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

Pediatr Dermatol. 2014 Oct 16;

Authors: Potz-Biedermann C, Mehra T, Deuter C, Zierhut M, Schaller M

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.

PMID: 25323001 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/25323001?dopt=Abstract = URL to article