Granulomatous Rosacea H.S. 2018 Case Presentation Presented by David Elpern August 17, 2018 A 34-year-old sociologist presented for evaluation of forehead lesions, which have been present for about 2 years.  These began about a year after her daughter’s birth.  Before that, she was on oral contraceptives and was fine, but she has not been on any hormonal birth control since then.  She saw another dermatologist and was treated with topicals, a SilkPeel, Tretinoin.  She also took doxycycline for 2 – 4 weeks. Nothing helped.  She is anxious about her appearance. O/E: The examination shows a pleasant, outgoing woman.  She has a somewhat pebbly appearance to the forehead with many, mostly … Continue reading →