Rosacea

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Acne Vulgaris Actinic (Solar) Keratosis Advice and Refer Teledermatology – East Devon Benign Skin and Subcutaneous Lesions Benign Skin and Subcutaneous Lesions commissioning policy Botulinum Toxin A for the management of focal hyperhidrosis commissioning policy Eczema Hyperhidrosis Psoriasis Rosacea Seborrhoeic Dermatitis Teledermatology for Advice & Guidance and Referrals Urticaria

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Rosacea is a common rash, usually occurring on the face, and which predominantly affects both middle-aged (age range 30 to 60) and fair-skinned people.

This condition can generally be managed in Primary Care.

Referral Criteria:

Only required if:

Diagnostic uncertainty
Failure of primary care management
Severe and tetracycline resistant rosacea for consideration of isotretinoin

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Signs and Symptoms

Bimodal prevalence of 20-30 years of age and a larger peak at 40-50
Aggravated by anything that predisposes to flushing such as alcohol, spicy foods, hot drinks, temperature changes, sunlight, emotion and drugs that cause vasodilation

Clinical features

Sited on the central face with sparing of the perioral and periorbital skin
Telangiectasia
Papules and pustules on a background erythema
Facial disfigurement intermittent or permanent
Rhinophyma
As opposed to acne vulgaris – NO comedones
Ocular involvement in 50% of cases can cause gritty eyes, conjunctivitis, blepharitis episcleritis and chalazion. Keratitis is a more serious complication

Patient information leaflet

Formulary, Chapter 13. Skin: Treatment of rosacea

This condition can generally be managed in Primary Care.