Ep 5: Rosacea, Granulomatous Rosacea, Solid Facial Edema, Periorificial Dermatitis, etc. with Anuj Kunadia, MD

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Rosacea High-Yield Review: Subtypes, Triggers, Treatment Ladder, and Key Differentials (with Dr. Anuj Kunadia) | The Derm Resident

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Link to Rosacea Sketches

Dr. Jonny Hatch welcomes Dr. Anuj Kunadia, founder of DermatoGraphix, to review high-yield rosacea. They distinguish rosacea from acne by the absence of comedones and discuss subtypes: erythematotelangiectatic (erythema/telangiectasias, burning/stinging; often procedural treatment with PDL or IPL), papulopustular (topicals like azelaic acid, metronidazole, ivermectin; oral low-dose doxycycline; isotretinoin if refractory), phymatous (sebaceous hyperplasia/fibrosis; rhinophyma and other “phyma” sites; early isotretinoin vs surgical/laser debulking), and ocular (can precede skin findings; refer to ophthalmology and consider doxycycline). They cover pathogenesis including kallikrein-5/cathelicidin LL-37, Demodex association and ivermectin, common triggers, variants (granulomatous rosacea, rosacea fulminans, Morbihan disease), key differentials (seborrheic dermatitis, lupus), periorificial dermatitis management (stop steroids, pimecrolimus/doxycycline), and conclude with rapid-fire boards questions and an art-history rhinophyma example.

00:00 Welcome and Setup
00:19 Meet the Guest
00:44 Dermatographics Origin
01:52 Classic Rosacea Case
02:30 Rosacea Basics
03:08 Acne vs Rosacea
04:21 Rosacea Subtypes
04:49 ETR Features and Lasers
05:58 Pathogenesis and Demodex
08:55 Triggers and Photoprotection
11:46 Phymatous Rosacea
13:41 Ocular Rosacea Red Flags
15:15 Rare Rosacea Variants
19:34 Key Differentials
23:19 Treatment Ladder Overview
24:23 Topicals for Redness
26:19 Papulopustular Treatments
30:19 Procedures for Rhinophyma
31:03 Periorificial Dermatitis
34:29 Periorificial Treatment Plan
35:47 Rapid Fire Boards Quiz
41:01 Fun Fact and Wrap Up

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