OCULAR ROSACEA IN A CHILD

Introduction. Rosacea ia an uncommon facial eruption in children. We r eport a cdse of rosacea associated with a specific episcleritis. Case report. A 10-year-old girl consulted for an erythematous papular and p ustular eruption of the mid face of 1 month duration. The child compla ined that she had had a red painful right eye for 6 months. There was no arguement for acne, periorificial granulomatous dermitis or for sar coidosis. The ophthalmological examination gave the diagnosis of occul ar and cutaneous rosacea. Oral antibiotics followed by erythromycin ga ve favorable results for both skin and occular lesions. Discussion. Oc cular involvement is a frequent complication of rosacea in adults. It is exceptional in children in whom rosacea is in itself rare. The pres ence of blepharitis, keratoconjunctivitis or episcleritis may suggest the diagnosis in a child with a mid facial eruption. As in the adult, skin and occular rosacea responds well to prolonged oral antibiotics. The choice of the antibiotic depends on the age of the child. Cyclins are not authorized in children under the age of 8 years.