Abstract
Rosacea fulminans is a rare dermatosis characterized by the sudden onset of coalescing nodules and draining sinuses on the face, typically affecting young women. First reported in 1940 by the name pyoderma faciale, it was thought to be an infiltrative pyoderma, possibly caused by tuberculosis, despite being unable to identify a cause [1]. It was not until 1992 that it was suggested that the condition was a form of rosacea, as all patients also experienced flushing and blushing along with the rapid and volatile onset. The term rosacea fulminans was then proposed [2]. Despite research, a bacterial infection has not been shown to play a pathogenic role, further evidence that the condition is not a pyoderma, but rather a severe variant of rosacea [3]. Rosacea fulminans has also been referred to as granulomatous rosacea.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
O’Leary PA, Kierland RR. Pyoderma faciale. Arch Dermatol. 1940;41:451–62.
Plewig G, Jansen T, Kligman AM. Pyoderma faciale a review and report of 20 additional cases: is it rosacea? Arch Dermatol. 1992;128:1611–7.
Sudy E, Urbina F. Pyoderma faciale: gram-negative recovery by means of needle aspiration. Cont Med Educ. 2002;69:261–4.
Ferahbas A, Utas S, Mistik S, Uksal U, Peker D. Rosacea fulminans in pregnancy case report and review of the literature. Am J Clin Dermatol. 2006;7(2):141–4.
Massa MC, Su WP. Pyoderma faciale: a clinical study of twenty-nine patients. J Am Acad Dermatol. 1982;6:84–91.
Dessoukey MW. Pyoderma faciale: manifestation of inflammatory bowel disease. Int J Dermatol. 1996;35:724–6.
Manna V, Marks R, Holt P. Involvement of immune mechanisms in the pathogenesis of rosacea. Br J Dermatol. 1982;107:203–8.
Rebora A, Drago F, Parodi A. May helicobacter pylori be important for dermatologists? Dermatology. 1995;191:6–8.
Szlachcic A, Sliwowski Z, Karczewska E, Bielana W, Pytko-Poloncyzk J, Konturek SJ. Helicobacter pylori and its eradication in rosacea. J Physiol Pharmacol. 1999;50:777–86.
Ormond P, Rogers S. Case 3: pyoderma faciale (PF) (rosacea fulminans). Clin Exp Dermatol. 2003;28:107–8.
de Morais e Silva FA, Bonassi M, Steiner D, Ribeiro da Cunha TV. Rosacea fulminans in pregnancy with ocular perforation. J Ger Soc Dermatol. 2011;9:542–3.
Akhyani M, Daneshpazhooh M, Ghandi N. The association of pyoderma faciale and erythema nodosum. Clin Exp Dermatol. 2007;32:275–7.
Fender AB, Ignatovitch Y, Mercurio MG. Pyoderma faciale. Cutis. 2008;81:488–90.
Firooz A, Firoozabadi MR, Dowlati Y. Rosacea fulminans (pyoderma faciale): successful treatment of a 3-year-old girl with oral isotretinoin. Int J Dermatol. 2001;40:203–5.
Fuentalsaz V, Ara M, Corredera C, et al. Rosacea fulminans in pregnancy: successful treatment with azithromycin. Clin Exp Dermatol. 2011;36(6):674–6.
Helm TA, Schechter J. Biopsy may help identify early pyoderma faciale (rosacea fulminans). Cutis. 2006;77:225–7.
Lewis VJ, Holme SA, Wright A, Antsey AV. Rosacea fulminans in pregnancy. Br J Dermatol. 2004;151:917–9.
Marks VJ, Briggaman RA. Pyoderma faciale: successful treatment with isotretinoin. J Am Acad Dermatol. 1987;17:1062–3.
Ortonne JP. Oral isotretinoin treatment policy: do we all agree? Dermatology. 1997;195 Suppl 1:34–7.
Bormann G, Gaber G, Fischer M, Marsch WC. Dapsone in rosacea fulminans. J Eur Acad Dermatol Venereol. 2001;15(5):465–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Caridi, C., Zeichner, J.A. (2014). Rosacea Fulminans. In: Zeichner, J. (eds) Acneiform Eruptions in Dermatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8344-1_44
Download citation
DOI: https://doi.org/10.1007/978-1-4614-8344-1_44
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-8343-4
Online ISBN: 978-1-4614-8344-1
eBook Packages: MedicineMedicine (R0)