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R
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Acne Rosacea
What is acne rosacea?
Acne rosacea is an inflammatory skin disorder with onset in
middle-age. It affects the blood vessels and pilosebaceous units of the
face, specifically the central third, sparing the lateral aspects of the cheeks
and forehead. It appears as a background of erythema and telangiectasias,
usually with superimposed papules and pustules. Comedones are not found,
distinguishing it from acne vulgaris. The onset
of acne rosacea is usually gradual, progressing from erythema to telangiectasias
to papules and pustules. In some patients, flushing precedes permanent erythema.
With what can acne rosacea be confused?
The primary differential diagnosis is
acne vulgaris. Unlike
acne vulgaris, acne rosacea lacks comedones,
begins in middle age, has background erythema and telangiectasias, and a
characteristic central facial distribution. When pustules are not present, the
erythema of acne rosacea can resemble seborrheic dermatitis,
systemic
lupus erythematosus, or a
photodermatoses. The flushing sometimes seen
in early acne rosacea can be confused with
carcinoid syndrome.
How is acne rosacea diagnosed?
Acne rosacea is usually diagnosed clinically based on history
and a typical appearance.
How is acne rosacea treated?
Papules and pustules usually respond to low dose systemic
antibiotics, such as tetracycline or erythromycin. Topical
metronidazole (e.g.
MetroGel) is also commonly used, as is topical
azelaic acid (e.g. Finacea) and
sometimes permethrin. Systemic
isotretinoin (Accutane) can be used for
resistant disease. Topical steroids should be avoided as the are known to
aggravate the disease. Sun screen should be worn regularly as sunlight is an
aggravating factor. Telangiectasias may be responsive to
laser treatments.
Buy
Discounted Drug for Acne Rosacea
What is the prognosis for acne rosacea?
Acne rosacea is a chronic disease that can usually be controlled
with treatment. Papules, pustules, and erythema may resolve with antibiotics,
but telangiectasias persist unless ablated with a vascular laser.
Rhinophyma, hyperplasia of the sebaceous glands surrounding the nose,
develops in some cases. Eye complications also sometimes intervene, ranging from
blepharitis to keratitis.
Date created 04/15/2007
Last updated
01/03/2009
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