Rosacea fulminans is a severe form of rosacea congloblata. It may also be referred to as pyoderma faciale but it is not a true pyoderma.


Clinical features:

(1) usually affects young adult women

(2) sudden onset of fluctuant facial papulonodules that often coalesce

(3) draining sinuses may form

(4) erythema of the face is present

(5) seborrhea is common


Differential diagnosis:

(1) severe acne (acne fulminans or acne conglobata)

(2) pustular form of pyoderma gangrenosum (which may be associated with inflammatory bowel disease)


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