Currently Accepted Classifications of Rosacea
Rosacea Subtype ClassificationThe Rosacea Society Medical Committee has recently developed a "Rosacea Classification System" to help diagnose rosacea subtypes. This system helps rosacea sufferers better understand their symptoms and find the proper treatments. Below is a summary of each subtype adapted from the Journal of the American Academy of Dermatology.2002; 46:584-587.
Subtype 1: Erythematotelangiectatic Rosacea:Erythematotelangiectatic rosacea is mainly characterized by flushing and persistent central facial redness. The appearance of telangiectasia is common in this subtype. Facial edema, stinging senations, and burning sensations may also occur. A history of flushing alone is common among patients presenting with erythematotelangiectatic rosacea.
Subtype 2: Papulopustular Rosacea: Papulopustular rosacea is characterized by persistent facial redness with transient papules or pustules. The papulopustular subtype resembles acne, except that white heads are absent. Burning and stinging sensations may be reported by patients with papulopustular rosacea. This subtype is often reported in combination with subtype 1.
Subtype 3: Phymatous Rosacea: Phymatous rosacea includes thickening of the nose skin, irregular surface nodularities, and sebaceous gland hyperplasisa. Rhinophyma is the most common phymatous irregularity.
Subtype 4: Ocular Rosacea: Ocular rosacea should be considered whena patient's eyes have one or more of the following symptoms such as watery or bloodshot appearance, foreign body sensation, burning or stinging, dryness, itching, light sensitivity, blurred vision, and telangiectasia of the conjunctiva.
Subtype 1: Erythematotelangiectatic Rosacea:Erythematotelangiectatic rosacea is mainly characterized by flushing and persistent central facial redness. The appearance of telangiectasia is common in this subtype. Facial edema, stinging senations, and burning sensations may also occur. A history of flushing alone is common among patients presenting with erythematotelangiectatic rosacea.
Subtype 2: Papulopustular Rosacea: Papulopustular rosacea is characterized by persistent facial redness with transient papules or pustules. The papulopustular subtype resembles acne, except that white heads are absent. Burning and stinging sensations may be reported by patients with papulopustular rosacea. This subtype is often reported in combination with subtype 1.
Subtype 3: Phymatous Rosacea: Phymatous rosacea includes thickening of the nose skin, irregular surface nodularities, and sebaceous gland hyperplasisa. Rhinophyma is the most common phymatous irregularity.
Subtype 4: Ocular Rosacea: Ocular rosacea should be considered whena patient's eyes have one or more of the following symptoms such as watery or bloodshot appearance, foreign body sensation, burning or stinging, dryness, itching, light sensitivity, blurred vision, and telangiectasia of the conjunctiva.
posted by Madison at 4:58 AM
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