Global epidemiology and clinical spectrum of rosacea, highlighting skin of color: Review and clinical practice experience

Abstract

Among individuals with skin of color, rosacea has been reported less frequently than in those with white skin, but it is not a rare disease. In fact, rosacea may be underreported and underdiagnosed in populations with skin of color because of the difficulty of discerning erythema and telangiectasia in dark skin, as well as underestimation of the susceptibility of more highly pigmented skin to dermatologic conditions like rosacea whose triggers include sun exposure. Many people with skin of color who have rosacea may experience delayed diagnosis leading to inappropriate or inadequate treatment, greater morbidity, and uncontrolled, progressive disease with disfiguring manifestations, including phymatous rosacea. This paper reviews the epidemiology of rosacea in skin of color and highlights variations in the clinical presentation of rosacea across the diverse spectrum of patient populations affected. It presents strategies to aid in the timely diagnosis and effective treatment of rosacea in patients with skin of color, with an aim of promoting increased awareness of rosacea in these patients and reducing disparities in the management of their disease.

Systemic Comorbidities in Korean Patients with Rosacea: Results from a Multi-Institutional Case-Control Study

“…While rosacea is thought to be most common in fair-skinned individuals, it may simply be more difficult to diagnose in those with skin of color. Rosacea has in fact been reported in Africa and Asia whose populations consist significant proportions of people with skin of color with rates up to 10% [ 19 , 20 ].…”

<p>Willingness-to-Pay and Benefit–Cost Analysis of IPL for Rosacea Treatment: A Cross-Sectional Study in China</p>

“…Rosacea patients often have an impact on their quality of life due to their discosmetic appearance and recurring symptoms. 7 , 35 DLQI is a common indicator for evaluating the quality of life and represents the disease burden. Based on our results, almost 44.6% of participants reported unsatisfying general health and the mean DLQI score of 11.07 reflected a severe impairment of quality of life.…”

Microbiota in Rosacea

“…Guy de Chauliac, a French surgeon [1]. The reported prevalence of rosacea is quite high and varies considerably between study populations [2] and geographical areas [3]. Rosacea is reported less frequently in people with highly pigmented skin than in those with a fair complexion, which is likely due to under-detection of the disease in individuals with a dark skin tone [3].…”

“…The reported prevalence of rosacea is quite high and varies considerably between study populations [2] and geographical areas [3]. Rosacea is reported less frequently in people with highly pigmented skin than in those with a fair complexion, which is likely due to under-detection of the disease in individuals with a dark skin tone [3]. In a recent meta-analysis of studies of the general population (N = 26,519,836 individuals) and dermatology outpatients (N = 18,483), the pooled proportion of subjects with rosacea was 5.46% (estimated range 0.09-22.41%) in the general adult population and 2.39% (estimated range 0.00-23.14%) among dermatology outpatients [4].…”