Pyoderma faciale: A clinical study of twenty-nine patients

Rosacea is a common chronic cutaneous disorder of unknown etiology which occurs most commonly in middle-aged individuals. Cutaneous manifestations include transient or persistent facial erythema, telangiectasia, edema, papules and pustules that are usually confined to the central portion of the face. The National Rosacea Society’s Expert Committee on the Classification and Staging of Rosacea identified four subtypes of rosacea: erythematotelangiectatic, papulopustular, phymatous and ocular. Recently, a standard grading system for assessing gradations of the severity of rosacea has been reported. Little is known about the cause of rosacea. Genetic, environmental, vascular, inflammatory factors and microorganisms such as Demodex folliculorum and Helicobacter pylori have been considered. Topical metronidazole and azelaic acid have been demonstrated to be effective treatments for rosacea. Severer or persistent cases may be treated with oral metronidazole, tetracyclines or isotretinoin.

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“…In severer cases, the entire face can be affected. The disease may begin with a very insignificant history of rosacea [61, 62]. …”

Section: Variantsmentioning

confidence: 99%

Rosacea: An Update

Buechner¹

2005

Dermatology

119

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“…D. Barker и D. Gould описали два случая локализо-ванной формы фульминантной розацеа, где был по-ражен только подбородок [17,18]. M. Massa и W. Su [5] сообщили о четырех случаях локализованной фульминантной розацеа с поражением только щеки или подбородка.…”

unclassified

“…На поверхности созревших абсцедирующих узлов формируются множественные пустулы. Грудь и спина остаются интактными [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

unclassified

Experience in the use of isotretinoin in patients with rosacea fulminans (clinical case)

Kondrat’eva¹,

Kokina²,

Eroshenko³

et al. 2015

Klin. dermatol. venerol.

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“…However, the condition is distinguished from ordinary acne by the absence of come dones, the rapid onset, the fulminating course, the localiza tion to the face and the absence of acne lesions on the back and chest. We think that it represents the severest form of rosacea in women with abrupt onset, hence the term rosa cea fulminans (table 1) [1, 5 -8 ], in analogy to the severest form of acne, dubbed acne fulminans [8], Women whose acne persists after the age of 19 years might have a greater risk to develop rosacea fulminans [3]. …”

mentioning

confidence: 99%

“…Low serum iron levels or mild anemia are found in a few cases. A localized form of rosacea fulminans involving only the cheeks, jaw line and chin or only one cheek was seen in 6 patients by Massa and Su [3], 2 patients by Barker and Gould I9| and 4 patients by ourselves [7]. Massa and Su [3] proposed that localized forms represent the initial stages of the disease which will spread after a while if no therapy is given.…”

mentioning

confidence: 99%

Diagnosis and Treatment of Rosacea fulminans

1994

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Rosacea fulminans is a rare disease of unknown cause which occurs exclusively in women well past adolescence. It was previously called pyoderma faciale because of its confinement to the face covering most of the surface with innumerable fluctuant inflammatory nodules and papules which frequently fuse and form monstrosities. Seborrhea prior to onset is typical. It is not a pyoderma; neither it is infectious or a variant of acne conglobata. The patients respond well to a therapeutic regimen including isotretinoin in combination with topical and systemic corticosteroids. The response is superior and much more rapid than in patients treated with oral antibiotics. Rosacea fulminans is the only indication for topical or systemic corticosteroids in the treatment of rosacea. Scarring is often minimal when the lesions clear. No recurrence is seen.

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Pyoderma faciale: A clinical study of twenty-nine patients

Cited by 70 publications

References 8 publications

Rosacea: An Update

Rosacea: An Update

Experience in the use of isotretinoin in patients with rosacea fulminans (clinical case)

Diagnosis and Treatment of Rosacea fulminans

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