SubtypeClinical featuresComments
Erythematotelangiectatic (subtype 1)Persistent erythema of the central faceMost difficult subtype to treat
Prolonged flushingTopical therapy may be irritating to sensitive skin
Telangiectasias often present
Burning or stinging possible (especially with topical agents)
Ocular rosacea may coexist
Papulopustular (subtype 2)Persistent central erythema with small papules and pinpoint pustulesEasiest subtype to treat
Burning, stinging, or flushing is possible
Sparing of the periocular and sometimes perioral areas
May resemble acne vulgaris, without comedones
May include episodes of facial edema
Phymatous (subtype 3)Marked skin thickening and irregular nodularities of nose, chin, ears, forehead, or eyelidsMore common in men
Rhinophyma
Ocular (subtype 4)Watery, bloodshot eyesAffects nearly 60 percent of patients with rosacea
Dry eye, foreign body sensation, irritation, photophobiaOften undiagnosed
Blepharitis, conjunctivitis, eyelid irregularities, inflammationCorneal complications may decrease visual acuity; vision loss possible