Dermatologic and ophthalmologic collaboration in the management of skin manifestations of ocular rosacea
DOI:
https://doi.org/10.31288/oftalmolzh202337478Keywords:
rosacea, ocular rosacea, blepharoconjunctivitis, dermatitis, dry eye disease, cornea, conjunctivaAbstract
This case is presented to (1) improve the efficacy of the identification and differential diagnosis and to avoid mistreatment of the skin manifestations of ocular rosacea exhibiting a clinical appearance of those of other disorders and (2) explore opportunities for building dermatologic and ophthalmologic collaboration in the management of patients with ocular symptoms of rosacea. A 33-year-old female patient was diagnosed with acne vulgaris and seborrhea oleosa by a dermatologist. She received a secondary diagnosis of adrenal hyperandrogenism, iron deficiency anemia and selenium and iodine deficiency. The patient underwent facial skin peeling and was prescribed dermatological treatment. Thereafter, she presented to an ophthalmologist and complained of gritty eyes and blurred vision which she had never before experienced. Ocular manifestations included macerated skin of the eyelid angles, palpebral edema, crusts at the eyelid margin and eyelid telangiectasia. The patient was diagnosed with ocular rosacea, dry eye and keratoconjunctivitis sicca, and obtained the prescribed ophthalmological treatment which resulted in an improvement in her ocular symptoms. Therefore, ocular rosacea should be treated through the cooperative efforts of dermatologists and ophthalmologists based on the constellation of clinical findings and symptoms in a particular case.
References
Yuan X, Huang X, Wang B, et al. Relationship between rosacea and dietary factors: a multicenter retrospective case-control survey. J Dermatol. 2019;46:219-225. https://doi.org/10.1111/1346-8138.14771
Williamson T, Cheng WY, McCormick N, Vekeman F. Patient preferences and therapeutic satisfaction with topical agents for rosacea: a survey-based study. Am Health Drug Benefits 2018; 11: 97-106.
Gallo RL, Granstein RD, Kang S et al. Standard classification and pathophysiology of rosacea: the 2017 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol 2018; 78:148-55. https://doi.org/10.1016/j.jaad.2017.08.037
Plewig, G, Kligman AM. Acne and Rosacea. Berlin: Springer, 2000. 744 p. https://doi.org/10.1007/978-3-642-59715-2
Tolaymat L, Hall MR. Perioral Dermatitis. [Updated 2022 Sep 5].
Haimovic A, Sanchez M, Judson MA, et al; Sarcoidosis: a comprehensive review and update for the dermatologist: part I. Cutaneous disease. J Am Acad Dermatol. 2012 May66(5):699.e1-18. https://doi.org/10.1016/j.jaad.2011.11.965
Kang IH, Seo JK, Shin MK. Useful Dermoscopic Findings for Differentiating Rosacea from Seborrheic Dermatitis. Indian J Dermatol. 2020 Jul-Aug;65(4):316-318. https://doi.org/10.4103/ijd.IJD_44_19
Afiouni R, Helou J, Matar S, Tomb R. Severe Granulomatous Rosacea with Cutaneous Lupus Erythematosus. J Clin Aesthet Dermatol. 2021 Feb;14(2):22-24.
Haber R, El Gemayel M. Comorbidities in rosacea: A systematic review and update. J Am Acad Dermatol. 2018; 78(4): 786-792.e8. https://doi.org/10.1016/j.jaad.2017.09.016
Адаскевич ВП. Диагностические индексы в дерматологии: руководство. Москва: Медицинская книга. 2004. 165 с.
van Zuuren EJ, Fedorowicz Z, Tan J et al. Interventions for rosacea based on the phenotype approach: an updated systematic review including GRADE assessments. Br J Dermatol 2019; 181:65-79. https://doi.org/10.1111/bjd.17590
Nazir SA, Murphy S, Siatkowski RM et al. Ocular rosacea in childhood. Am J Ophthalmol 2004; 137:138-44. https://doi.org/10.1016/S0002-9394(03)00890-0
Alexis AF, Callender VD, Baldwin HE et al. Global epidemiology and clinical spectrum of rosacea, highlighting skin of color: Review and clinical practice experience. J Am AcadDermatol 2019; 80: 1722-29 e7. https://doi.org/10.1016/j.jaad.2018.08.049
Sayena Jabbehdari, Omeed Michael Memar Ali R Djalilian.Update on the pathogenesis and management of ocular rosacea: an interdisciplinary review. European Journal of Ophthalmology 2020, Vol. 31(1) 22-33. https://doi.org/10.1177/1120672120937252
Steinhoff M, Schauber J, Leyden JJ. New insights into rosacea pathophysiology: a review of recent findings. J Am Acad Dermatol. 2013;69(6):15-26. https://doi.org/10.1016/j.jaad.2013.04.045
Meschig R, Melnik B, Plewig G. Opthalmic Complications of Rosacea. London: Martin Dunitz, 1989.
Gudmundsen KJ, O'Donnell BF, Powell FC. Schirmer testing for dry eyes in patients with rosacea. J AmAcadDermatol 1992; 26:211-4. https://doi.org/10.1016/0190-9622(92)70029-F
Halioua B, Cribier B, Frey M, Tan J. Feelings of stigmatization in patients with rosacea. J Eur Acad Dermatol Venereol 2017;31:163-8. https://doi.org/10.1111/jdv.13748
Liao WJ. Cosmetic medicine and Life applications, QuanWellCo LTD. 2007; 1-30.
Wladis EJ, Adam AP. Treatment of ocular rosacea. SurvOphthalmol 2018 May-Jun;63(3):340-346. https://doi.org/10.1016/j.survophthal.2017.07.005
Chen MC, Kung FL. Exploring the Operational Strategy of Medical Cosmetic of New Field Industry in China and Taiwan: Using a Medical Cosmetic Centers of Hospital for a Case Study. J Int Esthe Sci. 2010; 7: 205 -229.
Chen JY, Wu PY (2012) The research of main land residents traveling to Taiwan for medical tourism 11-24.
Gronbeck Ch, Kodumudi V, Brodell RT, Grant-Kels JM, Mostow EN, HaoFeng, Dermatology work force in the United States - Part 1: Overview, transformations, and implications, J Am Acad Dermatol. 2022 Jul 3;S0190-9622(22)02240-X.
Bonamigo RR, Bertolini W, Dornelles SIT. Rosacea. In: Bonamigo, R., Dornelles, S. (eds) Dermatology in Public Health Environments. Springer, Cham. 2018. https://doi.org/10.1007/978-3-319-33919-1
Spoendlin J, Voegel JJ, Jick SS, et al. Migraine, trip tans, and the risk of developing rosacea: a population-based study with in the United Kingdom. J Am Acad Dermatol 2013; 69(3): 399-406. https://doi.org/10.1016/j.jaad.2013.03.027
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Malachkova N.V., Zhmud T.M., Kryvetska N.V., Pshenychna I.Iu.
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) that allows users to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author as long as they cite the source.
COPYRIGHT NOTICE
Authors who publish in this journal agree to the following terms:
- Authors hold copyright immediately after publication of their works and retain publishing rights without any restrictions.
- The copyright commencement date complies the publication date of the issue, where the article is included in.
DEPOSIT POLICY
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) during the editorial process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work with an acknowledgement of its initial publication in this journal.
- Post-print (post-refereeing manuscript version) and publisher's PDF-version self-archiving is allowed.
- Archiving the pre-print (pre-refereeing manuscript version) not allowed.
