Therapeutic Strategies in Dermatology

Flushing

Therapeutic Strategies in Dermatology

Flushing: Treatment

…underlying cause, if present, and then attempt to control the flushing. If an underlying cause cannot be determined, or if flushing persists after treatment of the primary problem, the therapeutic strategy is to control the flushing response by pharm…

Therapeutic Strategies in Dermatology

Flushing: Key Points

Key Points Flushing may be associated with a broad spectrum of underlying causes: medications, endocrine disease, neuroendocrine tumors, and neurologic diseases.  It is typically mediated by adrenergic hyperactivity, and only in rare cases is media…

Therapeutic Strategies in Dermatology

Rosacea: Key Points

…f the nose (rhinophyma), and/or ocular symptoms. Triggers for flushing include alcohol, sun exposure, hot weather, exercise, ingestion of hot or spicy foods/ drink or a medication, and emotional stress.  Eliminating the triggers of flushing can allev…

Therapeutic Strategies in Dermatology

Rosacea: Clinical Cases

…ythemato-telangiectatic rosacea 55-year-old woman Chronic flushing, erythema and telangiectasias on cheeks, nose Not responding to topical antibiotics Treatment Discontinue topical antibiotics Topical brimonidine 0.33% gel (Mirvaso) Photoprotec…

Therapeutic Strategies in Dermatology

Rosacea: Subtypes of Rosacea and Their Treatment

…and cosmetics. This subtype is best treated with avoidance of flushing, photoprotection, and surgical or laser therapies (see table, Subtype Directed Therapy). Though considered the mildest form of rosacea, the E-T subtype is marked by significant im…

Therapeutic Strategies in Dermatology

Flushing: Clinical Case

…1 32-year-old female presents with a history of intermittent flushing (face, neck, and upper chest), lasting 1 hour per episode, associated with abdominal pain and watery diarrhea. No associated triggers such as foods or other ingestions, also no si…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Key Points

…acial cosmetics. In some cases, no triggering factors are found. Although it is considered by some to be related to rosacea, patients usually do not have flushing and other stigmata of rosacea. This condition affects young adult women most commonly….

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Treatment

…er. Ancillary steps H1 antihistamines can decrease itching, flushing, urticaria, and tachycardia. Both sedating and non-sedating antihistamines may offer some relief (diphenhydramine or hydroxyzine and cetirizine, respectively). Combination H1 and…

Therapeutic Strategies in Dermatology

Rosacea: Management of the Patient with Rosacea

Management of the patient with rosacea Establish the clinical diagnosis of rosacea (subtype, severity, ocular involvement). Prescribe treatment (topical, systemic, physical). Refer patient to an ophthalmologist when needed. Advise patient to avoid…