Neurogenic rosacea

Scharschmidt TC et al., 2011

Subtype of rosacea with frequent, chronic, initially recurrent, later persistent, inflammatory disease with (rather discrete) centrofacial telangiectasias, persistent or flush-like onset of temperature, food or psychologically triggered erythema, as well as longer lasting inflammatory episodes with follicular, also parafollicular papules and plaques, follicular papulopustules and pustules In neurogenic rosacea, the burning and stabbing pain symptoms with actually discrete clinical manifestation are in the foreground. Frequently, the usual externals are not tolerated.

Usually only discreet facial erythema in cases of pronounced sensation with regional symptoms typical of rosacea, such as burning and pain.

Pregabalin (start with 75mg/day, after 3 days 150mg/day, increase to 600mg/day p.o.) or gabapentin and the use of antidepressants.

1. Parkins GJ et al (2015) Neurogenic rosacea: an uncommon and poorly recognized entity? Clin Exp Dermatol 40:930-931.
2. Scharschmidt TC et al (2011) Neurogenic rosacea: a distinct clinical subtype requiring a modified approach to treatment. Arch Dermatol 147:123-126.