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Rosacea in children: a review.

Anca Chiriac^1,2,3, Uwe Wollina⁴

¹Department of Dermatology, Nicolina Medical Center, Iasi, Romania.

European Journal of Pediatrics

|August 9, 2023

Summary

Pediatric rosacea, a rare subtype of rosacea, presents uniquely in children. While sharing similarities with adult rosacea, it has distinct clinical features and treatment considerations.

Keywords:

Classification Facial dermatoses Inflammation Pathogenesis Pediatric rosacea Treatment

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Area of Science:

Dermatology
Pediatric Medicine

Background:

Rosacea is a chronic facial inflammatory disorder, distinct from acne, with increasing prevalence in older adults.
Pediatric rosacea is an uncommon subtype characterized by peculiar clinical presentations.

Purpose of the Study:

To summarize the understanding of pediatric rosacea, differentiating it from adult rosacea.
To highlight diagnostic criteria, subtypes, and treatment considerations for pediatric rosacea.

Main Methods:

Review of clinical symptoms for diagnosis.
Exclusion of differential diagnoses via laboratory investigations and histopathology when necessary.
Classification of subtypes including erythemato-telangiectatic, papulo-pustular, periorificial, and granulomatous variants.

Main Results:

Pediatric rosacea shares the rosacea spectrum but exhibits unique characteristics compared to adult forms.
Phymatous subtypes are not observed in pediatric rosacea.
Idiopathic facial aseptic granuloma is a specific subtype seen in infants and children.

Conclusions:

Pediatric rosacea is a distinct entity within the broader rosacea spectrum.
Genetic and environmental factors influence its pathogenesis.
Treatment parallels adult rosacea, with topical and systemic options, noting potential adverse events like tooth discoloration with oral tetracyclines.