Clinical Cases in Integrative Dermatology by Robert A Norman & Reena Rupani

Author:Robert A Norman & Reena Rupani
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Chronic Actinic damage: Patients with skin changes related to chronic sun exposure usually show evidence of damage on extrafacial skin including the ears, chest and neck helping to distinguish the condition from rosacea.

Further Work Up

There is no histological or laboratory marker of rosacea. The diagnosis requires the presence of one or more of the following characteristics concentrated on the central portion of face: flushing (transient erythema), nontransient erythema, papules and pustules, and telangiectasias. Persistent erythema is the most common finding in rosacea and some dermatologists believe the diagnosis of rosacea can be made simply by the presence of persistent erythema of the central face lasting for at least 3 months. It is also essential to rule out other causes of facial flushing and erythema including polycythemia vera, connective tissue disorders, carcinoid syndrome and mastocytosis.

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