Department of Dermatology, Maulana Azad Medical College, New Delhi, India.
Department of Dermatology, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India.
Indian J Dermatol Venereol Leprol. 2020 Nov-Dec;86(6):611-621. doi: 10.4103/ijdvl.IJDVL_769_19.
Rosacea is a relatively common inflammatory dermatosis in persons with fair skin. It is uncommonly reported in people with skin of color (darker skin tone; Fitzpatrick skin types IV, V or VI). Apart from reduced incidence, underreporting due to decreased awareness might also be a probable explanation. Rosacea commonly presents with telangiectasias and persistent facial erythema on the sun-exposed parts, which can be distressing to the patient and affect the quality of life. The diagnosis is made clinically, in the absence of any confirmatory investigation. Several treatment modalities have been employed to date with varying results. Light-based therapies should be used cautiously in the colored skin to avoid distressing pigmentation. This article focuses on the pathogenesis, clinical features, treatment recommendations and other aspects of this uncommon disorder along with a review of the literature.
酒渣鼻是一种常见于皮肤白皙人群的炎症性皮肤病。在肤色较深的人群(肤色较深的人;肤色类型为 IV、V 或 VI 的人)中,酒渣鼻的报道并不常见。除了发病率降低外,由于认识不足导致的报告不足也可能是一个原因。酒渣鼻通常表现为毛细血管扩张和暴露在阳光下的面部持续性红斑,这会给患者带来困扰并影响生活质量。在没有任何确认性检查的情况下,根据临床表现做出诊断。迄今为止,已经采用了多种治疗方法,但结果各不相同。在有色皮肤中,应谨慎使用光疗,以避免令人不快的色素沉着。本文重点介绍了这种罕见疾病的发病机制、临床特征、治疗建议和其他方面,并对文献进行了回顾。