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[Rosacea with ocular involvement in a child]

E Bourrat1, M Rybojad, S Deplus

  • 1Service de Dermatologie, Hôpital Saint-Louis, Paris.

Annales De Dermatologie Et De Venereologie
|January 1, 1996
PubMed
Summary

Pediatric rosacea, though rare, can manifest with ocular symptoms like episcleritis. Early diagnosis and prolonged oral antibiotic treatment are effective for both skin and eye lesions in children.

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Area of Science:

  • Dermatology
  • Ophthalmology
  • Pediatrics

Background:

  • Rosacea is an uncommon facial eruption in children.
  • Ocular involvement, such as episcleritis, can be associated with pediatric rosacea.

Observation:

  • A 10-year-old girl presented with a facial papular and pustular eruption and a history of a painful red eye.
  • Differential diagnoses including acne, granulomatous dermatitis, and sarcoidosis were excluded.

Findings:

  • Ophthalmological examination confirmed a diagnosis of ocular and cutaneous rosacea.
  • Treatment with oral antibiotics, including erythromycin, resulted in favorable outcomes for both skin and ocular manifestations.

Implications:

  • Ocular symptoms like blepharitis, keratoconjunctivitis, or episcleritis may indicate rosacea in children with facial eruptions.
  • Prolonged oral antibiotic therapy is effective for pediatric rosacea, with antibiotic choice dependent on age (e.g., avoiding cyclins in children under 8).

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