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Live Blog: Acne and Rosacea: New Therapies and Strategies for Management, Part Two – Abby Jacobson, MS, PA-C

In this live blog from the 12th Annual SDPA conference in Indianapolis, Abby A. Jacobson, MS, PA?C, lectured on “Acne and Rosacea: New Therapies and Strategies for Management.” Here are some of the highlights from part two: Rosacea. Part one is here.

Rosacea Triggers

Jacobson reminded the audience that the triggers of rosacea tend to be spicy food, hot beverages, alcohol, and chocolate. However practitioners should be conscious of what triggers each individual patient. Other triggers, which are harder to avoid, might be emotional stress, changes in temperature, strong winds, exercise, and sun exposure. With sun exposure, it is important to tell patients that just 5 minutes of sun exposure can worsen redness. Often patients will not realize that they accrue more than 5 minutes sun exposure doing normal outdoor activities like simply walking to their car, taking out the trash, or getting the mail.

Rosacea Treatments

Jacobson listed her current treatment strategies including washing, sunscreen, prescriptions and new make up. Jacobson makes sure that her patients bring in everything they use to wash their face to make sure that what they’re using is not worsening their condition. Her first line prescription is Finacea if the patient can tolerate a little irritation at the get-go. Other options are Metronidazole, Sodium sulfonamide/sulfur, and Brimonide (mirvaso). Off label options that clients have benefited from are Elidel and Protopic.  Oral therapys include Doxycycline or Minocycline. 

Connecting to the Patient

Remember that no matter what you prescribe your patient, it is important that they feel heard and have felt sympathy from you. While rosacea is one of the “bread and butter” diseases of dermatology, these patients want you to talk to them and examine them. They’ll be more likely to comply with your treatment if they felt like they were a part of the decision. PAs can benefit from taking more time with each patient regardless of their presenting complaint.

Image: Steve Webel


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