Author: Dr Francisco Flores, Dr Maryam Ameen, and Dr Brittany Tsai, Ross University School of Medicine.
Reviewing dermatologist: Dr Ian Coulson (2024).
Edited by the DermNet content department.
A 29-year-old woman presented with red patches on the bilateral medial cheeks and the lateral aspects of the chin associated with pain and irritation. She had these symptoms for the past year and stated they flared up with stress. She was not aware of any other triggers that made it worse.
Physical examination shows monomorphic pink papules and fine pustules with areas of redness and telangiectasia.
She was diagnosed with papulopustular rosacea.
Alcohol, spicy foods, hot beverages, and alcohol are frequently cited food triggers. Sunshine usually makes rosacea worse, though in a small minority it actually helps. Drugs that cause flushing may make rosacea worse.
General skincare and lifestyle advice is important in managing rosacea. Keeping a symptom diary to identify and avoid triggers for flare-ups can be helpful. Cool compresses are often used for flushing and various topical or systemic medications may be considered for symptom control.
This patient was prescribed oral doxycycline and advised to avoid sun exposure (see: Sun protection). Her symptoms responded gratifyingly.
See: Rosacea.
