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Acne rosacea

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This is a skin disorder where there is fixed or recurrent erythema, telangiectasia, oedema, papules and pustules affecting the forehead, cheeks, nose and often the chin.

It is most often seen in people with fair skin that burns easily but can also occur in people of African descent (1)

It is relatively common, with a female prevalence of 5% and a male prevalence of just under 4% for men (2) but men are more likely to progress to severe disease (2).

The onset is typically between the ages of 30 and 60. (3)

Ocular changes are the initial presentation in 20% of patients (4)

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1. Gallo RL, Granstein RD, Kang S, et al. Standard classification and pathophysiology of rosacea: the 2017 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol. 2018 Jan;78(1):148-55.

2. Gether L, Overgaard LK, Egeberg A, et al. Incidence and prevalence of rosacea: a systematic review and meta-analysis. Br J Dermatol. 2018 Aug;179(2):282-9.

3. Two AM, Wu W, Gallo RL, et al. Rosacea: part I. Introduction, categorization, histology, pathogenesis, and risk factors. J Am Acad Dermatol. 2015 May;72(5):749-58.

4. Thiboutot D, Anderson R, Cook-Bolden F, et al. Standard management options for rosacea: the 2019 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol. 2020 Jun;82(6):1501-10.

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