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Chapter 81. Rosacea

Distribution

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Fig. 81-1

Telangiectases, papules, and zones of erythema on the scalp, forehead, nose, malar regions, and cheeks.


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Fig. 81-2

Telangiectases, papules, and zones of erythema on the forehead, malar regions, and nose especially.


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Fig. 81-3

Telangiectases and papules on the nose, malar eminences, and cheeks.


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Fig. 81-4

Erythema and swollen tip of the nose.


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Fig. 81-5

Papules and pustules of  “perioral dermatitis” and of “periocular dermatitis,” rosacea both.


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Fig. 81-6

Papules on the forehead, glabellar region, cheeks, and paranasal and nasolabial regions.


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Fig. 81-7

Papules in the periorbital region (periocular dermatitis).


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Fig. 81-8

Papules in the malar region, paranasal region, and chin (perioral dermatitis).


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Fig. 81-9

Papules in periocular and perioral distribution (periocularand perioral dermatitis).


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Fig. 81-10

Papules in the perioral region (perioral dermatitis) and scattered on the malar region, eyelids, and forehead.


Individual Lesions

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Fig. 81-11 A

Telangiectases, papules, and diffuse erythema.


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Fig. 81-11 B

Telangiectases, papules, and diffuse erythema.


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Fig. 81-12 A

Telangiectases, papules, and diffuse erythema.


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Fig. 81-12 B

Telangiectases, papules, and diffuse erythema.


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Fig. 81-13

Papules and papulopustules on an erythematous base.


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Fig. 81-14

Papules, some of them in clusters.


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Fig. 81-15

Papules and papulopustules on an erythematous base.


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Fig. 81-16

Numerous papules and papulopustules.


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Fig. 81-17

Cluster of papules.


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Fig. 81-18

Papules, papulopustules, scales, and crusts on an erythematous base.


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Fig. 81-19

Papules, papulopustules, pustules, and crusts on a swollen erythematous base (pyoderma faciale, rosacea fulminans).


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Fig. 81-20

Varicosities on the nose and telangiectases on the cheeks.


Rhinophyma

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Fig. 81-21 A

Papules, papulopustules, and nodules on an erythematous base. Periorbital edema is striking (persistent edema of rosacea). In addition to rhinophyma, there are analogous changes on the forehead (metophyma).


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Fig. 81-21 B

Papules, papulopustules, and nodules on an erythematous base. Periorbital edema is striking (persistent edema of rosacea). In addition to rhinophyma, there are analogous changes on the forehead (metophyma).


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Fig. 81-22

Rhinophyma and telangiectases, and papules and nodules on the malar region and cheeks.


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Fig. 81-23

Rhinophyma and telangiectases, papules, and erythema on the cheeks and chin.


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Fig. 81-24

Rhinophyma.


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Fig. 81-25

Cyrano de Bergerac-like nose of rhinophyma. Changes of rosacea are present also on the cheeks and chin.


Degrees of Severity

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Fig. 81-26

Telangiectases and papules on an erythematous base.


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Fig. 81-27

Papules and papulopustules.


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Fig. 81-28

Pustules on an erythematous base.


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Fig. 81-29

Papules, papulopustules, and diffuse erythema.


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Fig. 81-30

Telangiectasias, papules, papulopustules, diffuse erythema, and incipient rhinophyma.


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Fig. 81-31

Nodules and tumors of rhinophyma.


Variations

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Fig. 81-32

Extrafacial as well as facial rosacea.


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Fig. 81-33

Facial and extrafacial rosacea with innumerable papules, erosions, ulcers, and crusts (rosacea fulminans).


New! Additional Images

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Fig. 81-34

Rosacea: Papules on malar eminences especially.


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Fig. 81-35 A

Rosacea: Few lesions are present on the face, the vast majority of them being situated on the neck and the chest, an exceptional circumstance.


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Fig. 81-35 B

Rosacea: Few lesions are present on the face, the vast majority of them being situated on the neck and the chest, an exceptional circumstance.


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Fig. 81-36

Rosacea: The entire face is involved, including the nose (rhinophyma) and the forehead (metaphyma).


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Fig. 81-37

Rosacea: Papules on the face. In the vicinity of the mouth, the condition is termed “perioral dermatitis,” an example of unnecessary superfluous synonymy; the diagnosis is rosacea, papular expression.


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Fig. 81-38 A

Rosacea: Papules and pustules, not only in the center of the face, but at the periphery of it, too.


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Fig. 81-38 B

Rosacea: Papules and pustules, not only in the center of the face, but at the periphery of it, too.


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Fig. 81-39

Rosacea: Papules on the forehead, some of them eroded secondary to excoriation.


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Fig. 81-40 A

Rosacea: Rhinophyma in company with papules of rosacea on the cheeks.


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Fig. 81-40 B

Rosacea: Rhinophyma in company with papules of rosacea on the cheeks.


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Fig. 81-41

Rosacea: Perioral dermatitis, like periocular dermatitis, is merely a manifestation of rosacea.


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Fig. 81-42

Rosacea: Lesions may involve the nasolabial fold, sometimes in conjunction with seborrheic dermatitis, and the perioral region, the latter being unusual in a man.


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Fig. 81-43

Rosacea: Unilateral involvement.