Try it
Dermatology · Rosacea: ocular rosacea
Sample itemA woman with papulopustular rosacea complains of grittiness, red eyelid margins and recurrent styes. What is the likely cause and treatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ocular rosacea with blepharitis, treated with lid hygiene and oral doxycycline
Ocular involvement is common in rosacea and presents as blepharitis, meibomian gland dysfunction, conjunctival injection and recurrent chalazia. Lid hygiene and oral tetracyclines are the mainstay, and ophthalmology review is advised for keratitis. Early recognition prevents corneal damage.
Option by option
A. Ocular rosacea with blepharitis, treated with lid hygiene and oral doxycycline (correct)
Correct. Lid hygiene and oral doxycycline treat ocular rosacea.
B. Trachoma, treated with antifungals
Trachoma is chlamydial and not treated with antifungals.
C. Allergic conjunctivitis, treated with isotretinoin
Isotretinoin is not used for allergic conjunctivitis.
D. Herpetic keratitis, treated with topical steroids alone
Topical steroids alone could worsen herpetic keratitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Dermatology questions
- Blistering disordersA patient has flaccid blisters that rupture easily and a positive Nikolsky sign. Which c…
- LeprosyIn which type of leprosy is the lepromin test strongly positive?
- Pigmentary disordersA man has well-demarcated chalk-white macules on his hands and around his mouth. A skin…
- Drug reactionsWhich of the following drugs is a well-recognised trigger of Stevens–Johnson syndrome an…