Department of Dermatology, Nicolina Medical Center, Iasi, Romania.
Apollonia University, Iasi, Romania.
Eur J Pediatr. 2023 Oct;182(10):4323-4328. doi: 10.1007/s00431-023-05083-0. Epub 2023 Aug 9.
Rosacea is a facial inflammatory disorder that shows an increasing incidence with age. While rosacea is common > 60 years of age, pediatric rosacea is uncommon. Diagnostic criteria are based on clinical symptoms. Laboratory investigations and histopathology are only needed to exclude other differential diagnoses. There are several subtypes such as erythemato-telangiectatic, papulo-pustular, periorificial, and granulomatous variants. In contrast to adult rosacea, phymatous subtypes do not belong to pediatric rosacea. A special subtype seen in infants and children is an idiopathic facial aseptic granuloma. Genetic and environmental factors contribute to its pathogenesis. Treatment options are in analogy to adult rosacea classified into topical and systemic drugs. In the case of oral tetracyclines, discoloration of teeth and impairment of enamel are possible adverse events.
Pediatric rosacea belongs to the rosacea spectrum but has peculiarities compared to the adult subtype.
• Rosacea is a chronic inflammatory disorder different from acne. • Rosacea gets more common with advanced age.
• Pediatric rosacea is an uncommon subtype with peculiar clinical presentation. • Demodicosis is very rare in immunocompetent children.
酒渣鼻是一种面部炎症性疾病，其发病率随年龄增长而增加。虽然酒渣鼻在>60 岁的人群中很常见，但儿童酒渣鼻并不常见。诊断标准基于临床症状。只有为排除其他鉴别诊断才需要进行实验室检查和组织病理学检查。有几种亚型，如红斑毛细血管扩张型、丘疹脓疱型、眶周型和肉芽肿型。与成人酒渣鼻不同，鼻赘型不属于儿童酒渣鼻。婴儿和儿童中可见一种特发性面部无菌性肉芽肿，是一种特殊的亚型。遗传和环境因素促成其发病机制。治疗选择与成人酒渣鼻类似，分为局部和全身药物。口服四环素可能会出现牙齿变色和牙釉质损伤等不良反应。
儿童酒渣鼻属于酒渣鼻谱系，但与成人亚型有其特殊性。
• 酒渣鼻是一种不同于痤疮的慢性炎症性疾病。
• 随着年龄的增长，酒渣鼻的发病率越来越高。
• 儿童酒渣鼻是一种少见的亚型，具有独特的临床表现。
• 免疫功能正常的儿童中非常罕见蠕形螨病。
