A 30-year-old male reports experiencing painful bumps on his nose and cheeks that often appear after consuming spicy foods or alcohol. What is your evaluation and plan?
This patient's symptoms suggest papulopustular rosacea, a subtype of rosacea characterized by transient, erythematous papules and pustules. Triggers such as spicy foods and alcohol can exacerbate this condition. Initial treatment should include trigger avoidance and may involve topical or oral antibiotics to reduce inflammation and the number of papules and pustules.