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[Sticky] Rosacea


Michael Gray MD JD
Posts: 107
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Yes — rosacea is commonly evaluated and treated through telemedicine, especially for mild-to-moderate symptoms or ongoing management.

👍 Telemedicine is usually appropriate for

  • Facial redness or flushing

  • Visible small blood vessels

  • Papules or pustules that resemble acne

  • Burning, stinging, or skin sensitivity

  • Follow-ups to adjust medications or skincare

During a virtual visit, a clinician or dermatologist can:

  • Review triggers (heat, alcohol, spicy foods, stress, skincare products)

  • Examine photos or video of affected areas

  • Distinguish rosacea from acne or dermatitis

  • Recommend skincare and trigger-avoidance strategies

  • Prescribe or adjust treatments such as:

    • topical metronidazole, azelaic acid, or ivermectin

    • oral antibiotics for inflammatory flares (when appropriate)

  • Plan follow-up to monitor response

Clear, well-lit photos from multiple angles are very helpful.


🟡 Telemedicine may be appropriate but could need in-person follow-up if you have

  • Eye symptoms (dryness, irritation, redness, vision changes)

  • Thickened skin changes (phymatous rosacea)

  • Uncertain diagnosis or rapidly worsening symptoms

  • Lack of response to initial treatment

The clinician may recommend:

  • In-person dermatology or ophthalmology evaluation

  • Possible procedures (laser/light therapy)


🔴 Seek in-person or urgent care if you develop

  • Severe eye pain, vision loss, or marked swelling

  • Fever or signs of skin infection (rapid spreading redness, warmth, severe pain)

These are not appropriate for telemedicine alone.


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