Rosacea Questions And Answers With Verified Study Solutions

What age adults does rosacea commonly occur in? - Adults age 30 to 50 Rosacea is most common in ___________ skinned individuals and _______________. - Rosacea is most common in fair skinned individuals and women. True or False: Rosacea is a chronic disease with remission and relapses. - True What are the two subtypes of rosacea we need to know? - Erythematotelangiectatic and papulopustular What is the most common subtype of rosacea? - Erythematotelangiectatic What are the primary features of Erythematotelangiectatic? (2) - Persistent facial erythema, flushing What are the secondary features of Erythematotelangiectatic? (6) - Telangiectasis, Central face edema, Burning, Stinging, Roughness, Scaling What is the primary features of papulopustular rosacea? - Central face erythema with papules and pustules predominately. What is usually less severe with papulopustular rosacea? - Flushing is usually less severe.What does papulopustular rosacea resemble? - Acne but no comedones are present. What may also occur with papulopustular rosacea? - Burning and stinging What is the facial vasculature like with rosacea? - More superficial and is compromised of many large vessels. What are the triggers of rosacea? (7) - Spicy foods, Alcohol, Environmental (sun exposure, hot/cold weather, wind), Exercise, Chemical, Psychological, Emotional factors What medications can cause flushing? (2) - Niacin, Vasodilators like alpha antagonist and hydrochlorothiazide. What are the primary symptoms of rosacea? (5) - Flushing, Erythema, Inflammatory papules, Pustules, Telangiectasias What is telangiectasias? - Abnormal dilation of capillaries, arterioles, or venules located just below the skin surface. Red nose equals what? - TelangiectasiasWhere on the face is telangiectasias common? (4) - Cheeks, nose, forehead, and chin What are the secondary symptoms of rosacea? - Facial burning, Stinging, Edema, Plaques, Dry appearance, Phyma, Ocular manifestations What may plaques do? - Ooze and crust What must happen for clinical diagnosis of rosacea? - Flushing and erythema must be persistent What are the nonpharm treatments for rosacea? (3) - Identify and avoid triggers, Use cleansers and moisturizers daily, Cosmetic camouflage What triggers should you avoid with rosacea? - Alcohol related and heat related What should you apply with rosacea and how often? - Sunscreen SPF 30+ reapply every 2 hours What is the pharmacologic treatment of rosacea based on? - Sub type, severity, response to treatment True or False: Treatment for rosacea is curative. - False it is not curativeWhat are the treatment options for Erythematotelangiectatic rosacea? (4) - Topical brimonidine, Topical oxymetazoline, Chemical therapy, Phototherapy What is the MOA of topical brimonidine? - Decreases erythema by direct vasodilation What pharmacologic class is topical brimonidine? - Alpha 2 receptor agonist How often do you apply topical brimonidine? - Once daily What are the adverse effects of topical brimonidine? (2) - Skin burning sensation, Contact dermatitis Where should you avoid applying topical brimondine? - eyes and lips What patient population should you use caution with with topical brimondine? - Cardiovascular disease particularly but also depression or vascular insufficiency (raynaud's) What is the MOA of topical oxymetazoline? - Decreases erythema by direct vasoconstriction What is the pharmacologic class of topical oxymetazoline? - Alpha 1a receptor agonist How many times a day do you apply topical oxymetazoline? - Once a day What are the adverse reactions of topical oxymetazoline? (4) - Application site dermatitis, Erythema,Pain, Exacerbation of acne rosacea When should you use topical oxymetazoline with caution? - In patients with cardiovascular disease, depression, or vascular insufficiency.