Oculocutaneous rosacea: a retrospective study in a pediatric hospital
DOI:
https://doi.org/10.47196/da.v29i3.2441Keywords:
rosacea, ocular rosacea, childrenAbstract
Background: cutaneous rosacea (CR) is a chronic inflammatory skin condition, that occurs more frequently in adults. Prevalence in children is unknown. This entity presents erythema, flushing, telangiectasias, papules, pustules, glandular hypertrophy and/or fibrosis. There may be ocular affection, before, concomitant or after skin involvement. Ocular involvement may be the unique manifestation. Treatment is based on skin care, avoiding triggers, and topical and/or systemic treatment with anti-inflammatory activity.
Objectives: the aim of this study is to describe the cutaneous and ocular manifestations and treatment of the patients with a diagnosis of oculocutaneous rosacea (OCR).
Design: retrospective, descriptive and cross-sectional study.
Methods: medical records of patients with a diagnosis of ROC evaluated in our hospital from January 2011 to March 2017 were reviewed.
Results: we evaluated 25 patients with a diagnosis of OCR with an age between 1 to 19 years. Predominance of the papulo-pustular subtype was observed, two patients had the fimatous subtype and one of these presented as granulomatous variant, very rare in children. Ocular involvement was present in over 52% of the patients being, blepharitis the most frequent condition. Therapeutic approach Treatment options were according to the severity of the skin and ocular involvement.
Conclusions: ocular involvement in patients with a diagnosis of CR is frequent. We emphasized the importance of suspecting ocular rosacea in all patients with a diagnosis of CR associated with recurrent episodes of blepharitis and chalazion. The ophthalmological evaluation should be indicated in all patients with a diagnosis of CR regardless of the degree of skin involvement.
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