title: Ophthalmic Rosacea: Case Report in a Child and Treatment Recommendations.
abstract: We report a rare case of rosacea with ocular involvement in a child that remitted with prolonged anti-inflammatory oral tetracycline therapy and provide general expert recommendations. A 14-year-old girl presented with discrete papules and pustules on both cheeks with blepharitis and conjunctivitis. Ophthalmologic examination confirmed bilateral severe blepharitis, as well as a corneal infiltrate in the right eye with additional neovascularization. The diagnosis of rosacea with ocular involvement was made. In addition to the existing antibiotic and anti-inflammatory topical eye therapy, systemic treatment with minocycline 50 mg twice a day was started. After marked improvement, the dose was reduced to 50 mg once a day. After further amelioration, treatment was switched to maintenance therapy with 40 mg of prolonged-release doxycycline. Three years after a 12-month course of anti-inflammatory therapy, the patient remained recurrence free.
authors.affiliation: Department of Dermatology, Eberhard-Karls-University, Tübingen, Germany.
authors.forename: Christiane
authors.initials: C
authors.lastname: Potz-Biedermann
authors.affiliation: Medical Directorate, University Hospital of Zürich, Zürich, Switzerland.
authors.forename: Tarun
authors.initials: T
authors.lastname: Mehra
authors.affiliation: Department of Ophthalmology, Eberhard-Karls-University, Tübingen, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Deuter
authors.affiliation: Department of Ophthalmology, Eberhard-Karls-University, Tübingen, Germany.
authors.forename: Manfred
authors.initials: M
authors.lastname: Zierhut
authors.affiliation: Department of Dermatology, Eberhard-Karls-University, Tübingen, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Schaller
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008911:Minocycline / Q000008:administration & dosage / Q000627:therapeutic use*; D012393:Rosacea / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D008911:Minocycline; D004318:Doxycycline