Chapter 68 Rosacea Q&A (1 of 7) Sample Questions

1. A 30-year-old patient just had flare up of Rosacea following a sun exposure. He has dry eyes and conjunctivitis. His profile shows that he has been using Azelaic acid. Best therapy to prevent that:
  1. A. Add Isotretinoin
  2. B. Add metronidazole
  3. C. Add Doxycycline + topical Fusidic acid
  4. D. B & C
Answer
Ans: C
Tips: RxTx/CTC/ Rosacea Algorithm. In any severity of rosacea that is marked with ocular involvement that still persists or worsens after non-pharmacologic measures, addition of an Opthalmic antibiotic ointment and/or systemic antibiotics (if not already on it) are recommended. Additionally, Experts recommend application of the topical ( use of (e.g., fusidic acid[)to the lid margins/eyelashes and/or use of oral doxycycline, minocycline or tetracycline for several weeks.