Term
|
Definition
A common, chronic progressive inflammatory dermatosis based on vascular
instability
Primarily affects the central part of the face
Characterized by facial flushing/blushing, facial erythema, papules, pustules, and telangiactasia |
|
|
Term
| Rosacea - General Info (cont.) |
|
Definition
ages of 25 to 70 years
people with fair complexions
more common in women than men
it is chronic, lasting for years with periods of exacerbation and remission |
|
|
Term
|
Definition
| visibly dilated blood vessels |
|
|
Term
|
Definition
|
|
Term
|
Definition
enlarged sebaceous glands
more common in men |
|
|
Term
|
Definition
|
|
Term
|
Definition
foods
temperature
weather
beverages
medical conditions
emotional influences
physical exertion
skin products |
|
|
Term
| Drugs that can trigger rosacea |
|
Definition
VASODILATORS
Topical corticosteroids
nicotinic acid
ACE inhibitors
Calcium channel blockers
Statins |
|
|
Term
| Treatment with lifestyle modifications |
|
Definition
avoid triggers known to exacerbate
avoid excessive exposure to the sun (use sunscreen with SPF 30 or higher)
use mild soaps and cleansers
any topical medication should be allowed to penetrate the skin for 5 - 10 minutes before applying make-up |
|
|
Term
| Treatment of Mild Rosacea |
|
Definition
avoidance of triggers
topical antibiotics
topical retinoids |
|
|
Term
| Treatment of Moderate Rosacea |
|
Definition
oral antibiotics
topical retinoids |
|
|
Term
| Treatment of Severe Rosacea |
|
Definition
|
|
Term
| Treatment with Topical Antibiotics |
|
Definition
treats the inflammatory stage
topical agents are effective for most patients with rosacea |
|
|
Term
|
Definition
topical antibiotic for rosacea
MetroGel 0.75%
MetroCream 0.75%
MetroLotion 0.75%
treatment of choice
apply twice daily
some burning/stinging |
|
|
Term
|
Definition
topical antibiotic for rosacea
Cleocin T 1% - solution, lotion, gel |
|
|
Term
|
Definition
topical antibiotic for rosacea
Sulfacet-R
Rosula Gel
Clenia Cream
apply once or twice daily |
|
|
Term
| Oral antibiotics for rosacea |
|
Definition
for patients with moderate to severe cases
dose varies depending on severity
may be used alone or in combination with topical agents |
|
|
Term
| Examples of Oral Antibiotics for Rosacea |
|
Definition
Tetracycline 250 - 500 mg two to four times daily
Doxycycline 50 - 100 mg once or twice daily
Minocycline 50 - 100 mg twice daily
Patient is tapered off once response is observed |
|
|
Term
| Azelaic acid (Finacea Gel 15%) |
|
Definition
antibacterial, comedolytic, and anti-inflammatory effects
less acidic and better absorbed than the acne formulation |
|
|
Term
|
Definition
Retin-A Micro Gel or Cream
used for more severe cases
may worsen erythema and telangiactasia |
|
|
Term
|
Definition
capsules
only for the most severe cases
risk of serious side effects and teratogenicity |
|
|
Term
|
Definition
used to remove blood vessels and reduce excessive redness
a minimum of three treatments is required
may also be used in more severe cases to retard build-up or remove unwanted tissue of the nose |
|
|
