Acne Rosacea

Rosacea: erythematotelangiectatic, old man

Papules, pustules, and erythema of Rosacea in a middle aged man

Papules, pustules, and conjunctival injection & erythema of Rosacea in a 30 yo man

Papules, pustules, and erythema of Rosacea in a 30 yo man

Seborrheic hyperplasias with umbilication and lobulation

Seborrheic hyperplasias with umbilication and lobulation

Seborrheic dermatitis: scalp, old man

FIGURE 2.61 Intertrigo (intertriginous seborrheic dermatitis). This patient has an itchy erythematous rash in his inguinal creases. This condition is frequently confused with tinea cruris and cutaneous candidiasis.

1.3. A: Blepharitis is associated with crusting of the eyelashes, thickening of the eyelids, telangiectatic vessels along the lid margins, and plugging of the meibomian glands.

1.4. Blepharitis may be associated with rosacea that is manifested by telangiectatic vessels on the skin and, as in the advanced case shown here, with rhinophyma.

1.7. In atopic blepharitis, there is an eczematoid reaction of the eyelids.

1.39. B: Zoster uveitis may be severe and associated with hyphemas. This patient also has a neurotrophic epithelial defect.

Figure 8.4.B: Inactive iridocyclitis. The eye is white and noninflamed, but telltale synechiae formation and pigment are seen on the lens capsule, producing a scalloped or irregular pupil that is characteristic of a prior acute uveitis process.

Figure 8.38. Sympathetic ophthalmia. This young person suffered trauma 3 weeks before evaluation. Examination of the traumatized eye revealed an occult scleral rupture superotemporally, low-grade inflammation, and irregular healing. The visit was prompted by acute uveitis in the sympathizing eye.

Blepharitis.

35 year-old with discoid lupus

<bold><italic>Figure 14.33.</bold></bold> Seborrheic dermatitis.

<bold><italic>Figure 24-11</bold> Seborrheic dermatitis.</bold> This severe case is composed of confluent papules and plaques in the oily skin of the chest and axillae. (The face and scalp, not shown, were also involved.)

Left eye of patient with complete vitiligo and active uveitis. There was a strong family history of retinitis pigmentosa (brother, two nieces).

Progression of uveitis in left eye two years later in patient in Figure 148.3.

Rosacea. As seen here, rosacea involves inflammatory papules and pustules and telangiectasias that are located on the central third of the face. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

Ocular rosacea. Note the conjunctivitis as well as the typical facial papules of rosacea. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

Inflammatory acne.A: Papules and pustules. B: Macules. The same patient after 6 weeks of treatment. These reddish purple (violaceous) blemishes are frequently evidence of improvement following treatment. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

1.6. Seborrheic blepharitis is associated with crusting of the eyelids without meibomian gland inflammation and with seborrheic dermatitis of the eyebrows and scalp.

Seborrheic blepharitis

Seborrheic dermatitis of the face. Scaling "greasy" appearance of brow and malar

Adolescent Acne You will frequently note acne in adolescents. Differentiate between open comedones (blackheads) and closed comedones (whiteheads)