This is a chronic facial outbreak characterized by a background of telangiectasias and erythema, with acute episodes of inflammation with papules, pustules, and cysts, but without comedos, which worsens with sunlight. It may involve other associated symptoms, and is more common in adults, particularly women. The patient experiences a redness in the cheeks owing to capillary dilation.
Consequently, we may be facing a vascular rosacea or an inflammatory rosacea. There are triggers to be identified and managed (such as changes in temperature, spicy foods, and alcoholic beverages). Additionally, special care of the skin will be of great important with this injury. Treatment ends with 0.75% metronidazole creams or gels, azelaic acid, retinoids oral antibiotics, isotretinoin or even oral corticosteroids.
Currently, due to popular concern, new products and topical treatments have been appearing which substantially improve the "redness" of the face in this pathology.