A Case of Rosacea Fulminans Responsive to Combination Treatment with Dapsone, Doxycycline and Topical Tacrolimus

猛暴性酒渣是酒渣的一個少見的變異型，特色是青春期後的女性，在臉上突發性的丘疹、膿泡及融合在一起的結節。一般建議治療的方式為合併使用口服isotretinoin及類固醇，再加上強效的局部類固醇塗抹。我們報告台灣地區一個猛暴性酒渣的案例，一位48歲的女性病人，在經過傳統的治療方式3個月後，仍然有持續性的臉部潮紅並且一直都有新的丘疹及膿泡出現。然而，臉上的病灶卻在使用口服doxycycline及dapsone加上局部塗抹tacrohmus一個月內，快速消除。

關鍵字

無資料

並列摘要

Rosacea fulminans is a rare variant of rosacea characterized by sudden onset of papules, pustules, and coalescing nodules on the face in postadolescent women. A combination regimen including systemic isotretinoin and oral plus topical potent corticosteroids is the recommended therapy. We report a case of rosacea fulminans in Taiwan in a 48-year-old woman who still had persistent facial erythema and continually active papulopustules after initiation of the conventional therapy for 3 months. Rapid clearing of the skin lesions was achieved in one month by introducing systemic doxycycline and dapsone plus topical tacrolimus.

並列關鍵字

Rosacea fulminans ； Dapsone ； Tacrolimus

國際替代計量

A Case of Rosacea Fulminans Responsive to Combination Treatment with Dapsone, Doxycycline and Topical Tacrolimus

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