DermNet NZ

Facts about the skin from DermNet New Zealand Trust. Topic index: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Pyoderma faciale

What is pyoderma faciale?

Pyoderma faciale is an unusual skin condition occurring in young adult women. It is also called ‘rosacea fulminans’. It can resemble severe acne or rosacea.

Unlike acne, pyoderma faciale:

Compared with rosacea, pyoderma faciale:

There are unsightly and painful large red bumps (nodules), pustules and sores on very red areas of the cheeks, chin and/or forehead. The lesions may leave scars.

Despite the severity of the inflammation, there are no internal symptoms. No infective organisms are found in bacterial cultures of the affected skin.

Pyoderma faciale
Pyoderma faciale

What is the treatment for pyoderma faciale?

As this condition is rare, it is not certain which is the best medication to use. The following oral medications may help:

Most cases can be expected to clear up with a combination of these medications taken for three to six months. The patient should be under the care of a dermatologist.

Related information

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Author: Dr Amanda Oakley MBChB FRACP, Hamilton, New Zealand.

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If you have any concerns with your skin or its treatment, see a dermatologist for advice.