Ocular Rosacea In Children, A Diagnosis Not To Be Missed!

In children, the ocular signs of rosacea are often misleading, atypical and can mislead the diagnosis and be mistaken for another etiology such as herpes or allergic keratoconjunctivitis.

Clinical case: We report the cases of 4 children aged 3 years, 7 years and 8 years and 12 years, addressed for respectively for

cases 1 and 2: dragging corneal ulcer.

cases 3 and 4: tearing, red eye, repeated chalazion, skin rash.

  The ophthalmological examination made the diagnosis of ocular and cutaneous rosacea. eyelid care Topical and oral antibiotics have shown favorable results for skin and eye lesions.

Discussion: being a rare skin condition in children, the ocular revelation of Rosacea remains exceptional, and insufficiently mentioned. The existence of blepharitis, keratoconjunctivitis or episcleritis should suggest the diagnosis in a child with or without facial skin signs. the treatment based on rigorous palpebral care, topical and general antibiotics if the age allows it remains very effective. but do not spare possible recurrences.

Discussion: being a rare skin condition in children, the ocular revelation of Rosacea remains exceptional, and insufficiently mentioned. The existence of blepharitis, keratoconjunctivitis or episcleritis should suggest the diagnosis in a child with or without facial skin signs. the treatment based on rigorous palpebral care, topical and general antibiotics if the age allows it remains very effective. but do not spare possible recurrences.

the diagnosis of ocular rosacea in even very young children must be evoked before a bundle of blepharo-kerato-conjunctival signs whether or not associated with cutaneous signs. moreover, the unusual, recurrent and atypical course of pathology of the child's ocular surface should suggest this diagnosis.