Epigastric rosacea

Abstract

A 49-year-old man was observed to have a strong flushing reaction in both the epigastric and facial areas after drinking wine. He had severe facial erythematous telangiectatic rosacea. Similar prominent intense changes in the epigastric skin probably represent extrafacial erythematous telangiectatic rosacea.

Rosacea with extensive extrafacial lesions

“…2 The presence of rosacea with extrafacial location has been occasionally reported. [5][6][7] Extrafacial lesions usually complicate the more serious cases of rosacea but, occasionally, as was the case of our patient, they may accompany slight facial lesions. Involvement of the lateral contours of the face, ears, scalp (particularly in old patients), and neck occurs mainly in erythematotelangiectatic rosacea.…”

Rosacea: I. Etiology, pathogenesis, and subtype classification

“…10,37,38 In the erythematotelangiectatic form, one may observe 39 Acneiform lesions have been reported to occur on the central part of the chest, the scalp, the neck, and occasionally the limbs. 4,10,38,40,41 Further characterization of the erythematous papules and pustules and nodulocystic lesions in these patients should lend insight into the nature of these uncommon extrafacial lesions. Finally, the red scrotum syndrome-characterized by intense redness, burning, and stinging 42 -has been hypothesized by some to be a manifestation of rosacea.…”

Red Scalp Disease – A Rosacea-Like Dermatosis of the Scalp? Successful Therapy with Oral Tetracycline

“…It typically presents either as erythematotelangiectatic rosacea or as the papulopustular type [6] . Eye involvement (ocular rosacea) is common, and other extrafacial locations may be involved more frequently than appreciated because of failure to search [7][8][9][10][11] ; in particular, rosacea affecting the upper forehead and bald scalp has been reported [12][13][14] . To the best of our knowledge, as yet no report affecting the hairy scalp has been published.…”