Ophthalmic Rosacea: Case Report in a Child and Treatment Recommendations |
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| Authors: | Christiane Potz‐Biedermann MD Tarun Mehra MD Christoph Deuter MD Manfred Zierhut MD Martin Schaller MD |
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| Institution: | 1. Department of Dermatology, Eberhard‐Karls‐University, Tübingen, Germany;2. Medical Directorate, University Hospital of Zürich, Zürich, Switzerland;3. Department of Ophthalmology, Eberhard‐Karls‐University, Tübingen, Germany |
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| Abstract: | We report a rare case of rosacea with ocular involvement in a child that remitted with prolonged anti‐inflammatory oral tetracycline therapy and provide general expert recommendations. A 14‐year‐old girl presented with discrete papules and pustules on both cheeks with blepharitis and conjunctivitis. Ophthalmologic examination confirmed bilateral severe blepharitis, as well as a corneal infiltrate in the right eye with additional neovascularization. The diagnosis of rosacea with ocular involvement was made. In addition to the existing antibiotic and anti‐inflammatory topical eye therapy, systemic treatment with minocycline 50 mg twice a day was started. After marked improvement, the dose was reduced to 50 mg once a day. After further amelioration, treatment was switched to maintenance therapy with 40 mg of prolonged‐release doxycycline. Three years after a 12‐month course of anti‐inflammatory therapy, the patient remained recurrence free. |
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