CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Rosacea - Management
When should I refer a person with rosacea?
- Refer routinely to dermatology those people with:
- Flushing, persistent erythema, telangiectasia, or phymatous rosacea that is causing psychological or social distress.
- Papulopustular rosacea that has not responded to 12 weeks of oral plus topical treatment.
- An uncertain diagnosis.
- Refer routinely to a plastic surgeon those people with severe phymatous disease (e.g. prominent rhinophyma).
- Refer to an ophthalmologist:
- Urgently, if keratitis is suspected (eye pain, blurred vision, sensitivity to light). See Referral criteria in the CKS topic on Blepharitis.
- Routinely, if ocular symptoms are severe or resistant to maximal treatment in primary care.
© NHS Institute for Innovation and Improvement