Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel.

The British Journal of Dermatology
M SchallerJ Tan

Abstract

A transition from a subtyping to a phenotyping approach in rosacea is underway, allowing individual patient management according to presenting features instead of categorization by predefined subtypes. The ROSacea COnsensus (ROSCO) 2017 recommendations further support this transition and align with guidance from other working groups. To update and extend previous global ROSCO recommendations in line with the latest research and continue supporting uptake of the phenotype approach in rosacea through clinical tool development. Nineteen dermatologists and two ophthalmologists used a modified Delphi approach to reach consensus on statements pertaining to critical aspects of rosacea diagnosis, classification and management. Voting was electronic and blinded. Delphi statements on which the panel achieved consensus of ≥ 75% voting 'Agree' or 'Strongly agree' are presented. The panel recommends discussing disease burden with patients during consultations, using four questions to assist conversations. The primary treatment objective should be achievement of complete clearance, owing to previously established clinical benefits for patients. Cutaneous and ocular features are defined. Treatments have been reassessed in line with recent evi...Continue Reading

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Citations

Nov 28, 2019·The British Journal of Dermatology·B Elewski
Jul 6, 2020·Journal of Cosmetic Dermatology·Anne GuertlerMarkus Reinholz
Feb 13, 2020·Frontiers in Medicine·Lian WangXian Jiang
Oct 29, 2020·Journal of Cosmetic Dermatology·Hanlin ZhangQiuning Sun
Nov 4, 2020·Skin Research and Technology : Official Journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·Federica Dall'OglioGiuseppe Micali
Nov 11, 2020·Dermatology and Therapy·Hanlin ZhangQiuning Sun
Nov 21, 2020·Clinical and Experimental Dermatology·L Noguera-MorelA Torrelo
Dec 7, 2020·Dermatologic Therapy·Melis GönülalFatma Y Yaşar
Jan 7, 2021·Clinical & Experimental Ophthalmology·Shokufeh TavassoliElsie Chan
Feb 19, 2021·Expert Opinion on Emerging Drugs·Federica Dall'OglioGiuseppe Micali
Feb 25, 2021·Journal of Cosmetic Dermatology·Daniel Morgado-CarrascoJaime Piquero-Casals
Mar 25, 2021·American Journal of Clinical Dermatology·Esther J van ZuurenJerry Tan
Apr 20, 2021·Journal of Cosmetic Dermatology·Hanlin ZhangQiuning Sun
Jun 3, 2021·Cells·Gabriela Rapozo GuimarãesMariana Boroni
Jun 16, 2021·Allergology International : Official Journal of the Japanese Society of Allergology·Kiyofumi Yamanishi, Yasutomo Imai
Jul 1, 2021·Journal of Cosmetic Dermatology·Hanlin ZhangQiuning Sun

Dec 4, 2020·Annales de dermatologie et de vénéréologie·E Sbidian
Oct 14, 2021·Acta Dermato-venereologica·Martin SchallerJames Del Rosso

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Software Mentioned

Rosacea Tracker
ROSCO

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