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INTRODUCTION
Rosacea is well recognized as a chronic cutaneous disorder primarily of the convexities of the central face (cheeks, chin, nose, and central forehead) Cutaneous signs: flushing, erythema, telangiectasia, edema, papules, pustules, ocular lesions, and rhinophyma.
EPIDEMIOLOGY
Rosacea appears to be quite common It has been most frequently patients with fair skin, In Asians and African Americans can occur. Any sex , any age The onset typically begins at any time after age 30.
Clinical Picture
STAGE IN ROSACEA
Episodic Erythema :the Rosacea diathesis Stage I. Persistent moderate erythema with scattered telangiectases. Stage II. Persistent erythema, numerous telangiectases, papules and pustules Stage III. Persistent deep erythema, dense telangiectases forming sprays (nose) papules, pustules, nodules with variable plaquelike edema
Subtype of Rosacea
Subtype 1: erythematotelangiectatic rosacea Subtype 2: papulopustular rosacea. Subtype 3: phymatous rosacea. Subtype 4: ocular rosacea.
Histopathology
According to the stage Often not diagnostic Demodex folliculorum often found in all type
Diagnostic Criteria
Deferential Diagnostic
Acne vulgaris, Seborrheic dermatitis Sarcoidosis, Lymorphous light eruption, Harbers syndrome
Complication
Treatment
Additional therapy
Use sunscreen SPF 15 or higher Massase facial Diet cigarette, alcohol, coffee, spicy Surgery
Surgery
Laser resurfacing. Laser surgery removes layers of skin. This may help with an enlarged nose (rhinophyma); small, red lines; or lingering redness. Dermabrasion. This procedure may smooth the rough skin and bumps from the nose caused by rhinophyma. Cosmetic surgery. Reconstructive surgery and plastic surgery may reshape or remove bumps from a nose damaged by rhinophyma.