Rosacea is a chronic and relapsing inflammatory skin disorder affecting primarily the central face. This disorder is characterized by papules and pustules to the face including facial erythema and telangiectasias (Maier, 2018). Maier (2018) further states that patient seek therapy due to physical appearance of the face and that there is no cure for rosacea, but that treatment is focused on symptom suppression. Rosacea is usually exacerbated by sun exposure and other environmental triggers including hot or cold weather and winds; overheating during exercise, excessive alcohol ingestion or hot beverages; spicy or aged food products such as cheese; emotional stress; irritating cosmetics; hot baths, saunas, or hot tubs; smoking; caffeine; and excessive washing of the face (Dunphy, Winland-Brown, Porter and Thomas, 2015).
Rosacea is a fairly common skin condition that is frequently seen in the primary care setting. It affects over 14 million people in the United States (Jarell, 2017). The onset is between 30 and 50 years of age affecting mostly fair-skinned white people, with a disproportionately high distribution among people of Celtic origin (Jarell, 2017), but research speculates that the hyperpigmentations of other ethnicities limit the accuracy of proper diagnosing rosacea in different cultural groups (Ferri, 2018). This condition is also more densely found in the female population. Ferri (2018) states the ratio between female and males is 3:1.