New standard management options for rosacea were recently published in the Journal of the American Academy of Dermatology.1 Developed by a consensus committee and review panel of 27 rosacea experts worldwide, the updated guidelines are intended to provide a comprehensive summary of treatment options for the respective signs and symptoms, also known as phenotypes, identified in the recently updated standard classification of rosacea, allowing physicians to tailor therapy for each individual case to achieve optimal patient outcomes.
Increased medical understanding has led to significant advances in the control of rosacea, allowing many of those who suffer from this chronic red-faced disorder to live free of its conspicuous and embarrassing symptoms for the first time. April has been designated Rosacea Awareness Month by the National Rosacea Society (NRS) to educate the public on this potentially serious condition estimated to affect more than 16 million Americans, and to urge those with the warning signs to see a dermatologist for diagnosis and appropriate therapy.
Although flushing may be the most difficult component of rosacea to treat, it can be controlled with a variety of options that must be tailored to each individual -- including medications for severe cases -- according to physicians now developing standard disease management options as part of a consensus committee organized by the National Rosacea Society (NRS).
Rhinophyma, in which the enlargement of tissue results in a bulbous and bumpy appearance of the nose in some rosacea sufferers, may usually be effectively addressed with laser surgery, according to Dr. Jeffrey Dover, associate clinical professor of dermatology at Yale University.
"Although rhinophyma may be generally unresponsive to oral or topical therapy, it is usually very amenable to surgical approaches," he said. "Besides manual surgery, electrosurgery and lasers are often very effective in reducing the excess tissue and returning the nose to a more normal appearance."
While many individuals may fear the growth of excess tissue on the nose that often heralds subtype 3 rosacea (phymatous rosacea), a bulbous enlarged nose need not be permanent. Today, surgical methods such as electrocautery and laser surgery may be used to take away the distorted shape and bring back a normal appearance.