Updating the diagnosis, classification and assessment of rosacea: recommendations from the global ROSacea COnsensus (ROSCO) panel

J. Tan, L. M C Almeida, A. Bewley, B. Cribier, N. C. Dlova, R. Gallo, G. Kautz, M. Mannis, H. H. Oon, M. Rajagopalan, M. Steinhoff, D. Thiboutot, P. Troielli, G. Webster, Y. Wu, E. J. van Zuuren, M. Schaller

Research output: Contribution to journalArticle

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Abstract

Background: Rosacea is currently diagnosed by consensus-defined primary and secondary features and managed by subtype. However, individual features (phenotypes) can span multiple subtypes, which has implications for clinical practice and research. Adopting a phenotype-led approach may facilitate patient-centred management. Objectives: To advance clinical practice by obtaining international consensus to establish a phenotype-led rosacea diagnosis and classification scheme with global representation. Methods: Seventeen dermatologists and three ophthalmologists used a modified Delphi approach to reach consensus on statements pertaining to critical aspects of rosacea diagnosis, classification and severity evaluation. All voting was electronic and blinded. Results: Consensus was achieved for transitioning to a phenotype-based approach to rosacea diagnosis and classification. The following two features were independently considered diagnostic for rosacea: (i) persistent, centrofacial erythema associated with periodic intensification; and (ii) phymatous changes. Flushing, telangiectasia, inflammatory lesions and ocular manifestations were not considered to be individually diagnostic. The panel reached agreement on dimensions for phenotype severity measures and established the importance of assessing the patient burden of rosacea. Conclusions: The panel recommended an approach for diagnosis and classification of rosacea based on disease phenotype.

Original languageEnglish (US)
Pages (from-to)431-438
Number of pages8
JournalBritish Journal of Dermatology
Volume176
Issue number2
DOIs
StatePublished - Feb 1 2017

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Rosacea
Phenotype
Eye Manifestations
Telangiectasis
Politics
Erythema
Research

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Tan, J. ; Almeida, L. M C ; Bewley, A. ; Cribier, B. ; Dlova, N. C. ; Gallo, R. ; Kautz, G. ; Mannis, M. ; Oon, H. H. ; Rajagopalan, M. ; Steinhoff, M. ; Thiboutot, D. ; Troielli, P. ; Webster, G. ; Wu, Y. ; van Zuuren, E. J. ; Schaller, M. / Updating the diagnosis, classification and assessment of rosacea : recommendations from the global ROSacea COnsensus (ROSCO) panel. In: British Journal of Dermatology. 2017 ; Vol. 176, No. 2. pp. 431-438.
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abstract = "Background: Rosacea is currently diagnosed by consensus-defined primary and secondary features and managed by subtype. However, individual features (phenotypes) can span multiple subtypes, which has implications for clinical practice and research. Adopting a phenotype-led approach may facilitate patient-centred management. Objectives: To advance clinical practice by obtaining international consensus to establish a phenotype-led rosacea diagnosis and classification scheme with global representation. Methods: Seventeen dermatologists and three ophthalmologists used a modified Delphi approach to reach consensus on statements pertaining to critical aspects of rosacea diagnosis, classification and severity evaluation. All voting was electronic and blinded. Results: Consensus was achieved for transitioning to a phenotype-based approach to rosacea diagnosis and classification. The following two features were independently considered diagnostic for rosacea: (i) persistent, centrofacial erythema associated with periodic intensification; and (ii) phymatous changes. Flushing, telangiectasia, inflammatory lesions and ocular manifestations were not considered to be individually diagnostic. The panel reached agreement on dimensions for phenotype severity measures and established the importance of assessing the patient burden of rosacea. Conclusions: The panel recommended an approach for diagnosis and classification of rosacea based on disease phenotype.",
author = "J. Tan and Almeida, {L. M C} and A. Bewley and B. Cribier and Dlova, {N. C.} and R. Gallo and G. Kautz and M. Mannis and Oon, {H. H.} and M. Rajagopalan and M. Steinhoff and D. Thiboutot and P. Troielli and G. Webster and Y. Wu and {van Zuuren}, {E. J.} and M. Schaller",
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Tan, J, Almeida, LMC, Bewley, A, Cribier, B, Dlova, NC, Gallo, R, Kautz, G, Mannis, M, Oon, HH, Rajagopalan, M, Steinhoff, M, Thiboutot, D, Troielli, P, Webster, G, Wu, Y, van Zuuren, EJ & Schaller, M 2017, 'Updating the diagnosis, classification and assessment of rosacea: recommendations from the global ROSacea COnsensus (ROSCO) panel', British Journal of Dermatology, vol. 176, no. 2, pp. 431-438. https://doi.org/10.1111/bjd.15122

Updating the diagnosis, classification and assessment of rosacea : recommendations from the global ROSacea COnsensus (ROSCO) panel. / Tan, J.; Almeida, L. M C; Bewley, A.; Cribier, B.; Dlova, N. C.; Gallo, R.; Kautz, G.; Mannis, M.; Oon, H. H.; Rajagopalan, M.; Steinhoff, M.; Thiboutot, D.; Troielli, P.; Webster, G.; Wu, Y.; van Zuuren, E. J.; Schaller, M.

In: British Journal of Dermatology, Vol. 176, No. 2, 01.02.2017, p. 431-438.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Updating the diagnosis, classification and assessment of rosacea

T2 - recommendations from the global ROSacea COnsensus (ROSCO) panel

AU - Tan, J.

AU - Almeida, L. M C

AU - Bewley, A.

AU - Cribier, B.

AU - Dlova, N. C.

AU - Gallo, R.

AU - Kautz, G.

AU - Mannis, M.

AU - Oon, H. H.

AU - Rajagopalan, M.

AU - Steinhoff, M.

AU - Thiboutot, D.

AU - Troielli, P.

AU - Webster, G.

AU - Wu, Y.

AU - van Zuuren, E. J.

AU - Schaller, M.

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Background: Rosacea is currently diagnosed by consensus-defined primary and secondary features and managed by subtype. However, individual features (phenotypes) can span multiple subtypes, which has implications for clinical practice and research. Adopting a phenotype-led approach may facilitate patient-centred management. Objectives: To advance clinical practice by obtaining international consensus to establish a phenotype-led rosacea diagnosis and classification scheme with global representation. Methods: Seventeen dermatologists and three ophthalmologists used a modified Delphi approach to reach consensus on statements pertaining to critical aspects of rosacea diagnosis, classification and severity evaluation. All voting was electronic and blinded. Results: Consensus was achieved for transitioning to a phenotype-based approach to rosacea diagnosis and classification. The following two features were independently considered diagnostic for rosacea: (i) persistent, centrofacial erythema associated with periodic intensification; and (ii) phymatous changes. Flushing, telangiectasia, inflammatory lesions and ocular manifestations were not considered to be individually diagnostic. The panel reached agreement on dimensions for phenotype severity measures and established the importance of assessing the patient burden of rosacea. Conclusions: The panel recommended an approach for diagnosis and classification of rosacea based on disease phenotype.

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