Rosacea anno 2001

Stand van zaken
M.R.T.M. Thissen en H.A.M. Neumann

Rosacea in the year 2001

- Rosacea is a chronic skin disorder of the face. Initially erythema and telangiectasia develop, followed at a later stage by papules and papulopustules.

- Females between 30 and 50 years of age are most affected.

- Pathogenesis is not clearly understood.

- Finally rhinophyma and persistent lymphoedema can develop.

- It can be difficult to distinguish acne vulgaris, seborrheic eczema, perioral dermatitis and lupus erythematosus from rosacea.

- Treatment of first choice consists of topically or systemically applied antibiotics. More severe cases can be treated with isotretinoin. Erythema and telangiectasia respond well to treatment with vascular lasers.