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Consensus on the therapeutic management of rosacea - Brazilian Society of Dermatology
Oliveira, Clivia Maria Moraes de; Almeida, Luiz Mauricio Costa; Hospital das Clínicas de Porto AlegreBonamigo, Renan Rangel; Lima, Carla Wanderley Gayoso de; Department of DermatologyBagatin, Ediléia.
  • Oliveira, Clivia Maria Moraes de; Universidade Federal do Pará. Dermatology Service. Belém. BR
  • Almeida, Luiz Mauricio Costa; Faculdade de Ciências Médicas de Minas Gerais. Department of Dermatology. Belo Horizonte. BR
  • Hospital das Clínicas de Porto AlegreBonamigo, Renan Rangel; Universidade Federal do Rio Grande do Sul. Faculty of Medicine. Hospital das Clínicas de Porto AlegreBonamigo, Renan Rangel. Porto Alegre. BR
  • Lima, Carla Wanderley Gayoso de; Universidade Federal da Paraíba. Dermatology Service. João Pessoa. BR
  • Department of DermatologyBagatin, Ediléia; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of DermatologyBagatin, Ediléia. São Paulo. BR
An. bras. dermatol ; 95(supl.1): 53-69, Nov.-Dec. 2020. tab
Article in English | LILACS | ID: biblio-1152779
Responsible library: BR1.1
ABSTRACT
Abstract

Background:

Rosacea is a chronic inflammatory disease of the skin, relatively more frequent in women over 30 with a low phototype and proven genetic predisposition. Although its etiology is unknown and possibly multifactorial, the immunological abnormality, associated with neurovascular dysregulation and triggering factors, are important elements in its pathophysiology, which lead to the main changes of inflammation, vasodilation, and angiogenesis that are responsible for the clinical manifestations. Despite the lack of cure, numerous therapeutic options are available for the different clinical presentations of the disease, with satisfactory responses.

Objective:

To reach a consensus, with recommendations from experts, on the therapeutic management of rosacea suitable to the Brazilian setting.

Methods:

The study was conducted by five specialized dermatologists from university centers, representatives of the different Brazilian regions, with experience in rosacea, who were appointed by the Brazilian Society of Dermatology. Based on the adapted DELPHI methodology, the experts contributed through an updated bibliographic review of the scientific evidence, combined with personal experiences.

Results:

The group of experts reached a consensus on the relevant aspects in the therapeutic management of rosacea, providing information on epidemiology, pathophysiology, triggering factors, clinical condition, classification, quality of life, and comorbidities. Consensus was defined as approval by at least 90% of the panel.

Conclusion:

Despite the impossibility of cure, there are several therapeutic alternatives specific to each patient that provide excellent results, with chances of total improvement and long periods of remission, promoting a positive impact on quality of life. This consensus provides detailed guidance for clinical practice and therapeutic decisions in rosacea.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Rosacea / Dermatology Type of study: Practice guideline / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Ciências Médicas de Minas Gerais/BR / Universidade Federal da Paraíba/BR / Universidade Federal de São Paulo/BR / Universidade Federal do Pará/BR / Universidade Federal do Rio Grande do Sul/BR

Full text: Available Index: LILACS (Americas) Main subject: Rosacea / Dermatology Type of study: Practice guideline / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Ciências Médicas de Minas Gerais/BR / Universidade Federal da Paraíba/BR / Universidade Federal de São Paulo/BR / Universidade Federal do Pará/BR / Universidade Federal do Rio Grande do Sul/BR