In 2018, the National Rosacea Society's focus will be around new classification standards.
Each April, the National Rosacea Society (NRS) celebrates Rosacea Awareness Month in an effort to increase public awarenss of a condition that affects approximately 16 million people in the United States. Throughout April, the NRS hosts a variety of activities with a goal of educating patients who are experiencing the symptoms of the condition, but not yet diagnosed with Rosacea, to seek evaluation and effective management.
Rosacea is most commonly seen in fair skined individuals, but has been diagnosed in patients of all ethnicities and backgrounds. Women experience symptoms more often than men and symptoms usually appear after the age of 30.
In 2018, the NRS focus will be around new classification standards recently published, the first update to these standards since 2002 and only the second set of classfication standards ever released by the Society. The 2002 classifications focused on common morphologic groupings into subtypes, while the 2017 version emphasizes individual phenotypes based on observable characterisits resulting from environmental of genetic factors. In order to be diagnosed with rosacea, patients should have either fixederythema in the facial center that has a characteristic pattern or phymatous changes such as skin thickening, fibrosis, patulous follicles, rhinophyma (a large red bulbous nose), or glandular hyperplasia. Centrofacial redness intensity may be consistent or may periodically increase and is the most common sign of rosacea.
It is important to rule out other causes of these symptoms, including drug-induced causes such as corticosteroid-induced rosacea or drugs causing lupus erythematosus, before the diagnosis of rosacea is made. These cutanous signs usually appear with at least one diagnositic feature, but the presence of two or more major phenotypes can also be considered diagostic for the condition.
Major phenotypes, or features, listed in the new standard include:
The 2017 standards also list multiple secondary phenotypes that may occur in patients. These signs and symptoms may include:
Diagnosis and subsequent treatment can have a tremendouns impact on patients' quality of life. Untreated or undertreated rosacea has been linked to depression and anxiety. Trigger avoidance, laser therapy, or topical or oral medications directed at symptoms (i.e. clonidine for flushing, antiinflammatories, or artificial tears for occular symptoms ) are all potential treatment options, depending on the severity of the rosacea. Pharmacists who suspect that a patient may be suffering from rosacea should refer them to the primary care physician for evaluation.