Erythematotelangiectatic rosacea

Erythematotelangiectatic rosacea is a subtype of rosacea, a chronic skin condition that affects the face. It is characterized by persistent redness, flushing, and visible blood vessels (telangiectasias) on the cheeks, nose, forehead, and chin. It may also cause burning or stinging sensations, as well as increased sensitivity to certain skincare products and environmental factors. This subtype is often accompanied by erythema, or redness, that can appear as a diffuse redness or as small red bumps on the skin. The redness can be accompanied by a warm sensation, or even a burning or stinging sensation. In addition, this subtype can also cause visible blood vessels (telangiectasias) to appear on the skin. Erythematotelangiectatic rosacea can be caused by a combination of factors, including genetic predisposition, environmental triggers, and certain skincare products. Common triggers include exposure to sun, wind, hot or cold temperatures, stress, alcohol consumption, and certain foods.


The exact cause of this condition is not fully understood, but there are several factors that are believed to contribute to its development.

  1. Genetic predisposition: Some people may have a genetic predisposition to develop rosacea, making them more susceptible to the condition.
  2. Hormonal changes: Hormonal fluctuations, such as those that occur during menopause, may cause increased blood flow to the face and cause flushing.
  3. Environmental factors: Exposure to UV rays, wind, and extreme temperatures can aggravate the skin and cause redness and flushing.
  4. Certain foods and beverages: Consuming certain foods and beverages, such as spicy foods, alcohol, and hot beverages, can cause flushing and redness of the face.
  5. Stress: High levels of stress can cause an increase in blood flow to the face, resulting in redness and flushing.
  6. Bacteria: A specific bacteria called Demodex folliculorum has been found in higher numbers in people with rosacea, leading to the theory that it may contribute to the development of the condition.
You Might Also Read  7 Essential Oils that Treat Acne

It is important to note that not all of these factors will cause rosacea in all individuals, and it is often a combination of several factors that contribute to the development of the condition.


Some of the main symptoms of erythematotelangiectatic rosacea include:

  • Persistent redness and flushing of the cheeks, nose, forehead, and chin
  • Visible blood vessels on the face, known as telangiectasias
  • Burning or stinging sensation on the skin
  • Dryness, itching, or tightness of the skin
  • Swelling or puffiness of the face
  • Sensitivity to hot or cold temperatures
  • Increased sensitivity to skincare products or makeup
  • Acne-like breakouts on the face

Symptoms may vary in severity and may come and go. It is important to seek medical advice if you believe you may have erythematotelangiectatic rosacea.


The main diagnostic criteria for erythematotelangiectatic rosacea include:

  1. Persistent central facial erythema (redness): This is the most characteristic feature of erythematotelangiectatic rosacea, and it is characterized by a persistent redness of the central part of the face, including the cheeks, nose, and forehead.
  2. Telangiectasias (dilated blood vessels): These are small, spider-like blood vessels that are visible on the skin. They are often found on the cheeks and nose in patients with erythematotelangiectatic rosacea.
  3. Flushing: Patients with erythematotelangiectatic rosacea may experience frequent episodes of flushing, where the skin turns red and warm, especially in response to triggers such as alcohol, spicy foods, and temperature changes.
  4. Burning or stinging sensations: Patients with erythematotelangiectatic rosacea may experience burning or stinging sensations on the affected areas of the skin.
  5. No visible signs of inflammation: Unlike other subtypes of rosacea, erythematotelangiectatic rosacea does not typically show visible signs of inflammation, such as papules or pustules.
You Might Also Read  Acne Mechanica

A diagnosis of erythematotelangiectatic rosacea is typically made by a dermatologist based on the patient’s symptoms and physical examination. In some cases, a skin biopsy may be performed to confirm the diagnosis.


The main treatment for erythematotelangiectatic rosacea, also known as subtype 1 rosacea, includes a combination of topical and oral medications, as well as lifestyle changes.

Topical medications:

  • Metronidazole cream or gel: This medication is applied to the affected areas of the face and helps to reduce inflammation and redness.
  • Azelaic acid cream or gel: This medication helps to reduce inflammation and redness, and also improves skin texture and tone.
  • Brimonidine gel: This medication helps to reduce redness and flushing by constricting the blood vessels in the skin.

Oral medications:

  • Doxycycline: This antibiotic helps to reduce inflammation and redness by targeting the bacteria that contribute to rosacea.
  • Isotretinoin: This medication is used for severe cases of rosacea and helps to reduce inflammation and redness by decreasing the production of oil in the skin.

Lifestyle changes:

  • Avoid triggers: Triggers such as sun exposure, spicy foods, alcohol, and hot beverages can cause flare-ups of rosacea. Identifying and avoiding these triggers can help to manage symptoms.
  • Sun protection: Using a sunscreen with at least SPF 30, and wearing a wide-brimmed hat, can help to protect the skin from sun damage and reduce the risk of flare-ups.
  • Gentle skincare: Using gentle, non-irritating skincare products and avoiding harsh scrubs or exfoliants can help to reduce irritation and inflammation.

It’s important to consult a dermatologist for personalized treatment plan as some of the above mentioned treatment may not suit everyone.