eNewsletter Dermatology Sign Up
Look good, feel great with Beautiful Skin
Crutchfield
Crutchfield Dermatology Home Patient Reviews Patient Portal Make a Payment Leading Doctors Best Doctors in America Consumer’s Research Council of America Top Dermatologist for Women Mpls St. Paul Top Doctors Crutchfield Dermatology Awarded 2008 Best of St. Paul for their Excellence in Skin Care Mpls St. Paul Top Doctors Physcian Health Care Heros America's Top Doctors Request Appointment eNewsletter Sign Up
gif
Medical Education Sectiongif
gif
gif

27 year old woman with a 5 year history of rosacea and emotional facial flushing. Topical metronidazole products initially were marginally effective, but over the past year have lost their effect.

What is your diagnosis?


before image

Diagnosis: Rosacea

In this case we recommended that she use brimonidine gel, 0.33% (Mirvaso). Brimonidine gel, 0.33% did well to control the redness and flushing. It took approximately 1.5 hours to take full effect. Unfortunately for her it only lasted for about 6 hours. We had her mix Mirvaso 1:1 with a compounded formula of: metronidazole 0.75%, Oxymetazoline0.05% in a vehicle/base of Cerave lotion.

This mixture, described above, provided 12-14 hour results. See pictures for details.

Image 1
before treatment
Before any treatment

Image 2
after treatment
2 hours after treating; right face 1:1 mixture Brimonidine gel, 0.33% 1:1 with a compounded formula of: metronidazole 0.75%, Oxymetazoline0.05% in a vehicle/base of Cerave lotion on the right side of face, Brimonidine gel, 0.33% to the left side of face

Image 3

6 hours after treatment, Brimonidine gel, 0.33% alone on left face starting to wear off, compounded mixture still working on right side of face.

Image 4

10 hours after application of compounded mixture (metronidazole 0.75%, Oxymetazoline0.05% in a vehicle/base of Cerave lotion )to full face

 

gif
Articles/links
For additional information please see:
Dermnetnz

Dermnetnz.org

Medscape logo

Medscape

Wikipedia

Wikipedia Acute Generalized Exanthematous Pustulosis

Case of the Month

Cases of the Month Archives

gif gif

Crutchfield Dermatology





651-209-3600       Look Good, Feel Great with Beautiful Skin ™


Prestigious Organizations
MetroDoctors ASDS-Net.org ASCDAS.org NMANET.org aestheticmd.com Better Business Bureua
expert injectorMayo Clinic American Board Dermatology American Medical Med.UMN.edu cosmeticsurgery.org ASNA Top Dermatologist

AAD Fellow Alpha Omega Alpha
Crutchfield Dermatology All Photographs are copyright protected. Unauthorized use is prohibited 651-209-3600


Crutchfield Dermatology
1185 Town Centre Drive Suite 101 Eagan, MN 55123
Call for appointment: 651-209-3600 Fax: 651-209-3601

top 100 places to work

Proudly serving: The greater Twin Cities area, Minneapolis, St. Paul, Edina, Eden Prairie, Eagan, Richfield, Bloomington, Hopkins, Savage, Mendota Heights, St. Louis Park, Wayzata, Plymouth, Maple Grove, Crystal, Roseville, West St. Paul, Apple Valley, Burnsville



Web Design Arbor Bay Marketing

 

Crutchfield
Alpha Omega Alpha Honor Medical Society