DR RZAN Rosacea Dr Rzan A Objectives Explain

DR. RZAN

Rosacea Dr. Rzan A. ]

Objectives: Explain etiology and Pathogenesis of Rosacea. n Label different stages of Rosacea n List available modalities to treat Rosacea. n n Compare acne to rosacea. DR. RZAN

Rosacea n n n Rosacea (Latin: “like roses”) is a chronic inflammatoy disorder of the facial pilosebaceous units, with an increased reactivity of capillaries to heat, leading to flushing and telangiectasia. . . Age of incidence between 30 to 50 years, Sex Females predominantly; Race WHITE peoples. DISTRIBUTION Characteristic is a a symmetrical localization on the face DR. RZAN

Skin Symptoms/ facial appearance? ; Flushing, “heat” in the face. Stages of Evolution // episodic (flushing) in response to (hot liquids), spicy foods; alcohol , exposure to sun, heat and emotional stress. *Episodic erythema, “flushing and blushing” Stage I: Persistent erythema with telangiectases Stage II: Persistent erythema, telangiectases, papules, tiny pustules Stage III: Persistent deep erythema, dense telangiectases, papules, pustules, nodules; marked sebaceous hyperplasia edema of the central part of the face "glandular rosacea" causing disfigurement of the nose {Rhinophyma (enlarged nose) }

Eye Lesions/// “Red” eyes , chronic blepharitis, conjunctivitis, and episcleritis. Rosacea keratitis Differential Diagnosis Acne, (note: in rosacea No comedones) Perioral dermatitis, folliculitis, and SLE Dermatopathology 1 -Dilated capillaries. 2 -Marked sebaceous gland hyperplasia 3 -Inflammatory infiltrate with foci of neutrophils within the follicle 4 -epithelioid granuloma without caseation, DR. RZAN

Course Prolonged. Recurrences are common. After a few years, the disease tends to disappear spontaneously. Management Reassurance. Reduction of alcoholic and hot beverages. n Topical : Metronidazole gel or cream, 0. 75 %, twice daily or. Topical antibiotics (e. g. , erythromycin gel). DR. RZAN

n n n Systemic: oral antibiotics: Tetracycline, 250 mg 4 td. until clear; then gradually reduce to once-daily doses of 250 to 500 mg. Minocycline and doxycycline, 50 to 100 mg twice daily. Oral Isotretinoin DR. RZAN

1. ONSET 2. SEX 3. SITE Acne Rosacea ADOLESCENCE THIRTIEs TO FIFTIES MALE>. F FEMALES. >MALES FACE, UPPER TUNCK, UPPER ARMS FACE 4. FLUSHING&TELEA _ NGECTASIa + 5. Comedons + _ 6. Eye complecations 7. Rhinophyma _----- + _ + 8. Responce to treatment slow rapid

Imp. Links: n n Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, Eighth Edition https: //books. google. iq/books? id=GEBq. A AAAMAAJ&q=dermatology+atlas+Atlas &dq=dermatology+atlas+Atlas&hl=ar&sa= X&ved=0 ah. UKEwi. F 5 b. S 7 g 4 n. XAh. Vr. L 8 A KHd 3 BDl 4 Q 6 AEIQz. AE DR. RZAN

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