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[Clinical presentations and classification of rosacea]
1Service de dermatologie, vénéréologie et allergologie, Université de Duisburg-Essen, Hufelandstrasse 55, 45122 Essen, Allemagne. thomas.jansen@uk-essen.de
Rosacea, a chronic skin condition affecting 10% of people, presents with varied signs and symptoms. Current classification systems, like the National Rosacea Society
Area of Science:
- Dermatology
- Clinical Science
Context:
- Rosacea is a prevalent chronic skin disease impacting up to 10% of the population.
- It manifests with diverse signs and symptoms, primarily in the centrofacial region.
- Existing understanding and classification of rosacea's varied expressions remain challenging.
Purpose:
- To review and discuss the current understanding and classification of rosacea.
- To highlight the limitations and controversies in existing diagnostic and staging systems.
- To present the National Rosacea Society's classification framework.
Summary:
- Rosacea encompasses various clinical presentations, previously classified into stages or variants.
- The National Rosacea Society (NRS) proposes a classification into four subtypes (erythematotelangiectatic, papulopustular, phymatous, ocular) and one variant (lupoid/granulomatous).
- This NRS system utilizes diagnostic criteria for primary and secondary features and includes severity assessment suggestions, though classification remains debated pending better pathogenetic understanding.
Impact:
- Provides a framework for consistent diagnosis and assessment of rosacea.
- Highlights areas needing further research into rosacea pathogenesis.
- Aims to improve clinical management and patient care for rosacea patients.
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