Clinical Reference / Spotlight on Rosacea / Living with Rosacea

Living with Rosacea

  • Rosacea has significant impact on quality of life, an observation that has been validated by a number of qualitative and quantitative studies using disease severity instruments such as the Dermatology Life Quality Index (DLQI) and Willingness-to-pay model (Patients, especially women, with rosacea indicate a strong desire or willingness to pay for treatments to cure their disease.).  Rosacea has been associated with decreased self-esteem and avoidance of social situations in some studies.
  • The impact of rosacea on quality of life stems from both physical discomfort as well as psychological impact resulting from persistent erythema or flushing.  Key factors include
    • pruritus
    • burning
    • sensitive skin
    • stinging
    • cosmetic intolerance
    • pain
  • Age/ age of onset, gender (female), presence of flushing, need for ongoing treatment, side effects of rosacea treatments have been cited as factors contributing to poor quality of life in rosacea.
  • Studies have demonstrated that the quality of life impact is not always correlated the clinical severity of the disease; it is imperative for clinicians to ask about the impact of disease as it may not be accurately indicated by the degree of cutaneous signs.