Advertisement

ROSACEA

  • Author Footnotes
    * Department of Family Practice, Saginaw Cooperative Hospitals, Inc.; The Department of Family Practice, Michigan State University; and the Aleda E. Lutz Veterans Administration Medical Center, Saginaw, Michigan
    Thomas J. Zuber
    Footnotes
    * Department of Family Practice, Saginaw Cooperative Hospitals, Inc.; The Department of Family Practice, Michigan State University; and the Aleda E. Lutz Veterans Administration Medical Center, Saginaw, Michigan
    Search for articles by this author
  • Author Footnotes
    * Department of Family Practice, Saginaw Cooperative Hospitals, Inc.; The Department of Family Practice, Michigan State University; and the Aleda E. Lutz Veterans Administration Medical Center, Saginaw, Michigan
      Rosacea is a chronic facial skin disorder most commonly seen in individuals between the ages of 30 and 60.
      • Bikowski J.
      Rosacea: The great imitator.
      • Fitzgerald F.T.
      Rosacea: When flushing or `sunburn' may be sight-threatening.
      • Habif T.P.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      • National Rosacea Society
      • Sibenge S.
      • Gawkrodger D.J.
      Rosacea: A study of clinical patterns, blood flow, and the role of Demodex folliculorum.
      • Thiboutot D.M.
      Acne rosacea.
      • Wilkin J.K.
      Rosacea pathophysiology and treatment [editorial].
      • Zuber T.J.
      Rosacea: Beyond first blush.
      The condition frequently produces erythema, papules, pustules, and edema of midfacial skin.
      • Bikowski J.
      Rosacea: The great imitator.
      • Fitzgerald F.T.
      Rosacea: When flushing or `sunburn' may be sight-threatening.
      • Habif T.P.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      • National Rosacea Society
      • Thiboutot D.M.
      Acne rosacea.
      • Wilkin J.K.
      Rosacea pathophysiology and treatment [editorial].
      • Zuber T.J.
      Rosacea: Beyond first blush.
      Rosacea was first termed acne rosacea because of the similar appearance to teenage acne.
      • Bikowski J.
      Rosacea: The great imitator.
      The condition often begins insidiously, and initially may be mistaken for normal flushing or sunburned skin.
      • Bikowski J.
      Rosacea: The great imitator.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      Rosacea is progressive, commonly produces exacerbations and remissions, and can be disfiguring if left untreated.
      • Bikowski J.
      Rosacea: The great imitator.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      The condition is more common in women, but often is more severe in men.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      Rosacea appears most often in fair-skinned individuals of northern and eastern European descent, such as Celtic or Scandinavian populations.
      • Bikowski J.
      Rosacea: The great imitator.
      • Habif T.P.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      Approximately 40% of sufferers have a family member with the disorder.
      • Litt J.Z.
      Rosacea: How to recognize and treat an age-related skin disease.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Primary Care: Clinics in Office Practice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bikowski J.
        Rosacea: The great imitator.
        Fam Pract Recert. 1997; 19: 61-76
        • Bleicher P.A.
        • Charles J.H.
        • Sober A.J.
        Topical metronidazole therapy for rosacea.
        Arch Dermatol. 1987; 123: 609
        • Dahl M.V.
        • Katz H.I.
        • Krueger G.G.
        • et al.
        Topical metronidazole maintains remissions of rosacea.
        Arch Dermatol. 1998; 134: 679
        • Dupont C.
        The role of sunshine in rosacea [letter].
        J Am Acad Dermatol. 1986; 15: 713
        • Erbagci Z.
        • Ozgoztasi O.
        The significance of Demodex folliculorum density in rosacea.
        Int J Dermatol. 1998; 37: 421
        • Erdogan F.G.
        • Yurtsever P.
        • Aksoy D.
        • et al.
        Efficacy of low-dose isotretinoin in patients with treatment-resistant rosacea.
        Arch Dermatol. 1998; 134: 884
        • Fitzgerald F.T.
        Rosacea: When flushing or `sunburn' may be sight-threatening.
        Consultant. 1996; 36: 1399-1403
        • Habif T.P.
        Clinical dermatology: A color guide to diagnosis and therapy. ed 3. Mosby, St. Louis1996: 182-183
        • Harris D.R.
        • Noodleman R.
        Using a low current radiosurgical unit to obliterate facial telangiectasias.
        J Dermatol Surg Oncol. 1991; 17: 382
        • Kligman A.M.
        Ocular rosacea: Current concepts and therapy [editorial].
        Arch Dermatol. 1997; 133: 89-90
        • Litt J.Z.
        Rosacea: How to recognize and treat an age-related skin disease.
        Geriatrics. 1997; 52: 39-47
        • National Rosacea Society
        Coping with rosacea tips on lifestyle management for rosacea sufferers. National Rosacea Society, Barrington, IL1996
        • Neilsen P.G.
        Metronidazole treatment in rosacea.
        Int J Dermatol. 1988; 27: 1-5
        • Neumann E.
        • Frithz A.
        Capillaropathy and capillaroneogenesis in the pathogenesis of rosacea.
        Int J Dermatol. 1998; 37: 263
        • Parish L.C.
        • Witkowski J.A.
        Acne rosacea and Helicobacter pylori betrothed [commentary].
        Int J Dermatol. 1996; 35: 302
        • Pollack S.V.
        Electrosurgery of the skin. Churchill Livingstone, New York1991
        • Purcell S.M.
        • Hayes T.J.
        • Dixon S.L.
        Pustular folliculitis associated with Demodex folliculorum.
        J Am Acad Dermatol. 1986; 15: 1159
        • Quarterman M.J.
        • Johnson D.W.
        • Abele D.C.
        • et al.
        Ocular rosacea signs, symptoms, and tear studies before and after treatment with doxycyline.
        Arch Dermatol. 1997; 133: 49-54
        • Shalita A.R.
        • Cunningham W.J.
        • Leyden J.J.
        • et al.
        Isotretinoin treatment of acne and related disorders: An update.
        J Am Acad Dermatol. 1983; 9: 629
        • Sharma V.K.
        • Lynn A.
        • Kaminski M.
        • et al.
        A study of the prevalence of Helicobacter pylori infection and other markers of upper gastrointestinal tract disease in patients with rosacea.
        Am J Gastroenterol. 1998; 93: 220
        • Sibenge S.
        • Gawkrodger D.J.
        Rosacea: A study of clinical patterns, blood flow, and the role of Demodex folliculorum.
        J Am Acad Dermatol. 1992; 26: 590
        • Simonart T.
        • Lowy M.
        • Rasquin F.
        • et al.
        Overlap of sarcoidosis and rosacea.
        Dermatology. 1997; 194: 416
        • Thiboutot D.M.
        Acne rosacea.
        Am Fam Physician. 1994; 50: 1691
        • Torresani C.
        • Pavesi A.
        • Manara G.C.
        Clarithromycin versus doxycycline in the treatment of rosacea.
        Int J Dermatol. 1997; 36: 938
        • Verde S.F.
        • Oliveira A.D.S.
        • Picoto A.D.S.
        • et al.
        How we treat rhinophyma.
        J Dermatol Surg Oncol. 1980; 6: 560
        • Wilkin J.K.
        Rosacea pathophysiology and treatment [editorial].
        Arch Dermatol. 1994; 130: 359
        • Zuber T.J.
        Rosacea: Beyond first blush.
        Hosp Pract. 1997; 32: 188