Korsing Sören, Stieler Karola, Pleyer Uwe, Blume-Peytavi Ulrike, Vogt Annika
Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Department of Ophthalmology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
J Dtsch Dermatol Ges. 2025 Jun;23(6):684-691. doi: 10.1111/ddg.15693. Epub 2025 Mar 22.
Despite presenting with similar symptoms, triggers, and progression patterns as adults, rosacea in children and adolescents is frequently overlooked as a primary differential diagnosis. However, initial manifestations of classic clinical types can be observed from infancy onwards. The frequent association of childhood rosacea with ophthalmologic manifestations is of particular importance in addition to the knowledge of special subtypes such as idiopathic aseptic facial granuloma. Therapeutic options of pediatric rosacea partly overlap with those of common differential diagnoses such as acne vulgaris or perioral dermatitis. However, both the disease itself and its manifestation in this age group entail challenges in the selection of active ingredients and the development of therapeutic concepts. In addition, advice on triggering and aggravation factors is required in order to provide optimal long-term support for those affected.
尽管儿童和青少年玫瑰痤疮的症状、诱发因素及病程发展模式与成人相似,但作为主要鉴别诊断时,常被忽视。然而,经典临床类型的初始表现从婴儿期起就可观察到。除了了解特殊亚型如特发性无菌性面部肉芽肿外,儿童玫瑰痤疮与眼部表现的频繁关联尤为重要。儿童玫瑰痤疮的治疗选择部分与寻常痤疮或口周皮炎等常见鉴别诊断的治疗选择重叠。然而,该疾病本身及其在这个年龄组中的表现,在活性成分的选择和治疗方案的制定方面都带来了挑战。此外,还需要就诱发和加重因素提供建议,以便为患者提供最佳的长期支持。