- Clinical science
Rosacea is a chronic inflammatory skin disease that may be triggered by a number of factors (e.g., alcohol, stress). The etiology is unclear; however, the disease is more common in females and middle-aged individuals with fair skin. The disease presents with central facial erythema, telangiectasia, and papules/pustules. In severe cases, the nose develops a large, bulbous shape (rhinophyma). In contrast to acne, are not present. Treatment options include the avoidance of triggers and the application of topical metronidazole. In more severe cases, systemic tetracycline or isotretinoin may be added.
- Sex: ♀ > ♂
- Age range: 30–60 years
Epidemiological data refers to the US, unless otherwise specified.
There are four different clinical subtypes of rosacea:
- Facial flushing
- Persistent erythema of the face (together with telangiectasia)
- Papulopustular rosacea
- Phymatous rosacea
- Ocular rosacea
- Eye involvement (common)
- Small brown papules, especially around the mouth and eyes
- Granulomatous lesions may occur on their own, without other symptoms of rosacea
- Histology: tuberculoid granulomas
All patients with rosacea and concurrent eye problems should have their eyes examined by an ophthalmologist!
We list the most important complications. The selection is not exhaustive.