A 67-year-old woman presented with facial skin-epidermal atrophy (thin skin), persistent erythema, telengiectasis, purpuric spots and mutiple milia. Most of these manifestations were due to prolonged use of moderate-potent topical corticosteroids due to presumed chronic photosensitivity.
A 20-year-old male suffered severe from of acne vulgaris for > 4 years. He presented with many inflammatory papules, nodules, cysts and scars involved the cheeks, chin and forehead. A 3-month-course of Isotretinoin (Retane) 40 mg capsule once daily resulted in fantastic improvement in spite of moderate-severe xerotic mucocutaneous side effects affected mainly the lips and to a lesser extent the forearms.
A 21-year-old body-builder male presented with monomorphous papulopustular rash involved mainly the upper trunk and upper arms of three months duration. He gave history of anabolic steroids intake 1-2 months before the onset of the rash.
A 34-year-old woman presented with erythema superimposed by papules and pustules confined only to the nose of six months duration. Poor response to topical and systemic antibiotics. Small dose Isoterinoin (20 mg per day) for 6 weeks greatly improved the rash and maintenance on 10 mg per day sustained the improvement.
A 26-year-old male has had inflammatory papulopustular rash localized to the lower occipital scalp and upper part of the back of the neck complicated by scarring alopecia of three years duration. He has tried many therapeutic modalities which failed to improve or ameliorate his condition.
A 26-year-old female presented with an asymptomatic but cosmetically-bothering monomorphous papulopustular rash involved mainly the upper trunk and shoulders of one month duration. The patient gave history of previous oral corticosteroid intake for respiratoy allergy.
Rhinophyma is considered as one manifestation or complication of rosacea. It is more frequent and more severe in males and may be the only manifestation of the disease as in this old man who presented with bulbous hypertrophied nose of more than two years duration.