Acne Rosacea

Daniel R. DiBlasi, DO and Shane L. Larson, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Rosacea is a chronic condition characterized by recurrent episodes of facial flushing, erythema (due to dilatation of small blood vessels in the face), papules, pustules, and telangi...

DIAGNOSIS

HISTORY

  • Usually have a history of episodic flushing with increases in skin temperature in response to heat stimulus in mouth (hot liquids), spicy foods, alcohol, sun exposure

  • Acne may have pre...

TREATMENT

GENERAL MEASURES

  • Proper skin care and photoprotection are important components of management plan (1)[B]. Use of mild, nondrying soap is recommended; local skin irritants should be avoided.

  • Av...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Outpatient treatment 

Patient Monitoring

  • Occasional and as needed

  • Close follow-up and laboratory assessment for patients using isotretinoin per prescribing instructi...

REFERENCES

1 Schaller M, Almeida LM, Bewley A, et al. Rosacea treatment update: recommendations from the global ROSacea COnsensus (ROSCO) panel. Br J Dermatol.  2017;176(2):465–471.  [View Abst...

ADDITIONAL READING

  • Leyden JJ. Efficacy of a novel rosacea treatment system: an investigator-blind, randomized, parallel-group study. J Drugs Dermatol.  2011;10(10):1179–1185.  [View Abstract]

  • Liu...

SEE ALSO

  • Acne Vulgaris; Blepharitis; Dermatitis, Seborrheic; Lupus Erythematosus, Discoid; Uveitis

  • Algorithm: Acne

CODES

ICD10

  • L71.9 Rosacea, unspecified

  • L71.8 Other rosacea

ICD9

  • 695.3 Rosacea

  • 370.49 Other keratoconjunctivitis

SNOMED

  • 398909004 Rosacea (disorder)

  • 200933006 Ocular rosacea (disorder)

  • 257006 Acne rosacea, eryt...

CLINICAL PEARLS

  • Rosacea usually arises de novo without any preceding history of acne or seborrhea.

  • Rosacea may cause chronic eye symptoms, including blepharitis.

  • Avoid alcohol, sun exposure, and hot dri...

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