BMJ Best Practice Podcast Rosacea: an update on diagnosis and management
Oct 20, 2022
In this discussion, Dr. Abel Jarrell, a dermatologist and dermatopathologist, sheds light on rosacea, a common inflammatory skin condition affecting many. He highlights the importance of accurate diagnosis, detailing symptoms like persistent redness and papules. Dr. Jarrell discusses various treatment options, including topical agents and light therapies, and emphasizes the need for personalized management. He also cautions against misdiagnosis and the significance of identifying triggers, offering valuable insights for both patients and practitioners.
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Rosacea Is A Variable Inflammatory Disease
- Rosacea is an inflammatory skin condition that primarily affects the face and can range from mild to debilitating.
- Abel Jarrell highlights persistent facial redness, papules, pustules, telangiectasias, and ocular symptoms as core features.
Diagnose Clinically, Biopsy Sparingly
- Diagnose rosacea clinically by identifying persistent facial redness and characteristic lesions over months to years.
- Reserve skin biopsy for atypical cases or to distinguish from lupus, seborrheic dermatitis, or granulomatous rosacea.
Distinct Lesion Types Clarify Subtypes
- Telangiectasias reflect dilated facial blood vessels and are a hallmark of rosacea's redness subtype.
- Papules are small raised red bumps and pustules contain neutrophils, distinguishing lesion types clinically.