Diagnosis and treatment of rosacea.
BACKGROUND
Rosacea is a common skin disorder affecting middle-aged and older adults. Many patients mistakenly assume that early rosacea is normally aging skin and are not aware that effective treatments exist to prevent progression to permanent disfiguring skin changes.


METHODS
The medical literature was reviewed on the pathophysiology, diagnosis, and treatment of rosacea. MEDLINE was searched using the key search terms "rosacea," "rhinophyma," "metronidazole," "Helicobacter pylori," and "facial redness."


CONCLUSIONS
Rosacea is easily diagnosed by physician observation, and physicians should initiate discussion of rosacea treatment with patients. Effective treatment of rosacea includes avoidance of triggers, topical and oral antibiotic therapy, both topical and oral retinoid therapy, topical vitamin C therapy, and cosmetic surgery.
Cohen
Aaron F
AF
Family Physicians of Naperville, Family Practice Residency Department, Provena Health/Saint Joseph Medical Center, IL 60564, USA.
Tiemstra
Jeffrey D
JD
D003937:Diagnosis, Differential; D018450:Disease Progression; D006801:Humans; D015474:Isotretinoin / Q000627:therapeutic use; D012393:Rosacea / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*
D015474:Isotretinoin