Jansen T
Service de dermatologie, vénéréologie et allergologie, Université de Duisburg-Essen, Hufelandstrasse 55, 45122 Essen, Allemagne.
Ann Dermatol Venereol. 2011 Sep;138 Suppl 2:S138-47. doi: 10.1016/S0151-9638(11)70079-5.
Rosacea is a chronic skin disease affecting up to 10% of the population. It includes various combinations of characteristic signs and symptoms in a centrofacial distribution. There is a lack of consensus in the understanding of the different expressions of rosacea and the classification of the disease. It has been previously classified into four stages (pre-rosacea, stages I-III) and a variety of variants (persistent erythema and edema in rosacea, rosacea conglobata, rosacea fulminans, etc.). The National Rosacea Society (NRS) has classified rosacea into four subtypes (erythematotelangiectatic, papulopustular, phymatous, ocular) and one variant (lupoid or granulomatous) avoiding assumptions on pathogenesis and progression. This classification system uses diagnostic criteria which assess both primary and secondary features of the disease. Suggestions for rosacea severity assessment have been included. Classification of rosacea into stages or subtypes, with or without progression, remains controversial until there is a better understanding of the pathogenesis of the disease.
酒渣鼻是一种慢性皮肤病，影响着高达10%的人群。它包括以面中部为分布区域的各种特征性体征和症状的不同组合。在对酒渣鼻不同表现形式的理解以及该疾病的分类方面，尚未达成共识。它先前被分为四个阶段（酒渣鼻前期、I - III期）以及多种变体（酒渣鼻中的持续性红斑和水肿、聚合性酒渣鼻、暴发性酒渣鼻等）。美国酒渣鼻协会（NRS）已将酒渣鼻分为四种亚型（红斑毛细血管扩张型、丘疹脓疱型、鼻赘型、眼型）和一种变体（狼疮样或肉芽肿型），避免了对发病机制和病程的假设。该分类系统使用的诊断标准对疾病的主要和次要特征均进行评估。其中还纳入了酒渣鼻严重程度评估的建议。在对该疾病发病机制有更深入了解之前，将酒渣鼻分为不同阶段或亚型（无论有无进展）仍存在争议。
