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Cutaneous and ocular signs of childhood rosacea

Mélanie Chamaillard1, Bruno Mortemousque, Franck Boralevi

  • 1Unité de dermatologie pédiatrique, Place Amélie Raba-Léon, 33 076 Bordeaux CEDEX, France.

Archives of Dermatology
|February 20, 2008
PubMed

Insights

Childhood rosacea, though rare, presents with skin and eye symptoms. Early recognition is crucial due to potentially severe ocular complications in children.

Area of Science:

  • Dermatology
  • Ophthalmology
  • Pediatrics

Background:

  • Childhood rosacea is an uncommon condition characterized by facial skin and eye inflammation.
  • Ocular involvement can be severe and may precede cutaneous manifestations.

Purpose of the Study:

  • To outline the clinical characteristics of childhood rosacea.
  • To suggest diagnostic criteria for this condition.
  • To highlight the potential severity of ocular complications in pediatric patients.

Main Methods:

  • A retrospective study was conducted.
  • Data were collected from pediatric patients (1-15 years) diagnosed with rosacea between 1996 and 2005 at a tertiary referral center.

Main Results:

  • Twenty patients were analyzed, with 11 exhibiting both ocular and cutaneous rosacea.
  • The most frequent presentation was papulopustular rash with telangiectasias; ocular symptoms like chalazions and blepharoconjunctivitis were common.
  • Ocular involvement preceded skin symptoms in 55% of cases, with keratitis and corneal ulcers noted in some patients.

Conclusions:

  • Childhood rosacea, while rare, requires prompt recognition.
  • Ocular complications can be significant and impact vision.
  • Metronidazole was used for treatment, with intermittent administration to minimize side effects.
Abstract

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