Improving Rosacea Outcomes in Skin of Color Patients: A Review on the Nuances in the Treatment and the Use of Cleansers and Moisturizers

June 2022 | Volume 21 | Issue 6 | 574 | Copyright © June 2022


Published online May 31, 2022

Andrew F. Alexis MD MPHa, Heather Woolery-Lloyd MD FAADb, Anneke Andriessen PhDc, Seemal Desai MD FAADd, George Han MD FAADe, David Rodriguez MDf

aClinical Dermatology, Weill Cornell Medical College, New York, NY
bSkin of Color Division, Dr Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, FL cRadboud UMC Nijmegen, Andriessen Consultants, Malden, The Netherlands
dDepartment of Dermatology, The University of Texas Southwestern Medical Center, Innovative Dermatology, PA, Dallas, TX
eDepartment of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY
fResearch Dadeland Dermatology Group, Department of Dermatology & Cutaneous Surgery, University of Miami, FL

*Dr Alexis and Dr Woolery-Lloyd are both first authors

detecting rosacea characteristics in darker skin may lead to misdiagnosis or a delayed diagnosis.5-8,10,18,19,30 Delayed or inaccurate diagnosis may cause advanced disease, more significant morbidity, and disfigurement due to inadequate or late treatment.6,15,18,19 The use of suitable lighting, blanching of the skin, photography of the area against a dark blue background, and dermatoscopy may support accurate diagnosis (Fig 1).6,7,30

The Role of Moisturizers and Cleansers in Treating SOC Patients With Rosacea

Statement 4: Quality moisturizers may repair/maintain stratum corneum/barrier function, enhance skin hydration, reduce the likelihood of skin irritation, and can be used as adjuvants to other rosacea therapies. The use of some cleansers (e.g., those with harsh surfactants or those that raise skin pH) may not be suitable for rosacea patients. Combining appropriate skincare (gentle cleansers, moisturizers, and sunscreen) with prescription medications may improve rosacea management; however, skincare's role and beneficial ingredients for rosacea are not well defined and require more studies.