Clinical case of papulo-pustular rosacea

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Abstract

The article presents a clinical case of papulopustular rosacea from our own practice. First of all, the patient's anamnesis is extremely interesting: family history (his brother has episodes of reddening of the face), the onset of rosacea against the background of a stressful situation, the presence of gastric diseases, the connection with nutritional factors. One of the first mentions of rosacea belongs to Avicenna, who in his writings described the clinical picture of rhinophyma ("badschenan", later renamed "abedsamen"). The pineal nose, dotted with "serpentine" vessels, has traditionally been associated with excessive drinking. Currently, the role of alcohol as an etiological factor is not paramount, but its aggravating effect has been proven.

Despite the typical picture of rosacea, our patient has been receiving therapy for seborrheic dermatitis and other diseases several times over the course of several years. Probably, the specialists had doubts about the possible diagnosis of rosacea in a male patient under the age of 30.

About the authors

Anna L. Evseeva

Kirov State Medical Academy

Email: jls0105@icloud.com
ORCID iD: 0000-0001-6680-283X
SPIN-code: 2409-6034

MD, dr. sci. (med.), professor

Russian Federation, Kirov

Vera V. Ryabova

Kirov State Medical Academy

Email: ryabova.vv@gmail.com
ORCID iD: 0000-0002-6594-6652
SPIN-code: 5573-6747
Russian Federation, Kirov

Sergei V. Koshkin

Kirov State Medical Academy; Kirov Regional Clinical Skin-Venereologic Dispensary

Author for correspondence.
Email: koshkin_sergei@mail.ru
ORCID iD: 0000-0002-6220-8304
SPIN-code: 6321-0197

assistant lecturer

Russian Federation, Kirov

References

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Supplementary files

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1. JATS XML
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2. Fig. 1. The worsening of the clinical picture after use of topical corticosteroids (фото предоставлено пациентом)

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3. Fig. 2. Worsening of the clinical picture against the background of the use of topical corticosteriods with salicylic acid in combination with UV (photo courtesy of the patient)

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4. Fig. 3. Foci of hyperemia, desquamation, infiltration, multiple perifollicular papulopustular elements, telangiectasia

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5. Fig. 4. Reducing the amount of inflammatory elements and hyperemia (photo courtesy of the patient)

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6. Fig. 5. Mild dry skin, absence of rash, isolated telangiectasia

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7. Informed voluntary consent to publication - 1

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8. Сопроводительное письмо
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Copyright (c) 2021 Evseeva A.L., Ryabova V.V., Koshkin S.V.

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