• 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, telangiectasias, and papules/pustules. In severe cases, the nose develops a large, bulbous shape (rhinophyma). In contrast to acne, comedones are not present. Treatment options include the avoidance of triggers, topical agents (e.g., metronidazole, brimonidine) for mild disease, and oral agents (e.g., metronidazole) for more severe disease.


  • Sex: >
  • Age range: 30–60 years


Epidemiological data refers to the US, unless otherwise specified.


The cause of rosacea is not entirely understood; , but is especially associated with triggers that increase body temperature.

  • Trigger factors
    • Hot weather, hot drinks, spicy food
    • Stress, alcohol, nicotine
    • Demodex mites


Clinical features

There are four different clinical subtypes of rosacea:

  1. Erythematotelangiectatic rosacea
    • Facial flushing
    • Persistent erythema of the face (together with telangiectasias)
  2. Papulopustular rosacea
  3. Phymatous rosacea
    • Skin and sebaceous glands thicken
    • Inflammatory, widespread nodules
    • Rhinophyma: enlarged, bulbous nose (almost exclusively in males)
    • Similar changes may occur on the chin, forehead, cheeks, and ears
  4. Ocular rosacea

In contrast to acne, comedones are NOT present!




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last updated 05/12/2020
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