A recent paper in Archives of Dermatology proposed a new rosacea subtype that is to be called Neurogenic Rosacea.
Before we tackle the question of What is neurogenic rosacea?, and How do I know if I have it?, lets step back and look at why a new subtype might be helpful.
Treating by Subtype
Why might rosacea sufferers care about a new proposed rosacea subtype? Well the standard classification of rosacea has proven a useful tool for a few reasons. For the purposes of this argument the benefit that I wanted to highlight is the benefit that treatments can be tailored to treat each rosacea subtype.
Once doctors are familiar with a grouping of rosacea symptoms, they can start to suggest a treatment regime that has the best chance of helping the patient.
So lets start at the beginning – diagnosis. How might doctors diagnose Neurogenic Rosacea?
Neurogenic Rosacea Diagnosis
Understanding that only 14 patients were grouped together for this paper, what symptoms and triggers were the most common in this group?
Neurogenic Rosacea Main Symptoms
- burning or stinging pain
- facial swelling (edema)
- facial redness (erythema)
- facial blood vessels
Less common symptoms included itchiness (pruritus) and papules.
Neurogenic Rosacea Common Triggers
- hot showers
Similar to Subtype 1
Reading the list of major symptoms of the proposed neurogenic rosacea, it seems at first glance to be similar to the established Rosacea Subtype 1 – erythematotelangiectatic rosacea.
Subtype 1 is described as “mainly characterized by flushing and persistent central facial erythema. The appearance of telangiectases is common but not essential for a diagnosis of this subtype. Central facial edema, stinging and burning sensations, and roughness or scaling may also be reported. A history of flushing alone is common among patients presenting with erythematotelangiectatic rosacea”.
Several of the patients has neurologic or neuropsychiatric conditions along with their rosacea. Headaches were also very common amongst the group.
The neurologic and neuropsychiatric conditions included depression, anxiety, Raynaud phenomenon, migraines, chronic pain and regional pain syndrome.
Making the Diagnosis
So how do you know that your symptoms suggest you should come under this newly proposed subtype?
Well my reading of the paper suggests that it is the additional prominent neurological symptoms that distinguish neurogenic rosacea from the erythematotelangiectatic subtype 1.
If you have a severe form of the classic type of “red, flushing and visible blood vessels” rosacea and additional indications that fall under the classification of neurological symptoms then this new subtype might apply to you.
Coming Soon: How to treat Neurogenic Rosacea