Chapter 053. Eczema and Dermatitis (Part 14)

Acne Rosacea Acne rosacea, commonly referred to as rosacea, is an inflammatory disorder predominantly affecting the central face. Those most often affected are Caucasians of northern European background, but it is seen in patients with dark skin also. | Chapter 053. Eczema and Dermatitis Part 14 Acne Rosacea Acne rosacea commonly referred to as rosacea is an inflammatory disorder predominantly affecting the central face. Those most often affected are Caucasians of northern European background but it is seen in patients with dark skin also. It is seen almost exclusively in adults only rarely affecting patients 30 years. Rosacea is more common in women but those most severely affected are men. It is characterized by the presence of erythema telangiectases and superficial pustules Fig. 53-8 but is not associated with the presence of comedones. Rosacea only rarely involves the chest or back. Figure 53-8 SourC F ucl ÄS. K fp ÿ DL. r4UftW ld f. Hjvtti 5L. O DL J m ion JU LOICtEEO Jl H wj n-rj a JaCvr 17th Edition http fr i r. r i _ 11 j i f JJ i Fü 1 i i Copyright Th Csmpsntti Enc. All right risked. Acne rosacea. Prominent facial erythema telangiectasia scattered papules and small pustules are seen in this patient with acne rosacea. Courtesy of Robert Swerlick MD with permission There is a relationship between the tendency for facial flushing and the subsequent development of acne rosacea. Often individuals with rosacea initially demonstrate a pronounced flushing reaction. This may be in response to heat emotional stimuli alcohol hot drinks or spicy foods. As the disease progresses the flush persists longer and longer and may eventually become permanent. Papules pustules and telangiectases can become superimposed on the persistent flush. Rosacea of very long standing may lead to connective tissue overgrowth particularly of the nose rhinophyma . Rosacea may also be complicated by various inflammatory disorders of the eye including keratitis blepharitis iritis and recurrent chalazion. These ocular problems are potentially sight-threatening and warrant ophthalmologic evaluation. Acne Rosacea Treatment Acne rosacea can be treated topically or systemically. Mild disease often .