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The Journal of the American Board of Family Practice, Vol 15, Issue 3 214-217, Copyright © 2002 by American Board of Family Practice

ARTICLES

Diagnosis and treatment of rosacea

A. F. Cohen and J. D. Tiemstra
Family Physicians of Naperville, Family Practice Residency Department, Provena Health/Saint Joseph Medical Center, IL 60564, USA.

BACKGROUND: Rosacea is a common skin disorder affecting middle-aged and older adults. Many patients mistakenly assume that early rosacea is normally aging skin and are not aware that effective treatments exist to prevent progression to permanent disfiguring skin changes. METHODS: The medical literature was reviewed on the pathophysiology, diagnosis, and treatment of rosacea. MEDLINE was searched using the key search terms "rosacea," "rhinophyma," "metronidazole," "Helicobacter pylori," and "facial redness." RESULTS AND CONCLUSIONS: Rosacea is easily diagnosed by physician observation, and physicians should initiate discussion of rosacea treatment with patients. Effective treatment of rosacea includes avoidance of triggers, topical and oral antibiotic therapy, both topical and oral retinoid therapy, topical vitamin C therapy, and cosmetic surgery.


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B. E. Elewski, A. B. Fleischer Jr, and D. M. Pariser
A Comparison of 15% Azelaic Acid Gel and 0.75% Metronidazole Gel in the Topical Treatment of Papulopustular Rosacea: Results of a Randomized Trial
Arch Dermatol, November 1, 2003; 139(11): 1444 - 1450.
[Abstract] [Full Text] [PDF]


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