engleski

COMORBIDITY OF ROSACEA AND ALCOHOLISM - Case report

The classical cutaneous stigmata of rosacea that have been well recognized for over a century are: plethoric face (facial flushing), persistent erythema and teleangiectasia, papules and pustules and specific shape of nose (rhinophyma and tissue hyperplasia). There are various triggering factors associated with rosacea, however, the etiology of rosacea is still unclear. As alcohol is one of the triggering factors, people often inequitably associate rosacea and rhinophyma exclusively to alcoholism, eventhough, many patients with rosacea neither drink alcohol nor report alcohol as a trigger for their rosacea. However, here we are presenting a case of the fourth stage of rosacea in a male patient alcoholic, showing simultaneous development of rosacea and alcoholism, with ten years history of facial flushing and teleangiectasia appeared and five years history of papules and pustules on the face. The patient had been under dermatological treatment for five years, with no clinical improvement, due to his constant alcohol consumption. During the psychiatric treatment, alcohol abstinence was retrieved, with subsequent normalisation of psychophysical condition and laboratory results. Simultaneously, the patient received dermatological treatment and, after only one month, a remarkable improvement of skin changes was noticed.

rosacea ; alcoholism ; cutaneous stigmata

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