Acneiform & Rosacea
Rosacea (Erythematotelangiectatic)
WHAT IS IT
Rosacea with redness & visible vessels
HOW COMMON
Common, especially in fair-skinned adults
CONTAGIOUS?
No — you cannot catch it or spread it
CURABLE?
Not curable, but very manageable
What Is It?
Erythematotelangiectatic rosacea (ETR) is a subtype of rosacea marked by persistent facial redness, flushing, and small visible blood vessels (telangiectasias), usually on the central face. The skin may sting or burn and feel sensitive. Unlike the papulopustular type, it has few or no bumps.
Signs & Symptoms
-
Persistent redness across the cheeks, nose, and chin
-
Easy flushing or blushing
-
Small visible blood vessels (telangiectasias)
-
Stinging, burning, or sensitive skin
-
Flares with heat, sun, alcohol, spicy food, or stress
Why Does It Happen?
Rosacea involves blood vessels that dilate too easily and a skin surface that overreacts to triggers. Genetics, sun damage, and an overactive inflammatory response all contribute. Common triggers include heat, sun, spicy food, alcohol, and stress. It is NOT caused by poor hygiene and is not contagious.
Treatment Options
Treatment focuses on reducing redness, protecting sensitive skin, and avoiding triggers. Persistent vessels often respond best to laser or light therapy.
TRIGGER AVOIDANCE
Identifying and limiting personal flush triggers is foundational.
REDNESS CREAMS
Prescription gels (e.g., brimonidine) can temporarily reduce redness.
LASER / LIGHT THERAPY
Best option for permanent visible blood vessels and background redness.
GENTLE SKIN CARE
Fragrance-free products and daily sunscreen calm sensitive skin.
Tips for Managing It at Home
-
Use daily broad-spectrum SPF 30+ (mineral sunscreens are gentle)
-
Keep a trigger diary; common ones are heat, sun, alcohol, spice
-
Use gentle, fragrance-free cleansers and moisturizers
-
Avoid harsh scrubs, astringents, and very hot water
When to Call Your Provider
-
Redness or flushing worsens or affects your quality of life
-
Eyes become gritty, dry, or irritated (ocular rosacea)
-
You develop bumps, pustules, or skin thickening
-
Current treatment isn't helping
Sources & further reading
The information in this handout is based on general dermatology guidance from the reputable organizations below. These links are provided for patients who wish to read more from trusted sources.
American Academy of Dermatology (AAD). Rosacea: Overview. https://www.aad.org/public/diseases/rosacea
Canadian Dermatology Association (CDA). Rosacea. https://dermatology.ca/public-patients/diseases-conditions/skin-conditions/rosacea/
DermNet. Rosacea. https://dermnetnz.org/topics/rosacea
MSD/Merck Manual. Rosacea. https://www.msdmanuals.com/professional/dermatologic-disorders/acne-and-related-disorders/rosacea
This handout is for general education and does not replace advice from your own provider. Always follow your provider’s specific instructions.
← Back to all handouts