Ophthalmic Rosacea: Case Report in a Child and Treatment Recommendations.

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.

• Authors: Christiane Potz-Biedermann, Tarun Mehra, Christoph Deuter, Manfred Zierhut, Martin Schaller
• Journal: Pediatric dermatology (Pediatr Dermatol) 2015 Jul-Aug Vol. 32 Issue 4 Pg. 522-5 ISSN: 1525-1470 [Electronic] United States
• PMID: 25323001 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2014 Wiley Periodicals, Inc.

Chemical References

• Anti-Bacterial Agents
• Minocycline
• Doxycycline

Topics

• Adolescent
• Anti-Bacterial Agents (administration & dosage, therapeutic use)
• Diagnosis, Differential
• Doxycycline (administration & dosage, therapeutic use)
• Female
• Humans
• Minocycline (administration & dosage, therapeutic use)
• Rosacea (diagnosis, drug therapy)