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Review
. 2020 Apr;13(4 Suppl):S17-S22.
Epub 2020 Apr 1.

Managing Rosacea in the Clinic: From Pathophysiology to Treatment-A Review of the Literature

Sandra Marchese Johnson  1   2   3 , Andrew Berg  1   2   3 , Chelsea Barr  1   2   3
Affiliations
Review

Managing Rosacea in the Clinic: From Pathophysiology to Treatment-A Review of the Literature

Sandra Marchese Johnson et al. J Clin Aesthet Dermatol. 2020 Apr.

Abstract

Rosacea is a chronic skin disease characterized by a waxing and waning course. It can encompass different symptoms including erythema, papules/pustules, telangiectasia, and phymata and sometimes secondary manifestations, such as itching, burning, or stinging. This article reviews recent changes in rosacea management. Discussion of relevant medical literature augmented with clinical expertise is also provided. Notably, while patients report that rosacea negatively impacts their emotional and overall well-being, they also tend to have low satisfaction with treatment and are prone to discontinuing therapy and/or using rosacea medications on an intermittent basis, thereby undermining treatment efficacy. Fortunately, the therapeutic armamentarium for rosacea is expanding, and experts now recommend a treatment approach that targets the presenting signs and/or symptoms, with the goal of achieving the greatest possible clearance. More so than in the past, several treatments can be used concurrently to best address the overall presentation of rosacea in an individual patient.

Keywords: Rosacea; combination therapy; erythema; papulopustular lesions; targeted treatment.

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Conflict of interest statement

FUNDING:Editorial services for this article were funded by Galderma Laboratories. DISCLOSURES:All authors have served as consultants for Galderma.

Figures

FIGURE 1.
FIGURE 1.
Rosacea presentation with centrofacial redness due to both lesions and background erythema
FIGURE 2.
FIGURE 2.
Example of rosacea in dark skin
FIGURE 3.
FIGURE 3.
ROSCO Project 2019 updated treatment algorithm
See this image and copyright information in PMC

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