Dermatologist Sara Lamb provides an overview of rosacea, the different types and how it’s diagnosed. Lamb explains the many different treatments based on the type of rosacea which range from topical to vascular laser treatments which is available at Sibley Memorial Hospital.
Yeah. So the most common form of Rosetta is the re throat challenge ecstatic subtype, in which patients present with increased redness or flushing of their cheeks, as well as small fixed blood vessels on their skin called Challenge a Catia. Patients can also get a more acne, a former as Asia, which has the same underlying redness but also has more acne like inflammatory papeles. To distinguish this from acne and rosacea, patients typically don't have the common domes or the white heads and blackheads typically seen with acne. Thirdly, patients can have a very severe form of organization called realization foam AnAnd's with intense inflammatory postulates and draining Sinuses. And this can sometimes have a fairly sudden onset. And finally patients can develop an ocular form of rose, a show which presents with redness and a gritty sensation in their eyes. It's good to keep in mind, though, that these subtypes are not discreet, and patients can present with an overlap or their Rosetta can involve with time. Mm So Rose Asia is typically a clinical diagnosis. It's helpful to ask patients about their some protection routine, as well as the products that are currently using to assess for any triggers with a lot of postural ALS and bacterial swab can be helpful to assess for Grover Ruth of any bacteria. Also for inflammatory Rose Atia skin scraping to assess for DM Adex mites can also be helpful to target the treatment plan. Also, you would want to assess for any other skin conditions that may mimic Rose Atia. If the patient has a lot of flaking with their redness, this could be suggestive of separate dermatitis. If the inflammatory populace are clustered mainly around their mouth or their knows, this could be suggestive of peri oral dermatitis. Like we mentioned, if there's Common owns, this could be suggestive of acne rather than Rose Atia. And if the redness is limited to the cheeks and stops before the nasal labial fold, this can be suggestive of the butterfly rash of Lupus. And finally, with dramatic Maya site is you can have a Rosetta type rash on your face. So it's also good to examine their hands and neck to look for the other signs of dramatic mastitis. So for the latest treatment options for the era theme and flushing of Rosetta, there are now new topical alpha Adrianne ergic agonists, and they constrict the blood vessels in the skin to limit the flushing and some of the Ara thema frozen sha. The biggest thing to note with them, though, is their effect is temporary, and with discontinuation, the patient can often experience a rebound. Flushing topical ivermectin is relatively new as well, and it's particularly helpful in cases with the demon X overgrowth or domestic sensitivity, and then laser treatment with either a vascular laser such as pulsed dye. Laser of Katie P can be very helpful for the fixed to inject Asia's that can be cosmetically bothersome. Also, topical chapter cycling Antibiotics are in the pipeline, and they may be helpful for patients who are currently on oral doxycycline or minutes cycling to help take them off of an oral antibiotic to keep their realization controlled. Mm.