open dyslexic mode

Thanks to @Ayyitslala for sharing!

PMID: 30159072
Rosacea fulminans was first described by O’Leary and Kierland in 1940 as ‘pyoderma faciale. Plewig et al., Regarded the condition as an extreme form of rosacea and suggested that it be renamed ‘rosacea fulminans’ in their report of twenty cases had been reported in the literature. Rosacea fulminans is characterised by rapid onset, a fulminating course, strict localisation to the face, absence of comedones and absence of acneiform lesions on the chest or back. The characteristic lesions are superficial papulopustules and nodules combined with cyanotic erythema. Dermatologic conditions that may be exacerbated perimenstrually include acne vulgaris, rosacea, psoriasis, atopic eczema and urticaria. Hormonal changes resulting in increased cutaneous vascularity, seborrhea, and dermal oedema during the perimenstrual period resemble those of pregnancy and may be related to eruption or exacerbation of these diseases.

From UpToDate:
Pyoderma faciale (also known as rosacea fulminans) is an unusual eruption that is not officially recognized as a rosacea variant. The disorder is characterized by an abrupt onset of papules and suppurative nodules on the face. Young adult females are most commonly affected. Data on the treatment of pyoderma faciale are limited to reports of clinical experience. Patients can be managed with a combination of prednisone and oral isotretinoin. Alternatives to the above regimen include initiation of doxycycline, minocycline, or tetracycline along with a prednisone taper as above. Successful treatment with dapsone has also been reported.
*cylines and retinoids cannot be given in pregnancy.

#pregnancy #rosaceafulminans #pyodermafaciale

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