Kelly Thai

26 May 2019
Independent Research G/T I
Annotated Source List

Aldrich, N., Gerstenblith, M., Fu, P., Tuttle, M., Varma, P., Gotow, E., . . . Popkin, D. (2015).
Genetic vs environmental factors that correlate with rosacea: A cohort-based survey of
twins. ​JAMA Dermatology​, ​151​(11), 1213-1219. Retrieved from
https://pdfs.semanticscholar.org/817d/225fceb32b4630496f0e2d242aee489c0f87.pdf

This source analyzes the contributing factors of rosacea. The study focuses on the genetic
influence on rosacea through the observation of various twin pairs. It found that genetics and
ultraviolet radiation played a sizeable role in the development of rosacea. Using the National
Rosacea Society scale to evaluate the severity of each condition, it discovered that identical
twins had a higher rate of rosacea than fraternal twins. The impact of ultraviolet radiation on
rosacea linear regression model showed that increased exposure would worsen the condition.
These two factors are considered to be heavy influencers on the development of rosacea.
This is a trustworthy source since it is from a peer reviewed journal and does not present
noticeable bias. It is effective in showing the genetic components of rosacea through its use of
twins to find correlations between different impacting factors on rosacea. The data given is a
good visual representation of the causes of rosacea which is valuable in providing a more
in-depth explanation of the genetic in rosacea.

Alinia, H., Cardwell, L., Tuchayi, S. M., Nadkarni, A., Bahrami, N., Richardson, I., . . . Feldman,
S. (2018). Screening for depression in rosacea patients. ​Cutis​, ​102​(1), 36-38. Retrieved
from
https://www.mdedge.com/cutis/article/169798/rosacea/screening-depression-rosacea-pati
ents

This study investigated the link between rosacea and depression. It concluded that stigma
as well as physical symptoms contributed to the direct connection discovered between them
because treatment usually improved the patient’s overall health. Although most patients were not
determined to be depressed, varying levels of depression were found to affect approximately one
third of their participants. People who were most severely impacted experienced major
depression. The source encourages that doctors be observant of their rosacea patients in order to
best serve them.
This article provides useful recent statistical evidence that rosacea can lead to the
development of depression; however, it only addresses a small number of patients and is not a
random sampling of the population. These constraints may make the data unreliable when
applying it to the entire rosacea community. The authors do not present notable bias relating to
the research they conducted. They only recommend that doctors be aware of their patients’
mental wellbeing.
All about rosacea. (n.d.). Retrieved December 5, 2018, from National Rosacea Society website:
https://www.rosacea.org/patients/allaboutrosacea.php

This article covers rosacea as a whole. The organization that published this article, the
National Rosacea Society, found that severe rosacea has negatively impacted the professional
life through surveys. It defines severe rosacea as having swelling and growth of excess tissue
which is usually found on the nose. This can disrupt breathing and disfigure the face. In another
form of rosacea, ocular rosacea, vision can be impaired as well. Besides the face and eyes,
rosacea has been known to present itself on other places of the body including the neck and
chest. The source also addresses that the lighter skinned population and women are at higher risk
for developing rosacea while being more severe in men.
This article is useful in determining the social effects and the population in which it is
more prevalent. The numeric statistics it gives provides a definite and clear evaluation of its
impacts that are not physical; however, there is bias present in the article. This is shown in
various descriptors it uses that demonstrates its opinion on research and the extent of which
rosacea is harmful to daily life.

Baumann, L. (2017, July 7). Can teenagers get rosacea? [Blog post]. Retrieved from
http://lesliebaumannmd.com/can-teenagers-get-rosacea/

This brief article discusses rosacea in teenagers. Even though symptoms may not appear
distinctly on the face until the thirties, early detection is vital to receiving treatment that reduces
the risks of the condition progressing; however, this can be difficult since rosacea can easily be
confused with acne. The author cautions that family history is a considerable risk factor in the
development of rosacea; so, people must be aware symptoms that may mimic rosacea and seek a
medical professional in order to receive an accurate diagnosis. Without treatment, it is believed
that triggers such as sun exposure and extreme weather should be avoided to prevent or lessen
skin irritation and redness. She urges utilizing the correct skincare products to protect the
sensitive skin from inflammation.
This source is helpful in providing a recent information describing the ages in which
rosacea can develop but focuses too broadly on the condition and fails to address the topic in
depth. The questions that arise from the unspecificity can be pursued to better understand rosacea
in adolescence. Despite being professionally written, this is not peer reviewed or a scholarly
article. There is bias towards a specific medication known as Rhofade to treat rosacea which may
mean that this post was written to advertise the product.

Blount, W., & Pelletier, A. (2002). Rosacea: A common, yet commonly overlooked, condition.
American Family Physician​, ​66​(3), 435-440. Retrieved from
https://www.aafp.org/afp/2002/0801/p435.html

This article comprehensively addresses pathophysiology, clinical features, differential

diagnosis, complications, treatment, and awareness. The authors consider various triggers that
cause flushing which negatively impacts social interactions. In addition to this, low self-esteem
is prevalent in those who have more visible signs of rosacea. As result of low self-esteem, it was
noted that it may lead to social isolation. In order to combat these effects, there were different
treatment recommendations based on subtype of rosacea.
Despite being outdated, the article reaffirms newer conclusions that rosacea is deleterious
to the mental well being. This can be used to emphasize that rosacea has long lasting
consequential effects that require an indefinite amount of time to treat. Bias is not demonstrated
in this article as it weighs the numerous options to restore appearance to those with noticeable
symptoms of rosacea.

De Seta, D., Filipo, R., Russo, F. Y., & De Seta, E. (2013). Basal cell carcinoma masked in
rhinophyma. ​Case Reports in Otolaryngology​, ​2013​.
https://doi.org/10.1155/2013/201024

This article assesses the cancerous risk of rhinophyma in rosacea. Through discussing the
struggle of accommodating for advanced stages of rosacea, it determines that whether
rhinophyma should be considered a preliminary stage to cancer is unclear. Although rhinophyma
does not often occur, there is a chance that skin cancer may develop upon the excess tissue.
There may be ignorance of the cancer for a period of time because the excess tissue associated
with rhinophyma may not appear to be dangerous since skin cancer and rhinophyma tissue has a
close resemblance. It concludes that follow up appointments must be made between the doctor
and patient to best assure that rhinophyma is the only issue they have.
The article is useful in understanding the potential for skin cancer in rhinophyma but
does not go into depth. While it does not address the cost of misdiagnosis or late diagnosis on the
patient or company, it does recommend helpful solutions. The lack of details can be further
researched to figure out the full extent of skin cancer on rhinophyma. There is no bias in this
article.

Dirschka, T., Micali, G., Papadopoulos, L., Tan, J., Layton, A., & Moore, S. (2015). Perceptions
on the psychological impact of facial erythema associated with rosacea: Results of
international survey. ​Dermatology and Therapy​, ​5​(2), 117-127.
https://doi.org/10.1007/s13555-015-0077-2

This study evaluated the perception of those with rosacea. It was founded that the overly
red complexions were associated with various negative social and physical traits. Within these
findings, the participants with rosacea described that they believed their redness had damaging
effects on their social lives. In addition to this, it was believed that the condition was difficult to
control and unpredictable without the aid of a physician.
This study provides great insight on the first impression of those with visible signs of
rosacea. The graphics of each finding makes this source helpfully straightforward with its
conclusions. There may be potential bias in this source as it was funded by a pharmaceutical
company.

Heisig, M., & Reich, A. (2017). Psychosocial aspects of rosacea with a focus on anxiety and
depression. ​Dove Press​, 103-107. https://doi.org/10.2147/CCID.S126850

In this study, it seeks to analyze various documents pertaining to the social and mental
impact of rosacea. Due to the social stigmas surrounding rosacea, emphasis is placed upon their
consequences. Because facial appearance is an integral factor in self-esteem, the incorrect
perceptions of facial redness and skin thickening as a product of poor self care or personality
increases risk for the development of mental disorders.
This source provides an useful analysis of the psychosocial aspect of rosacea. The varied
references indicates that the conclusions made are generally supported by related findings.
Despite this, the article does not include any contradictory information which may reveal some
bias.

Huynh, T. (2013). Burden of disease: The psychosocial impact of rosacea on a patient's quality
of life. ​American Health & Drug Benefits​, ​6​(6), 348-354. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031723/

This article discusses the psychosocial impact of rosacea on its patients as the author
believes that this is often disregarded. He emphasizes that any subtype of rosacea is likely to lead
to decreased self worth and sociability and that these effects should be considered when
prescribing treatment aside from physical symptoms. Furthermore, the perception of the patient’s
own appearance may lead to multiple psychological disorders. While self image is an important
influence in the psychosocial interactions, the author also highlights the negative stigmas outside
the realm of the patients’ control.
This article helps develop the understanding in how rosacea affects those with the
conditions. While the author thoroughly explains his conclusions, he relies heavily on secondary
sources which can may be useful to furthering research. The author himself does not exemplify
bias; however, due to his dependence on secondary sources, he may be unintentionally biased.

Jay, M. (2012). ​The defining decade​. New York, NY: Hachette Book Group.

The Defining Decade​ illustrates the importance of one’s life between the years twenty
and thirty years old. With the incorporation of metaphors and personal patient stories, the author
argues that the twenties are crucial to success and happiness later in life. She provides advice on
several areas imperative to what she believes most impacts the years beyond the twenties which
are: work, love, brain, and body. In each category, she emphasizes capitalizing on personal
growth through perseverance, risk taking, and adaptation to change. Studies have found that
personality remains nearly static approximately after age thirty as well as having detrimental
impacts on long term career success. By following these methods, she expresses that people can
improve the value and quality of the twenties and the years following.
This book is useful in understanding the consequences of wasting the twenties, however
it focuses on giving inspiration to prevent problematic outcomes rather than describing them.
The studies the author cites can help further research in areas more pertinent to the aftereffects of
being professionally idle and unhealthy during those years. The author is biased toward specific
solutions due to her own experience but supports her opinions with research.

Lacz, N., & Schwartz, R. (2004). Rosacea in the pediatric population. ​Cutis​, ​74​(2), 99-103.
Retrieved from
https://www.mdedge.com/dermatology/article/67152/rosacea/rosacea-pediatric-populatio
n
 This article discusses potential triggers of rosacea as well as their effects on children.
These triggers can be emotional, environmental, or physical. It is believed that rosacea in
children is diagnostically confused with conditions that display similar symptoms or considered
to be limited to the young to middle aged adult population. Because of this, the early stage of
rosacea consequently progresses into its later stages during adulthood. While it is acknowledged
that chronic flushing may be accidentally overlooked, a rosacea diagnosis should be considered
when begin to papules and pustules form. The authors offer various solutions such as topical
medication and avoidance of triggers once rosacea is diagnosed in a pediatric patient.
This source comprehensively addresses and evaluates the appearance of rosacea in
children. It provides understandable evidence in describing the process in which rosacea forms
and develops during adolescence. The reliability of this source is questionable since it is
outdated; however, the facts it presents can be corroborated with more current studies. Aside
from this, the article is peer reviewed and does not contain bias.

Mandal, A. (n.d.). Rosacea history. Retrieved March 17, 2019, from News Medical website:
https://www.news-medical.net/health/Rosacea-History.aspx

In this source, the author provides a brief overview of the history of rosacea. Most often,
rosacea has been present in literature and artwork which lead to rosacea’s common association
with alcohol. The details of how rosacea received its name is also described.
This short article does not go into depth on the history of rosacea; however, the author
does find an useful common connection between each piece of history: alcohol. The various
associations with alcohol can be used to support the negative belief that rosacea is induced by
alcohol which is untrue. Bias is not revealed within the author’s language or evidence.

Moustafa, F., Lewallen, R., & Feldman, S. (n.d.). The psychological impact of rosacea and the
influence of current management options. ​Journal of the American Academy of
Dermatology​, ​71​(5), 973-980. Retrieved from
https://kundoc.com/pdf-the-psychological-impact-of-rosacea-and-the-influence-of-curren
t-management-opti.html

This article focuses on the psychological consequences of rosacea. These consequences

were measured using past articles that evaluate the quality of life for those with rosacea. It
describes that the severity of the condition affects the quality of life. Those with later stages of
rosacea were more so negatively impacted than those with earlier stages. In order to alleviate the
emotional pain, patients resorted to laser treatment which was noted to be effective; however,
patients unable to receive medication or surgery that may improve their condition are more likely
to experience psychiatric illnesses. The article also briefly discusses the willingness to pay for a
cure showing the extent of rosacea’s burden. A survey found that people would pay up to several
thousand dollars for a cure. In general, women and individuals with intense facial symptoms
would pay more while the older people and those with less severe symptoms would not.
This article is helpful in gaining an overall understanding of the psychological symptoms
of rosacea. The information provided can help explain the importance of the issue beyond
physical hindrances to daily life. Displaying several aspects of the effects is not as
comprehensive as focusing on only one, but it is easily understandable and digestible. Bias is not
presented in this article.

New survey finds people with rosacea are more likely to be judged negatively upon first
impression than people with clear skin. (2014, April 22). Retrieved March 17, 2019, from
Kelton website:
https://www.keltonglobal.com/recognition/new-survey-finds-people-with-rosacea-are-mo
re-likely-to-be-judged-negatively-upon-first-impression-than-people-with-clear-skin/

This article describes the perception of those with rosacea as compared to those without.
The distributed survey found that clear skinned individuals were more often associated with
positive traits than negative. In addition to this, redness was also found to be a perceived mark of
poor health. In order to combat this, many respondents have resorted to make up.
The results of the survey conducted is beneficial to proving that there are beliefs that are
out of the control of those with rosacea. The given information is in-depth while also being
simplistic; however, there may be bias. Sponsored by Galderma Laboratories and created with
the National Rosacea Society, there might be underlying bias in favor of those with rosacea as
both organizations are centered around the support of dermatologic conditions.

New survey shows insurance covers medication for most. (2014, February 18). Retrieved
November 8, 2018, from National Rosacea Society website:
https://www.rosacea.org/weblog/new-survey-shows-insurance-covers-medication-most

This source discusses the results of a survey conducted by itself, the National Rosacea
Society. It determined that medication for treating rosacea is usually covered by insurance while
procedures such as and similar to laser therapy are not. In addition to this, it found that
individuals with more severe cases of rosacea were not covered by insurance forcing them to
personally pay for their treatment. Alongside this, participants of the survey experienced
substantial difficulty in obtaining coverage from their insurance provider. They would face
barriers such as defining what is covered by insurance and being required to get a referral from
their primary care physician before seeing a specialist.
This source is helpful in learning more about the amount of people covered at different
stages of rosacea; however, it may be biased since the survey was conducted by its own
organization. The results of the survey could be useful by figuring out why severe cases of
rosacea are not often provided coverage. Despite giving statistics that can aid further research,
the source is vague, so elaboration is needed to develop a better understanding of the issue of
insurance coverage of rosacea.

Now widely recognized, rosacea was first noted in 14th century. (1996). Retrieved March 17,
2019, from National Rosacea Society website:
https://www.rosacea.org/rosacea-review/1996/winter/now-widely-recognized-rosacea-wa
s-first-noted-in-14th-century

This source describes the history of rosacea. Beginning with its name, rosacea was
associated with alcoholism. This is then seen in literature by which descriptions of various
characters include symptoms of rosacea. Until the nineteenth century, rosacea was also
commonly associated with acne.
The brief overview of rosacea is useful in understanding the current stigmas against
rosacea today. Despite being dated, the source discusses only the history of rosacea. Because
there is no analysis of that history, the source remains somewhat reliable. There is likely bias due
to the fact that this article was produced by the National Rosacea Society, an organization
dedicated to the support of those with rosacea.

Off-label drug use. (n.d.). Retrieved November 16, 2018, from American Cancer Society
website:
https://www.cancer.org/treatment/treatments-and-side-effects/treatment-types/chemother
apy/off-label-drug-use.html

This article discusses the use of off-label treatment in cancer. Although there is not much
information on the use of off-label treatment, the practice is considered common based off a
survey conducted in 2008 and its documentation. The article explains that the difficulty in
obtaining insurance coverage for off-label treatment is due to insurance companies considering
these drugs experimental or investigational. Because of this, laws have been passed requiring
coverage should there be research and claims that the treatment is effective for a patient’s
condition.
This article provides insight on insurance coverage which helps contribute to an
understanding of general insurance policy regarding off-label treatments. This could be helpful
in determining what other treatments are experimental or investigational depending on the
insurance provider as well as learning more about the approval in covering them. There does not
appear to be bias in the article since it does not promote or discourage the use of off-label drugs.
It explains why they are used and the legal aspects of which they are used.

Oge, L., Muncie, H., & Phillips-Savoy, A. (2015). Rosacea: Diagnosis and treatment. ​American
Family Physician,​ ​92(​ 3), 187-198. Retrieved from
https://www.aafp.org/afp/2015/0801/p187.pdf

This article discusses the differential diagnosis of rosacea and its triggers. Conditions that
share similar features with rosacea include acne vulgaris, contact dermatitis, photodermatitis,
seborrheic dermatitis, and systemic lupus erythematosus. These similarities may lead to
misdiagnosis.
The source goes into depth on rosacea which may be used to understand the diagnosis
process and physical manifestation of rosacea. These details support the idea that rosacea is
difficult to control without medication. Bias is not present in this article.

Poinier, A., Husney, A., Romito, K., Gabica, M., Thompson, G., & Denkler, K. (Eds.). (n.d.).
[Cosmetic surgery and procedures]. Retrieved March 5, 2019, from Cigna website:
https://www.cigna.com/individuals-families/health-wellness/hw/medical-topics/cosmetic-
surgery-and-procedures-aa64111

This source highlights the difference between cosmetic and reconstructive surgery. The
former is considered elective meaning that the procedures provided only correct personally
perceived flaws while the latter corrects what is generally considered both personal and
societally viewed flaws. It also noted that each type of surgery are unlikely to have health
insurance cover some of the costs unless the condition directly impairs physical function.
Despite the surgical options available, the article suggests that people try other methods of self
care before considering surgery.
This source comprehensively addresses the purpose of each surgery which can be further
researched to clarify the difference between them. This may be used to understand why health
insurance companies tend to cover reconstructive surgery more often than elective. While the
article does not present clear bias, it is written by a health insurance company which may have
underlying biases.

Rainer, B., Kang, S., & Chien, A. (2017). Rosacea: Epidemiology, pathogenesis, and treatment.
Dermato-Endocrinology,​ ​9(​ 1). https://doi.org/10.1080/19381980.2017.1361574

This source addresses the prevalence of rosacea, its symptoms, and current findings. To
date, it has been found that rosacea is heavily linked to genetics and family history. The
approach to treatment has evolved over the years based off this history and subtype in order to
produce the best results in a patient. These can include off label treatment methods.
The recent publication date of the source makes the description of current findings
relatively reliable. The information provided is useful in understanding how rosacea is treated
and identified. There is no notable bias.

Rivero, A., & Whitfeld, M. (2018). An update on the treatment of rosacea.

​Australian Prescriber,​ ​42(​ 1), 20-24. https://doi.org/10.18773/austprescr.2018.004

In this, the treatment methods are described for each subtype of rosacea. Emphasis is
placed upon individualized treatment as there can be variation as to what treatments are effective
for each patient. Despite the many treatment options, doctors should inform their patients that
treatment is not a cure and that flare-ups may continue to occur.
This source comprehensively creates an updated report of rosacea and its current
treatment methods. The breakdown of each subtype and its corresponding treatment makes the
article easy to understand and does not show bias through its descriptions.

Rosacea is not exclusive to adults as once thought [Blog post]. (2014, January 17). Retrieved
from ​https://rosadyn.com/rosacea/skin-care/teen-rosace/

This blog post describes the presence of rosacea being misdiagnosed and underdiagnosed
in children and young adults. Due to the prevalent belief that rosacea occurs later in life,
physicians are unable to recognize early rosacea symptoms when they are easiest to treat. This
leads to patients being given ineffective solutions to their condition. The source cites medical
professionals that state severe chronic flushing or redness may be a warning marker of rosacea
development. They advise that physicians learn more about these symptoms and dispel the
notion that rosacea is limited to adults.
This source is beneficial to understanding the general effects and progression of rosacea.
The listed organizations and individuals supporting the post’s claim can be further explored to
examine the validity of the concern for rosacea diagnosis in children. Despite being informative,
an interest group promoting the drug, Rosadyn, wrote this to highlight its safety and usefulness.
Bias may have caused the facts presented to be one-sided encouraging readers to purchase their
product.

Rosacea treatment: Acne-like breakouts. (n.d.). Retrieved October 24, 2018, from American
Academy of Dermatology website:
https://www.aad.org/public/diseases/acne-and-rosacea/rosacea/rosacea-treatment-acne-lik
e-breakouts

This article discusses the current treatments of rosacea which includes topical and oral
medication and light therapy. Patients use topical and oral medication to control flares; however,
antibiotics are typically used with another treatment to improve patient results due to antibiotic
resistance. Light therapy is a more costly method since it is not often covered by insurance as
other methods are. These costs multiply should a patient require multiple treatments to achieve
and maintain desirable results.
This article is helpful in developing a better understanding of the treatment options
available for rosacea by providing a general explanation of each option. The explanations
include evaluations of the effectiveness of each treatment. This source does not present bias
through its exclusion of criticism or praise for different options.

The importance of health insurance. (n.d.). Retrieved March 5, 2019, from My Child at
CerebalPalsy.org website:
https://www.cerebralpalsy.org/resources/government-resources/health-insurance/importa
nce

The purpose of health insurance is to help pay for extremely expensive healthcare costs.
These costs are expected to be more expensive than the payment for insurance. Without
insurance or the appropriate insurance, the persons affected may need to search for another
method of payment.
While the article does not pertain to rosacea specifically, the broad reasons given provide
a detailed summary of health insurance functionality. This may be used to support why health
insurance is crucial to paying for the out-of-pocket expenses of healthcare. Because this article
was written on a site owned by an attorney, there may be bias due to his intentions.

Walter, S., Krueger, S., Ho, J., & Reddy, K. (2017). Unilateral rhinophyma: Report of a case and
review. ​Plastic and Aesthetic Research​, ​4​, 49-53.
https://doi.org/10.20517/2347-9264.2017.08

This is an article concerning rhinophyma in rosacea. Despite focusing on a case of

unilateral rhinophyma, it details the risks and etiology of the condition. Rhinophyma within this
article is not defined as the end stage of rosacea nor associated with increasing severity as time
progresses; however, rhinophyma can be extremely consequential should it be untreated due to
its cosmetic status as it can potentially have cancer form on excess tissue and damage the
lymphatic drainage process. Because the etiology is unknown, the article lists the hypothesized
perpetrators of the disease: ultraviolet rays, cytokine cathelicidin, and Demodex mites. With this
knowledge, rhinophyma treatment options has been limited unlike the other rosacea subtypes.
Age and disease advancement are factors when choosing whether to take oral medication or
surgery, but surgery is considered best for those in later stages of rhinophyma.
This source is helpful for understanding the physical impacts of rhinophyma beyond
excess tissue. The symptoms can be individually studied to narrow research in order to figure out
its impact on daily life. The broad report on unilateral rhinophyma while defining difficult terms
such as the cytokine cathelicidin provides a comprehensive summary of entirety rhinophyma.
The authors do not exemplify bias due to their informative purpose.

Wehausen, B., Hill, D., & Feldman, S. (2016). Most people with psoriasis or rosacea are not
being treated: A large population study. ​Dermatology Online Journal,​ ​22(​ 7). Retrieved
from https://escholarship.org/uc/item/4nc3p4q2

This source discusses the prevalence of psoriasis and rosacea that is not being treated in
the American population. The source concludes that a majority of those with psoriasis or rosacea
are not being treated which leads it to answer why this may be. Beginning with rosacea, the
source explains that less than half of those afflicted with rosacea were aware he or she had the
condition before consulting a medical professional. In addition to this factor, it includes that
patients have a tendency to self-medicate and be deterred by high costs or issues with insurance.
This study helpfully describes the reasons for underdiagnosis of rosacea in the
population. Each factor can be further researched to determine its impact on receiving treatment.
The statistics are easily understandable simplifying the difficulty of the source which does not
present clear bias as it is peer reviewed and acknowledges it limitations.

Wilkin, J., Dahl, M., Detmar, M., Drake, L., Liang, M., Odom, R., & Powell, F. (2004). Standard
grading system for rosacea: Report of the National Rosacea Society expert committee on
the classification and staging of rosacea. ​Journal of the American Academy of
Dermatology,​ ​50(​ 6), 907-912. https://doi.org/10.1016/j.jaad.2004.01.048

This report presents an evaluative examination of how rosacea and its subtypes should be
identified. Each subtype and symptom is rated from absent to severe which are considerable
factors in correct diagnosis. By determining which subtype of rosacea a patient has, the
physician may be able to control and alleviate the condition.
This report is helpful in its descriptions and pictures of the various rosacea subtypes.
These images help visualize the appearance of rosacea in varying degrees of severity. Despite
being written by a committee of the National Rosacea Society, the informative purpose does not
reveal bias.