• Acne rosacea is a chronic skin eruption with flushing and
dilation of small blood vessels in the face, especially nose
and cheeks. Its etiology differs significantly from acne
vulgaris and should not be confused given the different
approach to treatment (See Table 2).
• Effective treatments include topical metronidazole, benzoyl
peroxide 5%/erythromycin 3% gel, benzoyl peroxide
5%/clindamycin 1% gel, benzoyl peroxide (BP) alone,
azelaic acid, and sodium sulfacetamide10%/sulfur 5%. Oral
tetracycline was effective by physician assessment, but not
by patient assessment.
