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"Managing rosacea effectively involves a multifaceted approach, addressing the chronic skin condition's various clinical presentations and complexities. This stepwise management pathway based on CKS guidance , offers measures such as educating patients, providing skincare recommendations, and initiating specific treatments based on the severity and characteristics of the condition. With an emphasis on patient education, trigger avoidance, and the use of appropriate topical and oral treatments, this pathway aims to help clinicians optimize outcomes for individuals with rosacea while considering individual preferences and clinical responses."
| Step | Management |
|---|---|
| 1. Patient Education | - Explain the chronic nature of rosacea with potential relapses. - Emphasize trigger avoidance. - Recommend maintaining a diary to identify exacerbating factors. - Stress sun protection and avoidance of sunbeds. - Prescribe high-factor sunscreen with UVA and UVB protection (e.g., Uvistat® or Sunsense®). |
| 2. Eye Protection | - Consider ultraviolet protection sunglasses for ocular rosacea features. |
| 3. Skincare Measures | - Use regular non-oily emollients if the skin becomes dry. - Encourage the use of gentle, soap-free over-the-counter cleansers. - Discuss the potential use of yellow- or green-tinted cosmetics to camouflage skin erythema. |
| 4. Clinical Presentation | Management |
| Persistent Erythema | - Consider prescribing topical brimonidine 0.5% gel (a topical alpha-adrenergic agonist) on an... |
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