ROSACEA SUBTYPES

There are four identified rosacea subtypes, include :

Erythematotelangiectatic rosacea

Permanent redness ( erythema ) with a tendency to flush andblush easily. It is also common to have small blood vessels visible near thesurface of the skin ( telangiectasias ) and possibly burning or itchingsensations.

Papulopustular rosacea

Some permanent redness with red bumps ( papules ) with somepus filled ( pustules ) which typically last 1-4 days, this subtype can beeasily confused with acne.

Phymatous rosacea

This subtype is most commonly associated with rhinophyma, anenlargement of the nose.

Symptoms include :

• Thickening skin
• Irregular surface nodularities
• Enlargement

Phymatous rosacea can also affect :

• The chin ( gnatophyma )
• Forehead ( metophyma )
• Cheeks
• Eyelids ( blepharophyma )
• Ears ( otophyma )
• Small blood vessels visible near the surface of the skin (telangiectasias )

Ocular rosacea

Red, dry and irritated eyes and eyelids. Some other symptomsinclude foreign body sensations, itching and burning.

There have been other descriptive terms applied topresentations of rosacea, but these are not formally accepted as subtypes ofrosacea, such as :

Granulomatous rosacea.

The rare and severely scarring Rosacea fulminans ( pyodermafaciale ) occurring exclusively in women after adolescence and most commonly intheir early 20s.

Perioral dermatitis, which is better described asperiorificial dermatitis, but similarly treated with topical metronidazole.

Persistent edema of rosacea.

Rosacea Conglobata

Persisting redness and oedema of the upper half of the facehas been termed Morbihan disease.

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