Rosacea treatment monitoring with skin ultrasound

Winter seems to have come back. Today I´ve been in Villalba, a mountain town,  in the speciality center with Monica, Derm nurse.  With her work seems also funnier and lighter… Thanks Monica.

In some ocasions, clinical evaluation of inflammatory conditions as rosacea is difficult only on clinical basis.

Ultrasonography allows evaluation of inflammatoy conditions in terms of B mode signs (dermal hypoechogenicity) and color Doppler (icrease or decrease of flow).

In the case I will show you our patient complained of nasal rosacea of torpid evolution.

We initiated doxicicline 100mg/bd  with much improvement

These two images correspond to initial and after treatment ultrasonography .

Clear decrease of edema and flow is evident.

Pretreatment

Post treatment