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Additional info for Fitzpatrick Color Atlas and Synopsis of Clinical Dermatology (Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology)
COURSE Prolonged Recurrences are common. After a few years, the disease may disappear spontaneously; usually it is for life time. Men and very rarely women may develop rhinophyma. SECTION 1 DISORDERS OF SEBACEOUS AND APOCRINE GLANDS 11 FIGURE 1-7 Rosacea Moderately severe rosacea in a 29-year-old female with persistent erythema, telangiectasia, red papules (stage II), and tiny pustules. , erythromycin gel) are less effective. Systemic Oral antibiotics are more effective than topical treatment. Minocycline or doxycycline, 50–100 mg twice daily, first-line antibiotics; very effective (doxycycline is a phototoxic drug and its use limits exposure to sunlight in summer).
FIGURE 2-2 Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. 23 24 PART I DISORDERS PRESENTING IN THE SKIN AND MUCOUS MEMBRANES Airborne ICD Characteristically face, neck, anterior chest, and arms are involved. Most frequent causes are irritating dust and volatile chemicals (ammonia, solvents, formaldehyde, epoxy resins, cement, fiberglass, sawdust from toxic woods). This has to be distinguished from photoallergic contact dermatitis (see Section 10).
Note that in this case lesions are clustered, the forehead is free of telangiectasia, and the lesions are not absolutely symmetric. FIGURE 1-11 Rosacea (stage III) Here the persistent “solid” edema of the nose, forehead, and parts of the cheeks is the leading symptom. Papules, pustules, and crusted pustules are superimposed on this persistent edema. The enlarged nose feels rubbery and already represents rhinophyma. 0 ᭺ ➔ * Ⅲ Discrete erythematous micropapules and microvesicles, Ⅲ Often confluent in the perioral and periorbital skin EPIDEMIOLOGY AND ETIOLOGY Age of Onset 16–45 years; can occur in children and the old.