Long‐term maintenance treatment of rosacea: experts' opinion

Background 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. Objective To discuss and make recommendations on how to treat patients during the lon...

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Bibliographic Details
Published in:International journal of dermatology 2024-01, Vol.63 (1), p.94-101
Main Authors: Almeida, Luiz M. C., Ianhez, Mayra, Dal'Forno, Taciana, Picosse, Fabíola R., Ravelli, Flávia, Kamamoto, Christhine, Sarlos, Priscilla, Gold, Linda F. S.
Format: Article
Language:English
Subjects:
Immunoglobulin A
Inflammation
Maintenance
Phenotypes
Remission
Rosacea
Signs and symptoms
Skin diseases
Sun screens
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Summary:Background 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. Objective To discuss and make recommendations on how to treat patients during the long‐term maintenance phase for the main rosacea phenotypes. Methods 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. Results 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. Conclusion 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.
ISSN:0011-9059
1365-4632
DOI:10.1111/ijd.16920