By Ronald Marks
Treating sufferers with facial dermatoses is a crucial point of dermatological perform, and this color-illustrated monograph at the most crucial problems and their present administration could be of price to all dermatologists in education, in addition to those people who are confirmed within the career and in allied specialties.
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Extra info for Facial Skin Disorders
Granuloma faciale This is a curious and quite rare condition in which red-brown or occasionally violaceous plaques or nodules develop over 38 the face. In most instances solitary lesions are found but occasionally multiple lesions develop. The condition predominates in adult males26 mostly appearing on the forehead or cheeks. 27 The condition persists for very long periods and is subject to remission and relapse. The name is somewhat inappropriate as histologically there is little evidence of granulomatous inflammation.
Pye RJ, Burton JL. Treatment of rosacea by metronidazole. Lancet 1976; 1: 1211–2. Miyachi Y. Potential antioxidant mechanism of action for metronidazole: implications for rosacea management. Adv Ther 2001; 18: 237–43. Wilkin JK. Effect of subdepressor clomidine on flushing reactions in rosacea. Arch Dermatol 1983; 119: 211–14. 68. Wilkin JK. Effect of nadolol on flushing reactions in rosacea. J Am Acad Dermatol 1989; 20: 202–5. 69. Irvine C, Kumar P, Marks R. Isotretinoin in the treatment of rosacea and rhinophyma.
What causes this severe systemic upset is unknown, but it does appear to have been precipitated by treatment with isotretinoin in a few instances. Patients with acne fulminans require treatment with systemic antibiotics (such as doxycycline), systemic steroids, dapsone and topical medications at various times. The condition usually resolves after a few weeks or months. Acne necrotica This is usually divided into acne necrotica varioliformis and acne necrotica miliaris. The first form is characterized, as its name suggests, by the leaving of large varioliform scars, while the second is so named because there are many similar but much smaller lesions.