acne but has distinct management issues | 331 | summary |
| What is the name for the condition involving a swollen nose in rosacea? | rhinophyma | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 199 | definition | 0.940 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 | page=1,block=24 |
| What is the term for a bulbous enlargement of the nose associated with the condition? | rhinophyma | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 199 | definition | 0.940 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 |
| What is rhinophyma? | Bulbous enlargement of nose | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 170 | definition | 0.900 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 | page=1,block=24 |
| What are the physical signs of rosacea on the face? | Persistent erythema, telangiectasia ± papules and pustules in absence of comedones | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 21 | list | 0.820 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea |
| Which parts of the face are commonly affected by rosacea? | Convexities of the face (cheeks, forehead, nose, chin) | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 113 | list | 0.820 | • Photosensitivity • Persistent erythema, telangiectasia ± papules and pustules in absence of comedones • Sites: Convexities of the face (cheeks, forehead, nose, chin) • Bulbous enlargement of nose- rhinophyma • Symptoms: Sensitivity to hot and spicy food, and emotional triggers • History of menstrual irregularities (oligomenorrhea), weight gain and hirsutism- look for polycystic ovarian syndrome • History of premenstrual flare • Persistence or onset/ recurrence after 25 years of age • History of dry and gritty eyes- requires ophthalmologic evaluation for ocular rosacea | 1 |
| What are some triggers that should be avoided to manage rosacea? | alcohol, caffeine, spicy food, cosmetics, topical steroids | • Avoid triggers (alcohol, caffeine, spicy food, cosmetics, topical steroids) • Photoprotection • Mild papulopustular rosacea: topical Azelaic acid (15%) or Metronidazole (1%) or Ivermectin (1%) • Moderate disease, not controlled with topicals: Cap Doxycycline 100mg OD for minimum of 4-6 weeks • Severe/phymatous/ ocular rosacea: refer to a specialist for low dose Isotretinoin/interventional treatment ACNE EXCORIEE ACNE VULGARIS DRUG INDUCED ACNE NODULOCYSTIC ACNE ROSACEA • Connective tissue diseases like lupus erythematous or dermatomyositis: Photosensitivity, presence of Raynaud’s phenomenon, arthralgia, muscle weakness, dyspnea, dysphagia, oral/ genital ulcers, abdominal pain, frothy urine, seizures, or alopecia • Steroid induced rosacea: Photosensitivity, hypertrichosis, atrophy and pigmentary changes, prior history of topical corticosteroid application for a long time • Seborrheic dermatitis: Predominant involvement of nasolabial folds, eyebrows with erythema and greasy scales • Contact dermatitis or atopic dermatitis: Significant itching, exudation and crusting • ACNE VARIANTS AND DIFFERENTIALS DIFFERENTIALS OF ROSACEA Acne is a common dermatosis of adolescence and often persists into adulthood Rosacea often mimics acne but has distinct management issues | 18 | list |
| What treatments are recommended for mild cases of papulopustular rosacea? | topical Azelaic acid (15%) or Metronidazole (1%) or Ivermectin (1%) | • Avoid triggers (alcohol, caffeine, spicy food, cosmetics, topical steroids) • Photoprotection • Mild papulopustular rosacea: topical Azelaic acid (15%) or Metronidazole (1%) or Ivermectin (1%) • Moderate disease, not controlled with topicals: Cap Doxycycline 100mg OD for minimum of 4-6 weeks • Severe/phymatous/ ocular rosacea: refer to a specialist for low dose Isotretinoin/interventional treatment ACNE EXCORIEE ACNE VULGARIS DRUG INDUCED ACNE NODULOCYSTIC ACNE ROSACEA • Connective tissue diseases like lupus erythematous or dermatomyositis: Photosensitivity, presence of Raynaud’s phenomenon, arthralgia, muscle weakness, dyspnea, dysphagia, oral/ genital ulcers, abdominal pain, frothy urine, seizures, or alopecia • Steroid induced rosacea: Photosensitivity, hypertrichosis, atrophy and pigmentary changes, prior history of topical corticosteroid application for a long time • Seborrheic dermatitis: Predominant involvement of nasolabial folds, eyebrows with erythema and greasy scales • Contact dermatitis or atopic dermatitis: Significant itching, exudation and crusting • ACNE VARIANTS AND DIFFERENTIALS DIFFERENTIALS OF ROSACEA Acne is a common dermatosis of adolescence and often persists into adulthood Rosacea often mimics acne but has distinct management issues | 127 |