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Published in: American Journal of Clinical Dermatology 4/2021

01-07-2021 | Doxycycline | Leading Article

Rosacea: New Concepts in Classification and Treatment

Authors: Esther J. van Zuuren, Bernd W. M. Arents, Mireille M. D. van der Linden, Sofieke Vermeulen, Zbys Fedorowicz, Jerry Tan

Published in: American Journal of Clinical Dermatology | Issue 4/2021

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Abstract

Rosacea is a chronic inflammatory dermatosis mainly affecting the cheeks, nose, chin, and forehead. Rosacea is characterized by recurrent episodes of flushing or transient erythema, persistent erythema, phymatous changes, papules, pustules, and telangiectasia. The eyes may also be involved. Due to rosacea affecting the face, it has a profound negative impact on quality of life, self-esteem, and well-being. In addition to general skin care, there are several approved treatment options available for addressing these features, both topical and systemic. For some features, intense pulse light, laser, and surgery are of value. Recent advances in fundamental scientific research have underscored the roles of the innate and adaptive immune systems as well as neurovascular dysregulation underlying the spectrum of clinical features of rosacea. Endogenous and exogenous stimuli may initiate and aggravate several pathways in patients with rosacea. This review covers the new phenotype-based diagnosis and classification system reflecting pathophysiology, and new and emerging treatment options and approaches. We address new topical and systemic formulations, as well as recent evidence on treatment combinations. In addition, ongoing studies investigating novel therapeutic interventions will be summarized.
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Metadata
Title
Rosacea: New Concepts in Classification and Treatment
Authors
Esther J. van Zuuren
Bernd W. M. Arents
Mireille M. D. van der Linden
Sofieke Vermeulen
Zbys Fedorowicz
Jerry Tan
Publication date
01-07-2021
Publisher
Springer International Publishing
Published in
American Journal of Clinical Dermatology / Issue 4/2021
Print ISSN: 1175-0561
Electronic ISSN: 1179-1888
DOI
https://doi.org/10.1007/s40257-021-00595-7

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