Rosacea

• Facts:
  Characterized by a rosy hue with telangiectasia over the cheeks, nose, and chin
  Flushing can be aggravated by ETOH, diet, emotion
• History / PE:
  Rhinophyma
  Papules, pustules
  Coexisting phlebaritis
  Flushing episodes are often intermittent, but can progress to permanent flushed skin
• Treatment:
  Metronidazole
  Oral tetracycline
• Differential Diagnosis:
  Carcinoid syndrome (diarrhea, flushing only last 20-30 secs)
  Systemic lupus erythematosus (no papules, pustules