As with other types or rosacea, patients with granulomatous rosacea are advised to avoid known exacerbating factors such as hot drinks, alcohol, and extremes of temperature. In addition, they should be encouraged to use a noncomedogenic high-factor sunscreen when exposed to sunlight and wind. Treatment of granulomatous rosacea is not different from classical rosacea and tetracycline, doxycycline, erythromycin or minocycline are usually effective. In addition, topical metronidazole may be helpful for mild disease and in addition to systemic therapy. Topical keratolytics such as benzoyl peroxide and azelaic acid offer limited symptomatic control of inflammatory pustules. Isotretinoin (Accutane) may be helpful for recalcitrant (hard to treat) disease, but recurrence is common. Long-term, low-dose isotretinoin therapy may be suitable for some patients. Dapsone has a pharmacological double function as both an
More in-depth information about the treatment of rosacea, including granulomatous rosacea, can be found on the eMedicine web page.
Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.
These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.
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I was recently diagnosed with granulomatous rosacea. How is this condition treated? My doctor is going to put me on Accutane, but said that it may or may not work. Has Accutane been used to successfully treat granulomatous rosacea? See answer