Neuropathic Rosacea

[Guide]

Please read this notice about Subtypes • The term Neuropathic Rosacea has not gained as wide acceptance as Neurogenic Rosacea. 

Another subtype proposed is Neuropathic Rosacea. This subtype has not gained as wide acceptance among rosacea authorities. Nevertheless, it keeps popping up sometimes in rosacea discussions and occasionally in clinical papers. Neuropathic rosacea should not be confused with Neurogenic Rosacea (however it is confusing), another proposed subtype mentioned in literature (now recognized as a rosacea variant) while the fact is, Neurogenic Rosacea is more widely used in clinical papers.  The confusion is the result of the similarity in names as well as signs and symptoms, and there simply is no consensus on either distinguishing these two terms nor in whether we are talking about the same condition. It may be possible we are talking about the same condition with the use of both terms. 

One definition proposed for Neuropathic Rosacea:

"There is a clear subset of patients seen by both neurologists and dermatologists, whose main complaints are facial pain and dysesthesias. These patients often have a history of prominent facial flushing and blushing in response to various stimuli such as emotional stress, hot beverages, alcohol, spicy foods, exercise, heat, and sun exposure. They may also have erythematous papules and pustules. This cluster of features is most consistent with a diagnosis of rosacea but, when combined with the pain and dysesthesias, a form of complex regional pain syndrome must also be considered. In addition, some patients may have concurrent erythromelalgia and Raynaud's disease, suggesting that the etiology is perhaps more complex." [1]

Here are more links:

http://www.dermanetw...tails.asp?ID=20

http://www.quakerpar...han-a-red-face/

http://rosaceatreatm...01_archive.html

Note #113695 JB on August 2, 2012 at 8:55 AM about using Gabapentin used to treat neuropathic pain.

Judworth says she diagnosed herself with Neuropathic rosacea at this post and uses LDN to control it after sixteen years of searching. 

End Notes

[1] Neurology and General Medicine
By Michael J. Aminoff, MD, DSc, FRCP
Chapter 12