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Rosacea. Presented by Dr. Joseph C. Amersbach.
A. P., aged 48, shows hypertrophy of the nose associated with redness, telangiectasia and papulopustules. He has received roentgen therapy, applications of solid carbon dioxide, sulfur pastes and lotions, and dilute hydrochloric acid, with only moderate improvement.The patient is presented for suggestions as to therapy.
Dr. Leslie P. Barker: This patient had definite rosacea of the tip of the nose. The cause is difficult to determine. I think the best result can be obtained with scarification, but it would require repeated treatments. Peeling doses of cold quartz-mercury vapor radiation, along with scarification, may also help.Dr. Maurice J. Costello: I do not think that this patient has rosacea. I think the eruption is a dilatation of the blood vessels of the bulbous portion of the nose, secondary probably to trauma. I have seen this clinical picture follow infections of the nose,
Montgomery RM, Miller JL. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1947;55(6):844–854. doi:10.1001/archderm.1947.01520060106014
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