ABSTRACT
A poorly defined red scaly rash on the face that is symmetrical in distribution is likely to be chronic eczema. Application of potent topical fluorinated steroids to the face can result in a rosacea-like rash. The most likely cause of poorly defined red plaques on the face is chronic eczema. Acute eczema presents with swelling and exudate. The distribution and age of the patient determine the type of eczema. Telangiectasia is very common on the face due to weathering and may be associated with rosacea, scleroderma, and the use of potent topical steroids. Any vascular laser such as the Pulsed dye or KTP laser will remove a spider naevus or visible telangiectasia on the face. Eczema on the face in infants and children is likely to be due to atopic eczema. Rosacea needs to be distinguished from acne, seborrhoeic eczema and perioral dermatitis.
