Rosacea: Clinical Features and Treatment Considerations

Course overview

Rosacea is a chronic, relapsing inflammatory skin condition that primarily affects the central face. This condition is characterized by persistent erythema, telangiectasias, papules, pustules, phymatous changes, and possible ocular involvement. Rosacea was previously classified into rigid subtypes, but is now viewed as a spectrum of clinical phenotypes driven by immune dysregulation, microbial influences, inflammation, and environmental triggers. Rosacea can significantly impair patients' quality of life due to its visible facial manifestations and chronic course. Management requires a phenotype-based, multimodal strategy that incorporates recognizing and avoiding triggers, using gentle skin care routines, using topical and systemic pharmacotherapy, and, when indicated, procedural interventions. No single therapy can address all clinical features, and a combination of individualized treatment and long-term maintenance is often necessary. This continuing education activity will review the pathophysiology, clinical presentation, and evidence-based management of rosacea for the healthcare team. Interprofessional collaboration among physicians, physician assistants, nurses, and pharmacy personnel can enhance diagnostic accuracy, optimize pharmacotherapy, support adherence, and improve patient-centered outcomes. The roles of these team members will be discussed.