Rosacea Signos y Sintomas

Rosacea: Signs and Symptoms Colleen Stanton | April 17, 2026 Our easy-to-read fact sheets provide clinicians with reliable information to share with patients and their caregivers. Rosacea is a chronic inflammatory skin condition that causes redness, flushing, visible blood vessels, and small bumps on the face. 1 It most commonly affects the cheeks, nose, chin, and forehead. Rosacea tends to develop gradually. Many people first notice frequent flushing or blushing, which may later become persistent redness. Over time, additional symptoms such as visible blood vessels or acne-like bumps may appear. Although rosacea can affect anyone, it is most commonly seen in adults aged 30 to 50 years and is more frequently diagnosed in patients with fair skin. 2 However, it can occur in all skin types. While rosacea is not life-threatening, it can be a significant source of frustration or discomfort and negatively affect patients’ self-esteem, reducing overall quality of life. Signs and Symptoms of Rosacea Rosacea presents differently from person to person. Some patients may have only mild redness, while others experience more pronounced symptoms. Symptoms often flare up and then improve, rather than remaining constant. 3 Common signs and symptoms include the following: https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 1 of 10Common signs and symptoms include the following: Persistent facial redness, especially across the cheeks and nose; Flushing or blushing that occurs easily and frequently; Visible blood vessels; Small red bumps or pus-filled pimples; Burning, stinging, or sensitive skin; and Dry, rough, or swollen skin. More advanced cases may involve thickened skin, particularly on the nose, as well as ocular symptoms, including eye irritation, redness, or dryness. Types of Rosacea Rosacea is often grouped into subtypes based on the dominant symptoms, which guides treatment. Erythematotelangiectatic Rosacea (ETR) This type is characterized by persistent redness and visible blood vessels. Flushing is common and may worsen over time. Representing more than 50% of cases, ETR is the most prevalent form of rosacea. 1,4 Papulopustular Rosacea Often mistaken for acne, this type includes red bumps and pus-filled lesions along with background redness. Papulopustular rosacea accounts for about 43% of 3,4 cases. Ocular Rosacea https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 2 of 10Ocular Rosacea This form of rosacea involves inflammation of the ocular surface and eyelids, causing dryness, irritation, redness, and a gritty or burning sensation. It may occur on its own or alongside the more familiar skin symptoms of facial rosacea. 4,5 In some cases, eye symptoms can appear before skin changes develop, which can make ocular rosacea more difficult to recognize. Because the eyes are sensitive, even mild inflammation can lead to noticeable discomfort. Phymatous Rosacea This rarer type of rosacea leads to thickened, bumpy skin. It most commonly is seen on the nose and in men. Phymatous rosacea makes up about 7% of rosacea cases. 1,4 What Causes Rosacea? The exact cause of rosacea is not fully understood, but it is believed to involve a combination of factors. 2 Previous research has found that rosacea symptoms could be equally attributed to genetic and environmental factors. 6 Possible contributing factors include increased sensitivity of facial blood vessels, an overactive immune system, genetic predisposition, environmental triggers, and microorganisms on the skin such as Demodex mites. 5,6 Rosacea is not contagious and is not caused by poor hygiene. Common Triggers for Symptom Flares Many people with rosacea notice that certain factors trigger or worsen their symptoms. Identifying personal triggers is an important part of managing the condition. Common triggers include sun exposure, hot weather or cold wind, eating spicy https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 3 of 10foods, drinking alcohol (particularly red wine) or hot beverages, stress, emotional changes, exercise, and use of skin care products that irritate the skin. 1,6 Not all triggers affect everyone, so it can be helpful to track what seems to worsen your symptoms. Rosacea Diagnosis Rosacea is typically diagnosed through a clinical evaluation by a health care provider. There is no single test for rosacea. 1 During an evaluation, your provider may begin with examining your skin. They will ask for a complete medical history and will discuss triggers as well as symptom patterns. Early diagnosis can help prevent progression and make symptoms easier to manage. In some cases, additional testing may be done to rule out other skin conditions that can mimic rosacea. Distinguishing Rosacea From Other Skin Conditions Rosacea is often mistaken for other skin concerns. Understanding the differences can help you seek appropriate care. https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 4 of 10Rosacea vs Other Redness Farshchian M, Daveluy S. Rosacea. StatPearls Publishing; 2023. Accessed March 31, 2026. https://www.ncbi.nlm.nih.gov/books/NBK557574/ Rosacea vs Acne Rosacea and acne can look similar because both may involve red bumps and breakouts. However, redness and flushing are more prominent in rosacea, and patients may experience skin sensitivity or burning. Acne, on the other hand, commonly includes clogged pores, blackheads, and whiteheads. Acne affects a wider range of areas, including the back and chest. 7 Rosacea vs General Facial Redness Some people naturally have facial redness or flushing, but rosacea tends to be more persistent and progressive. With rosacea, redness may worsen over time. Visible blood vessels may develop, and additional symptoms such as bumps or irritation often occur. Simple redness without these features is less likely to be rosacea. https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 5 of 10Rosacea vs Eczema Eczema can also cause redness and irritation, but it typically presents differently. Patients with rosacea often experience burning or stinging, whereas eczema causes intense itching. Skin in patients with eczema may appear dry, cracked, or scaly. Eczema may affect areas beyond the face, such as the arms or behind the knees. While patients with some types of rosacea and eczema may both experience thickened skin, this symptom in patients with eczema is usually the result of itching and rubbing. 8 Rosacea vs Lupus Rash Another inflammatory disorder with skin symptoms that may be mistaken for rosacea is subacute cutaneous lupus erythematosus. This condition includes a butterfly-shaped rash across the cheeks and nose. Subacute cutaneous lupus erythematosus is associated with lupus, an autoimmune condition. Lupus rash is usually accompanied by other systemic symptoms, such as fatigue or joint pain, whereas rosacea symptoms are typically limited to the skin and eyes. Both conditions may cause visible blood vessels. 9 Managing Rosacea While rosacea cannot be cured, it can be effectively managed with the right approach. Treatment plans are tailored to each patient based on symptoms and disease severity. Management may involve gentle skin care products, over-the- counter topical treatments, antibiotics, laser and light therapy, and lifestyle modifications such as reducing sun exposure and alcohol intake. 10 Many people successfully manage their symptoms with a combination of medical care and lifestyle changes. https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 6 of 10lifestyle changes. Skin Care Strategies Gentle skin care is essential for people with rosacea. Recommendations include using mild, fragrance-free cleansers, avoiding harsh exfoliants or scrubs, and choosing products labeled for sensitive skin. Patients should apply a daily, broad- spectrum sunscreen with an SPF of 30 or higher. Consistency is key, and introducing new products slowly can help prevent irritation. 10 Medical Treatments A health care provider may recommend prescription or in-office treatments to help control symptoms. Options may include the following: Topical medications to reduce redness and inflammation; Oral medications, such as antibiotics, for more severe cases; Laser or light-based treatments to reduce visible blood vessels and flushing; and Topical eye drops or ointments for ocular rosacea; Treatment plans are often adjusted over time depending on how your skin responds. 10 Lifestyle Modifications Managing triggers plays an important role in reducing flare-ups. Helpful strategies include keeping a diary to identify personal triggers and practicing stress management techniques. Limiting exposure to extreme temperatures as well as using sunscreen or protective clothing outdoors may also help. Small adjustments can make a significant difference in symptom control. 10 https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 7 of 10When to See a Health Care Provider It is a good idea to seek medical advice if you: Notice facial redness that does not improve Experience frequent flushing or sensitivity Develop acne-like bumps that do not respond to over-the-counter treatments Have eye symptoms such as dryness or irritation Early evaluation can help confirm the diagnosis and prevent symptoms from worsening. Frequently Asked Questions Can rosacea go away on its own? Rosacea is a chronic condition, meaning it does not usually go away completely. However, symptoms can be controlled and improved with proper treatment and lifestyle adjustments. 3 What is the biggest trigger for rosacea? There is no single trigger that affects everyone. Common triggers include sun exposure, heat, alcohol, spicy foods, and stress. Identifying your personal triggers is key. 3 Can makeup make rosacea worse? https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 8 of 10Some makeup products may irritate sensitive skin. Choosing non-irritating, fragrance-free products designed for sensitive skin can help minimize flare-ups. 11 Can makeup disguise rosacea? For anyone with a desire to use makeup, choosing the correct products is important. Many dermatologists recommend water-based or powder makeup as these products are less likely to cause skin irritation. Makeup with a yellow tint may hide discoloration and a green tint may hide redness. 11 Is rosacea dangerous? Rosacea is not dangerous, but it can worsen over time if untreated. In some cases, it can affect the eyes or lead to thickened skin. Early management helps prevent complications. 1 Download this fact sheet as a PDF. 1. 2. 3. 4. References Farshchian M, Daveluy S. Rosacea. StatPearls Publishing; 2023. Accessed March 31, 2026. https://www.ncbi.nlm.nih.gov/books/NBK557574/ van Zuuren EJ, Arents BWM, van der Linden MM, Vermeulen S, Fedorowicz, Tan R. Rosacea: new concepts in classification and treatment. Am J Clin Dermatol. 2021;22(4):457-465. doi:10.1007/s40257-021-00595-7 Rainer BM, Kang S, Chien AL. Rosacea: epidemiology, pathogenesis, and treatment. Dermatoendocrinol. 2017;9(1):e1361574. doi:10.1080/19381980.2017.1361574 Barakji YA, Rønnstad ATM, Christensen MO, et al. Assessment of frequency of rosacea subtypes in patients with rosacea: a systematic review and meta- analysis. JAMA Dermatol. 2022;158(6):617-625. doi:10.1001/jamadermatol.2022.0526 https://www.dermatologyadvisor.com/factsheets/rosacea-signs-903a4297c649084&hmsubid=&nid=2049200711&elqtrack=True 28/5/26, 8:19 AM Page 9 of 105. 6. 7. 8. 9. 10. 11. doi:10.1001/jamadermatol.2022.0526 Mohamed-Noriega K, Loya-Garcia D, Vera-Duarte GR, et al. Ocular rosacea: an updated review. Cornea. 2025;44(4):525-537. doi:10.1097/ICO.0000000000003785 Aldrich N, Gerstenblith M, Fu P, et al. Genetic vs environmental factors that correlate with rosacea: a cohort-based survey of twins. JAMA Dermatol. 2015;151(11):1213-1219. doi:10.1001/jamadermatol.2015.2230 Sutaria AH, Masood S, Saleh HM, Schlessinger J. Acne vulgaris. StatPearls Publishing; 2023. Accessed March 31, 2026. https://www.ncbi.nlm.nih.gov/books/NBK459173 Nemeth V, Syed HA, Evans J. Eczema. StatPearls Publishing; 2024. Accessed March 31, 2026. https://www.ncbi.nlm.nih.gov/books/NBK538209 Jatwani S, Hearth Holmes MP. Subacute cutaneous lupus erythematosus. StatPearls Publishing; 2024. Accessed March 31, 2026. https://www.ncbi.nlm.nih.gov/books/NBK554554 Thiboutot D, Anderson R, Cook-Bolden F, et al. Standard management options for rosacea: the 2019 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol. 2020;82(6):1501-1510. doi:10.1016/j.jaad.2020.01.077 Ludmann P. 7 rosacea skin care tips dermatologists recommend. American Academy of Dermatology. Updated April 3, 2024. Accessed April 16, 2026. https://www.aad.org/public/diseases/rosacea/triggers/tips Sent from my iPhone Benjamin Hidalgo-Matlock Skin Care Physicians of Costa Rica Clinica Victoria en San Pedro: 4000-1054 Momentum Escazu: 2101-9574 Please excuse the shortness of this message, as it has been sent from a mobile device.