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Management of rosacea

Author
Lisa E Maier, MD
Section Editor
Mark V Dahl, MD
Deputy Editor
Abena O Ofori, MD

INTRODUCTION

Rosacea is a chronic and relapsing inflammatory skin disorder that primarily involves the central face. Common clinical features include facial erythema, telangiectasias, and inflammatory skin lesions. Many patients seek therapy due to concern over the effect of rosacea on physical appearance. As there is no cure for rosacea, treatment is focused on symptom suppression.

The management of cutaneous rosacea will be discussed here. Ocular rosacea and the pathogenesis and clinical features of cutaneous rosacea are reviewed separately. (See "Ocular rosacea" and "Rosacea: Pathogenesis, clinical features, and diagnosis".)

PATIENT ASSESSMENT

Rosacea is divided into four subtypes that are defined by the presence of specific clinical features [1]. Identification of the disease subtype and severity of involvement are essential for the selection of appropriate therapy. (See "Rosacea: Pathogenesis, clinical features, and diagnosis".)

The subtypes of rosacea include:

Erythematotelangiectatic rosacea: Features of erythematotelangiectatic rosacea include transient facial erythema (flushing), centrofacial nontransient erythema, telangiectasias, skin sensitivity, edema, and a dry or scaly skin texture (picture 1A-B). (See "Rosacea: Pathogenesis, clinical features, and diagnosis", section on 'Erythematotelangiectatic rosacea'.)

                                           

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Literature review current through: Nov 2016. | This topic last updated: Tue Jun 14 00:00:00 GMT 2016.
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