Ընդհանուր տվյալներ
Age: 42 years Gender: Female Ethnicity: Caucasian Occupation: School teacher Marital Status: Married, two children
Կյանքի և հիվանդության անամնեզ
42-year-old female, presents with a 6-month history of recurrent redness on her cheeks, nose, and chin, which has gradually worsened over the past 3 months. She notes that the redness is often accompanied by visible blood vessels (telangiectasia) and occasional bumps that resemble acne. The patient denies any significant pain, but there is a sensation of burning or stinging in the affected areas. She mentions that certain triggers such as stress, hot drinks, spicy food, and alcohol seem to exacerbate the redness. Additionally, she states that her skin has been more sensitive lately, especially to skincare products.
Հիվանդի գանգատները
• Persistent redness on the cheeks, nose, and chin • Visible blood vessels (telangiectasia) in the affected areas • Bumps or pimples resembling acne • Burning or stinging sensation in the affected areas • Symptoms worsen with triggers (stress, hot drinks, spicy foods, alcohol) • Increased skin sensitivity to products • No significant pain
Առաջնային ձևաբանական տարրեր
Erythema telangiectasia papule pustules
Երկրորդային ձևաբանական տարրեր
No comedones eye involvement
Ցանի տեղակայումը
Small red bumps (papules) and some pustules (pus-filled lesions) on the nose, cheeks, and chin, resembling acne.
Եղունգների և մազերի ախտահարումը
Լաբորատոր, հյուսվածաբանական, գործիքային, դերմատոսկոպիական և այլ հետազոտությունների տվյալներ
Laboratory Results: CBC (Complete Blood Count): Within normal limits. ESR (Erythrocyte Sedimentation Rate): Normal (6 mm/h). CRP (C-reactive protein): Normal (1.2 mg/L). 2. Histology Results: A skin biopsy of an affected area shows: Epidermal hyperplasia without significant acanthosis. Telangiectasia of the dermal blood vessels. Mild perivascular inflammation. No presence of acneiform lesions or granulomas, which helps differentiate rosacea from acne vulgaris.
Դիֆերենցիալ ախտորոշում
Acne vulgaris Seborhheic dermatitis lupus contact dermatitis allergic reactions
Նախնական ախտորոշումը
Rosacea erythema, Telangiectatic and Papulopustular
Վիտամինոթերապիա
Laser therapy.
Տեղային բուժումը
o Topical Metronidazole 0.75% cream: First-line treatment to reduce inflammation and erythema. o Topical Ivermectin 1% cream: An alternative option for managing inflammatory lesions. o Azelaic acid 15% gel: Another topical option to reduce redness and inflammation, also helps to manage papules and pustules. Antibiotics retinoids.