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Acne Rosacea Epidemiology

Acne Rosacea Epidemiology - typically returns shortly after...

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Acne Rosacea Epidemiology The prevelance of acne rosacea is around 10% in Europe and 5% in the US. Diagnosis No specific tests. Skin biopsies would show a highly non-specific inflammatory skin condition that ressembles granulomatous disease. ANA titre negative (exclude SLE is indicated as a possible differential). Subtype 1: erythematotelangiectatic (flushing and persistent central facial erythema) Subtype 2: papulopustular (Transient papules, pustules) Subtype 3: phymatous (thickened skin i.e. rhinophyma) Subtype 4: ocular manifestations Treatment Subtypes 1 and 2, and subtype 3 • Avoid irritants and topical corticosteroids • Cosmetic camouflage • Topical metronidazole • Other topical treatment = azelaic acid or sulfacetamide/sulphur • Laser treatment of telangiectases (or electrical hyfrecators) • Oral isotretinoin may be considered in severe subtype 3 Subtype 4 • Artificial tears and warm water rinses • Topical metronidazole
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Prognosis While medications often produce a temporary remission of redness within a few weeks, the redness
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Unformatted text preview: typically returns shortly after treatment is suspended. Long-term treatment, usually one to two years, may result in permanent control of the condition for some patients. Lifelong treatment is often necessary, although some cases resolve after a while and go into a permanent remission. Prevention Prevention is about avoiding the risk factors which can include (% of suffers listing this as a trigger): • Sun exposure 81% • Emotional stress 79% • Hot weather 75% • Wind 57% • Heavy exercise 56% • Alcohol consumption 52% • Hot baths 51% • Cold weather 46% • Spicy foods 45% • Humidity 44% • Indoor heat 41% • Certain skin-care products 41% • Heated beverages 36% • Certain cosmetics 27% • Medications (specifically stimulants) 15% • Medical conditions 15% • Certain fruits 13% • Marinated meats 10% • Certain vegetables 9% • Dairy products 8%...
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