The presentation of rosacea ranges from mild facial flushing to disfiguring rhinophyma. Typical signs include telangiectasia, erythema, edema, and papules or pustules. Ocular involvement is common; be on the alert for conjunctivitis and punctate keratopathy. If untreated, serious ocular complications - even blindness - can occur. The differential diagnosis includes SLE, acne vulgaris, seborrheic dermatitis, and local irritation or allergy. The first-line therapy for rosacea is oral tetracycline and topical metronidazole. Tell patients to avoid potential triggers, such as sun exposure, spicy foods, alcohol, and other vasodilators. Rosacea has been linked with Helicobacter pylori GI disease and sometimes responds to therapy for such disease.
|Original language||English (US)|
|Number of pages||5|
|State||Published - Jul 1996|
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