Clinical QuickieDermatology
Acne / Rosacea
Same face, different inflammation.
Comedones point toward acne
Open/closed comedones plus inflammatory papules/pustules support acne. Rosacea usually has central facial erythema, flushing, telangiectasia, and no comedones.
Treat acne by lesion type and severity
Retinoids, benzoyl peroxide, topical antimicrobials, selected oral antibiotics, and hormonal options have different roles; antibiotic monotherapy is not the goal.
Treat rosacea by phenotype
Papulopustular disease, persistent erythema, and ocular rosacea are not treated identically. Trigger reduction and site-specific therapy matter.
Know when to refer
Scarring, nodulocystic acne, refractory disease, severe psychosocial impact, or ocular pain/visual symptoms should change the plan.
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