AI Article Synopsis
- Rosacea is rare in children, so it's important to rule out other skin disorders, as children may show different symptoms, including both skin and eye-related issues.
- Ocular symptoms can show up first, which can complicate diagnosis since rosacea is usually confirmed through clinical observation and may require a biopsy to identify specific skin changes.
- Management includes avoiding triggers and using medications, but it's common for pediatric rosacea to continue into adulthood despite treatment effectiveness.
Article Abstract
Because rosacea is uncommon in the pediatric population, care must be taken to exclude other papulopustular disorders. Children can present with vascular, papulopustular, and/or ocular findings. Importantly, ocular symptoms can appear before the cutaneous symptoms of rosacea, leading to misdiagnosis. Rosacea is a clinical diagnosis, but histopathologic examination typically reveals dilated vessels, perivascular lymphohistiocytic infiltrates in the upper dermis, elastosis, and disorganization of the upper dermal connective tissue. Treatment involves avoiding known triggers and utilizing topical and/or systemic therapies. Although treatment can control flares, pediatric rosacea often persists into adulthood.
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