Header

UZH-Logo

Maintenance Infos

Swiss S1 guideline for the treatment of rosacea


Anzengruber, F; Czernielewski, J; Conrad, C; Feldmeyer, L; Yawalkar, N; Häusermann, P; Cozzio, A; Mainetti, C; Goldblum, D; Läuchli, S; Imhof, L; Brand, C; Laffitte, E; Navarini, Alexander A (2017). Swiss S1 guideline for the treatment of rosacea. Journal of the European Academy of Dermatology and Venerology:Epub ahead of print.

Abstract

Rosacea (in German sometimes called 'Kupferfinne', in French 'Couperose' and in Italian 'Copparosa') is a chronic and frequently relapsing inflammatory skin disease primarily affecting the central areas of the face. Its geographic prevalence varies from 1% to 22%. The differential diagnosis is wide, and the treatment is sometimes difficult and varies by stage of rosacea. For erythematous lesions and telangiectasia, intense pulsed light (IPL) therapy and lasers are popular treatment option. In addition, a vasoconstrictor agent, brimonidine, has recently been developed. For papulopustular rosacea, topical antibiotics, topical and systemic retinoids, as well as systemic antibiotics are used. A topical acaricidal agent, ivermectin, has undergone clinical development and is now on the market. In the later stages, hyperplasia of the sebaceous glands develops, resulting in phymatous growths such as the frequently observed bulbous nose or rhinophyma. Ablative laser treatments have largely replaced classical abrasive tools. Here, we reviewed the current evidence on the treatment of rosacea, provide a guideline (S1 level) and discuss the differential diagnosis of rosacea.

Abstract

Rosacea (in German sometimes called 'Kupferfinne', in French 'Couperose' and in Italian 'Copparosa') is a chronic and frequently relapsing inflammatory skin disease primarily affecting the central areas of the face. Its geographic prevalence varies from 1% to 22%. The differential diagnosis is wide, and the treatment is sometimes difficult and varies by stage of rosacea. For erythematous lesions and telangiectasia, intense pulsed light (IPL) therapy and lasers are popular treatment option. In addition, a vasoconstrictor agent, brimonidine, has recently been developed. For papulopustular rosacea, topical antibiotics, topical and systemic retinoids, as well as systemic antibiotics are used. A topical acaricidal agent, ivermectin, has undergone clinical development and is now on the market. In the later stages, hyperplasia of the sebaceous glands develops, resulting in phymatous growths such as the frequently observed bulbous nose or rhinophyma. Ablative laser treatments have largely replaced classical abrasive tools. Here, we reviewed the current evidence on the treatment of rosacea, provide a guideline (S1 level) and discuss the differential diagnosis of rosacea.

Statistics

Altmetrics

Downloads

0 downloads since deposited on 10 Oct 2017
0 downloads since 12 months

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Dermatology Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:21 August 2017
Deposited On:10 Oct 2017 15:20
Last Modified:10 Oct 2017 15:20
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0926-9959
Publisher DOI:https://doi.org/10.1111/jdv.14349
PubMed ID:28833645

Download

Content: Published Version
Language: English
Filetype: PDF - Registered users only
Size: 189kB
View at publisher