Rosacea — RACP Adult Medicine MCQ

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EasyDermatologyRosaceaRACP Adult Medicine

A 50-year-old woman presents with a 2-year history of episodic flushing affecting the central face, with papules and pustules but no comedones. She also reports burning and stinging of the facial skin. What is the most likely diagnosis?

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Correct answer: B — Rosacea

Central facial flushing with inflammatory papules and pustules WITHOUT comedones (distinguishing it from acne) is characteristic of papulopustular rosacea. Associated features include telangiectasia, burning/stinging, and phymatous changes (rhinophyma in severe cases). Triggers include heat, alcohol, spicy food, and sunlight. Treatment includes topical metronidazole, azelaic acid, or ivermectin (first-line); oral doxycycline for moderate-severe disease; and isotretinoin for refractory cases. Topical corticosteroids should be AVOIDED.

Reference: eTG – 2025 – Dermatology