Topicals, intradermal botulinum toxin-A, and laser and light therapies are among today’s newer rosacea treatment options. But many of these lack the data needed to prove they’re effective and safe for the indication, researchers report in a therapeutic hotline paper published July 11, 2019 in Dermatologic Therapy.1
Effectively managing rosacea, which presents as erythema, papules, pustules, telangiectasias, fibrosis and phyma, is important for not only a patient’s quality of life but also to avoid complications of blepharitis or conjunctivitis, according to the paper.
Dermatologists often use topicals and systemic agents to treat and manage chronic papulopustular rosacea and periorificial dermatitis.
Among today’s newer options:
LASER AND LIGHT THERAPIES
Laser and light devices target vascular manifestations of rosacea. For example, to treat erythematotelangiectatic rosacea, providers might use a pulsed dye laser or intense pulse light, according to Dermatology Therapy.
We prefer alaser treatment option at our center, says author of the Dermatology Therapy paper Professor Recep Dursun, M.D., of the department of dermatology and venereal diseases at Necmettin Erbakan University, in Konya, Turkey.
Dr. Dorsun reports no relevant conflicts.
1. Dursun R, Daye M, Durmaz K. Acne and rosacea: What’s new for treatment?. Dermatol Ther. 2019;:e13020.
2. Stein L, Kircik L, Fowler J, et al. Efficacy and safety of ivermectin 1% cream in treatment of papulopustular rosacea: results of two randomized, double-blind, vehicle-controlled pivotal studies. J Drugs Dermatol. 2014;13(3):316-23.
3. Del rosso JQ, Tanghetti E, et al. Update on the Management of Rosacea from the American Acne & Rosacea Society (AARS). J Clin Aesthet Dermatol. 2019;12(6):17-24.
4. Kim MJ, Kim JH, Cheon HI, et al. Assessment of Skin Physiology Change and Safety After Intradermal Injections With Botulinum Toxin: A Randomized, Double-Blind, Placebo-Controlled, Split-Face Pilot Study in Rosacea Patients With Facial Erythema. Dermatol Surg. 2019.