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Rosacea

最后审阅: 13 Nov 2025
最后更新: 21 Mar 2025

小结

定义

病史和体格检查

关键诊断因素

  • flushing
  • erythema
  • papules and pustules
  • telangiectases
  • ocular manifestations
  • plaque formation
  • facial distribution
  • phymatous changes
完整详情

其他诊断因素

  • acne vulgaris
  • burning or stinging
  • dry appearance
  • edema
  • peripheral location
完整详情

危险因素

  • Fitzpatrick skin type I or II
  • hot baths/showers
  • temperature extremes
  • sunlight
  • emotional stress
  • hot drinks
  • family history
  • female sex
  • spicy foods
  • alcohol
  • medications
完整详情

诊断性检查

首要检查

  • clinical diagnosis
完整详情

需考虑的检查

  • skin biopsy
  • antinuclear antibody titer
完整详情

治疗流程

持续性治疗

all patients

撰稿人

作者

Abel D. Jarell, MD
Abel D. Jarell

Dermatologist and Dermatopathologist

Northeast Dermatology Associates

Principal Investigator

ActivMed Research

Portsmouth

NH

利益声明

ADJ declares that he has no competing interests.

鸣谢

Dr Abel D. Jarell would like to gratefully acknowledge Dr Alexa Boer Kimball, a previous contributor to this topic.

利益声明

ABK has received honoraria for consulting from Intendis and has been an investigator for Intendis and Bayer.

同行评议者

Jashin J. Wu, MD

Chief Dermatology Resident

University of California

Irvine

CA

利益声明

JJW declares that he has no competing interests.

Paradi Mirmirani, MD

Physician

Department of Dermatology

Kaiser Permanente Vallejo Medical Center

Vallejo

CA

利益声明

PM declares that she has no competing interests.

Brian L. Swick, MD

Assistant Clinical Professor of Dermatology and Pathology

University of Iowa

Iowa City

IA

利益声明

BLS declares that he has no competing interests.

Thierry Simonart, MD, PhD

Physician

Department of Dermatology

Erasme University Hospital

Brussels

Belgium

利益声明

TS declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Gallo RL, Granstein RD, Kang S, et al. Standard classification and pathophysiology of rosacea: the 2017 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol. 2018 Jan;78(1):148-55. 摘要

Hampton PJ, Berth-Jones J, Duarte Williamson CE, et al. British Association of Dermatologists guidelines for the management of people with rosacea 2021. Br J Dermatol. 2021 Oct;185(4):725-35.全文  摘要

Del Rosso JQ, Tanghetti E, Webster G, et al. Update on the management of rosacea from the American Acne & Rosacea Society (AARS). J Clin Aesthet Dermatol. 2020 Jun;13(6 suppl):S17-S24.全文  摘要

Thiboutot D, Anderson R, Cook-Bolden F, et al. Standard management options for rosacea: the 2019 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol. 2020 Jun;82(6):1501-10. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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