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Case Reports
. 2016 Dec;15(6):32-35.

Rosacea Fulminans Precipitated by Acute Stress: A Case Report Describing an Integrative Approach for a Patient Reluctant to Use Isotretinoin

Patrick Veerkamp  1 , Nico Mousdicas  1 , Robert Bednarek  1
Affiliations
Case Reports

Rosacea Fulminans Precipitated by Acute Stress: A Case Report Describing an Integrative Approach for a Patient Reluctant to Use Isotretinoin

Patrick Veerkamp et al. Integr Med (Encinitas). 2016 Dec.

Abstract

Context: Rosacea fulminans is a rare skin disorder with a multifactorial etiology. Stress is one of the common precipitating factors of this condition but is not often targeted in treatment. Isotretinoin is considered part of the first-line therapy for this condition but, in cases where its use is restricted, other therapeutic interventions as part of an integrative approach may be effective.

Patient concerns: A 38-y-old female presented with rosacea fulminans brought on by an acutely stressful event. After multiple failed therapies, she experienced resolution of her symptoms with a combination of systemic corticosteroids, antibiotics, diet modification, and stress reduction, with the treatment of stress playing a significant role.

Conclusions: Stress management and diet modification are key adjunctive therapies in the treatment of rosacea fulminans and need to be addressed more often in treatment. In cases where patients are reluctant or unable to take isotretinoin, an integrative approach may be effective in achieving symptomatic improvement.

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Figures

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Timeline
Figure 1
Figure 1
Florid, Inflammatory, Acneiform Lesions on the Patient’s Chin and Cheeks That Indicate Rosacea Fulminans
Figure 2
Figure 2
Two-month follow-up after diet modification and stress reduction. The photo shows that the patient had had only a mild recurrence on her right medial cheek
Figure 3
Figure 3
Resolution of Rosacea Fulminans
See this image and copyright information in PMC

References

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