Rosacea Management

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چکیده

Background: Rosacea is a chronic inflammatory skin condition associated with four distinct subtypes: erythematotelangiectatic, papulopustular, phymatous, and ocular. Purpose: To review the different kinds of management for all subtypes. Methods: We divided rosacea management into three main categories: patient education, skin care, and pharmacological/procedural interventions. Results: Flushing is better prevented rather than treated, by avoiding specific triggers, decreasing transepidermal water loss by moisturizers, and blocking ultraviolet light. Nonselective β-blockers and α 2 -adrenergic agonists decrease erythema and flushing. The topical α-adrenergic receptor agonist brimonidine tartrate 0.5% reduces persistent facial erythema. Intradermal botulinum toxin injection is almost safe and effective for the erythema and flushing. Flashlamp-pumped dye, potassium-titanyl-phosphate and pulsed-dye laser, and intense pulsed light are used for telangiectasias. Metronidazole 1% and azelaic acid 15% cream reduce the severity of erythema. Both systemic and topical remedies treat papuloReceived: February 23, 2016 Accepted: April 14, 2016 Published online: May 18, 2016 Manal Abokwidir 5540 Brookberry Farm RD Winston-Salem, NC 27106 (USA) E-Mail manal.abokwidir @ hotmail.com © 2016 S. Karger AG, Basel 2296–9195/16/0022–0026$39.50/0

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تاریخ انتشار 2016