Treating Neurogenic Rosacea with ETS

Written by on February 27, 2012 in neurogenic rosacea with 1 Comment

Now that the collection of symptoms called Neurogenic Rosacea has become more widely known, new discussions can take place as, for example how to best treat it.

This recently published abstract details a patient who suffered debilitating facial redness and burning. The patient was treated with the invasive and possibly irreversible procedure Endoscopic Thoracic Sympathectomy. The patient had a good response to ETS.

Treating Rosacea-style flushing with ETS is not new, but is being given some new light with this paper. ETS is not a procedure to be undertaken lightly. Patients need to be aware of the possible adverse outcomes that might result. The best known side effects of ETS include compensatory sweating and pathological gustatory sweating and flushing.

Neurogenic Rosacea Treated With Endoscopic Thoracic Sympathectomy
Archives of Dermatology, Vol. 148 No. 2, February 2012

Correspondence

Alison M. Schram, BS; William D. James, MD

University of Pennsylvania School of Medicine (Ms Schram) and Department of Dermatology, University of Pennsylvania (Dr James), Philadelphia.

Neurogenic rosacea (NR) has recently been described as a distinct variant of rosacea, characterized by dramatic facial redness, burning, stinging, and flushing with prominent neurologic symptoms1 that include complex regional pain syndrome, essential tremor, depression, and obsessive-compulsive disorder. Because the patient with NR described by Scharschmidt et al generally responded poorly to conventional treatment, it was suggested that neuroleptics or antidepressants might be useful therapeutic agents. We describe herein a similar patient who experienced a sustained complete clinical response after treatment with endoscopic thoracic sympathectomy.

Report of a Case

A 30-year-old woman presented to our clinic with persistent facial redness and burning of 3 months’ duration and exacerbated by heat and exertion. The severity of her symptoms precluded her from working, and she often remained at home, applying ice to the affected area and sitting near a fan. This led to depression for which she was …

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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1 Reader Comment

  1. Joan says:

    I am struggling with ocular rosacea – any help or suggestions would be appreciated

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