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ROSCO global rosacea consensus (2019)

Rosacea should be classified and treated by its individual features rather than by subtype, aiming for completely clear skin.

Nineteen dermatologists and two eye specialists voted anonymously, in rounds, until they agreed on how rosacea should be diagnosed and treated. Their headline recommendation is to treat the specific features a person actually has rather than sorting them into a subtype, and to aim for completely clear skin rather than just improvement. This is expert opinion arrived at systematically — useful for framing, but it carries less weight than a trial, because no new patients were studied.

Schaller M, Almeida LMC, Bewley A, et al. Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel. Br J Dermatol. 2020;182(5):1269-1276.

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