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Rosacea — RACP Adult Medicine MCQ

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EasyRheumatologyRosaceaRACP Adult Medicine

A 55-year-old woman presents with erythema and papulopustules on the central face (nose and cheeks) with telangiectasiae. There are no comedones. The nasolabial folds are involved. Symptoms worsen with heat, alcohol, and spicy food. What is the most likely diagnosis?

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Correct answer: C — Rosacea

Central facial erythema with papulopustules, telangiectasiae, and involvement of the nasolabial folds (unlike lupus) with triggers of heat, alcohol, and spicy food is characteristic of rosacea. The absence of comedones distinguishes it from acne. Treatment includes topical metronidazole, ivermectin, or azelaic acid; doxycycline for moderate-severe disease.

Reference: eTG Dermatology – 2024 – Rosacea