Bernal Lidia E, Zarco Ana Paulina, Campos Pablo, Arenas Roberto
División de Dermatología, Hospital General Dr. Manuel Gea González, Ciudad de México.
Centro Médico ABC, Ciudad de México.
Bol Med Hosp Infant Mex. 2019;76(2):95-99. doi: 10.24875/BMHIM.18000032.
Rosacea is a chronic inflammatory skin condition that usually occurs in adults and rarely has been reported in children, although both subtypes share the same clinical characteristics.
A 10-year-old female presented dermostosis on the face, affecting cheeks and nose, characterized by erythema, papules, pustules, scars of two years of evolution, as well as bilateral conjunctivitis, blepharitis and corneal opacity. She referred recurrent exacerbations and partial remission of cutaneous lesions and ocular symptoms related to sun exposure. She responded dramatically to systemic and topical antibiotics.
Childhood rosacea should be distinguished from other most common erythematous facial disorders, such as acne, granulomatous perioral dermatitis, and sarcoidosis. The distribution of papulopustular facial lesions together with the presence of telangiectasia, flushing and the ocular findings allow the differentiation of rosacea from other facial eruptions.
酒渣鼻是一种慢性炎症性皮肤病，通常发生于成年人，儿童病例鲜有报道，尽管这两种亚型具有相同的临床特征。
一名10岁女性面部出现皮肤病变，累及双颊和鼻部，表现为红斑、丘疹、脓疱，病程长达两年，伴有瘢痕形成，同时还有双侧结膜炎、睑缘炎和角膜混浊。她自述皮肤病变和眼部症状因日晒反复加重并部分缓解。她对全身及局部使用抗生素反应显著。
儿童酒渣鼻应与其他最常见的面部红斑性疾病相鉴别，如痤疮、口周肉芽肿性皮炎和结节病。面部丘疹脓疱性病变的分布，以及毛细血管扩张、潮红和眼部表现有助于将酒渣鼻与其他面部皮疹区分开来。
