Department of Dermatology, Santa Casa de Belo Horizonte, Belo Horizonte, Brazil.
Hospital of Tropical Diseases, Universidade Federal de Goiás Faculdade de Medicina, Goiânia, Brazil.
Int J Dermatol. 2024 Jan;63(1):94-101. doi: 10.1111/ijd.16920. Epub 2023 Nov 28.
Rosacea is a chronic inflammatory dermatosis characterized by remissions and flares. Although the rosacea active treatment phase is well established, the long-term maintenance phase is still challenging.
To discuss and make recommendations on how to treat patients during the long-term maintenance phase for the main rosacea phenotypes.
A panel of six board-certified Brazilian dermatologists and one American dermatologist gathered to compose a consensus based upon an initial statement on how to treat rosacea during the long-term maintenance phase based on the methodology Nominal Group Technique. The experts discussed each factor based upon an initial statement on how to treat rosacea patients in the long-term maintenance phase. A sequence of comprehensive narrative reviews was performed; a questionnaire preparation about the definition of the maintenance phase and its management was presented; an interpersonal discussion and ranking of the ideas were conducted. Recommendations were made if the specialists had 75% agreement.
The maintenance treatment phase, which starts by achieving IGA 0 or 1 grades at the active phase, should be considered at least during the 9-month period after remission. The recommendations of all treatments target this period. Daily skincare regimen and sunscreen are crucial. Active treatment phase should be recommended if signs or symptoms reappear or worsen.
Maintenance phase success depends on patient's adherence to daily skin care, appropriate treatments, continued follow-up with dermatologist, and self-assessment to identify new signs and symptoms indicating disease relapse.
酒渣鼻是一种慢性炎症性皮肤病，其特征为缓解期和发作期。尽管酒渣鼻的活跃治疗阶段已经得到很好的建立，但长期的维持阶段仍然具有挑战性。
讨论并提出针对主要酒渣鼻表型患者在长期维持阶段的治疗建议。
一组六名巴西认证皮肤科医生和一名美国皮肤科医生聚集在一起，根据基于名义群体技术的方法，就如何在长期维持阶段治疗酒渣鼻达成共识。专家们根据如何在长期维持阶段治疗酒渣鼻患者的初步声明，讨论了每个因素。进行了一系列全面的叙述性综述；提出了关于维持阶段的定义及其管理的问卷准备；进行了人际讨论和想法的排名。如果专家们达成 75%的一致意见，就会提出建议。
维持治疗阶段应在缓解后至少 9 个月内开始，此时应达到 IGA 0 或 1 级。所有治疗的建议都针对这一时期。日常皮肤护理和防晒霜至关重要。如果出现或恶化迹象或症状，应建议进行积极治疗阶段。
维持阶段的成功取决于患者对日常皮肤护理、适当治疗、与皮肤科医生持续随访以及自我评估以识别新的表明疾病复发的迹象和症状的依从性。
