Rosacea fulminans: unusual clinical presentation of rosacea

Abstract

Rosacea fulminans or pyoderma faciale is a rare cutaneous disorder that usually affects women usually between the ages of 15-46. The disease is characterized by sudden onset of papules, pustules, cysts, and painful coalescing nodules with red-cyanotic centrofacial erythema. Although its etiology remains unknown, hormonal, immunological, and vascular factors have been reported. Early diagnosis and prompt treatment should minimize unsightly scars. We report a case of a 33-year-old female patient treated with traditional doses of doxycycline, with improvement of the lesions and regression of the condition in two months.

Butterfly Rash

“…Apart from the papulopustular variety, other clinical variants of rosacea include erythematotelangiectatic, phymatous, and ocular rosacea. 1 , 2 …”

“…At the initial consultation, the patient should be made aware of the chronic relapsing nature of the condition and the need for maintenance therapy even when in remission. 1 , 2 …”