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Investigative Report

Prevalence of Rosacea in an Estonian Working Population Using a Standard Classification

doi: 10.2340/00015555-0856


Data about the prevalence of rosacea are scarce. The aim of this study was to evaluate the prevalence rate of rosacea according to the American National Rosacea Society Expert Committee (NRSEC) classification. A cross-sectional study of 348 subjects randomly selected from a working population ≥ 30 years of age was performed. All subjects completed a questionnaire. Skin status was examined according to NRSEC criteria. Of the 348 subjects, 78 (22%) had one or more primary features of rosacea. The most common features were erythema (21%) and telangiectasia (18%). Of the subjects with rosacea, 78% had erythematotelangiectatic rosacea and 22% had papulopustular rosacea. Fifteen percent of the study subjects had experienced frequent episodes of flushing without permanent features of rosacea. No significant gender-related differences were found between study groups. In conclusion, according to the NRSEC, rosacea is a more common skin condition over the age of 30 years than previously thought.


Kristi Abram, Helgi Silm, Marje Oona


  • Jansen T, Plewig G. Rosacea: classification and treatment. J R Soc Med 1997; 90: 144–150.
  • Odom R, Wilkin J. Rosacea, acne rosacea, and actinic telangiectasia: in reply. J Am Acad Dermatol 2005; 6: 1103–1104.
  • Wilkin J, Dahl M, Detmar M, Drake L, Feinstein A, Odom R, et al. Standard classification of rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rosacea. J Am Acad Dermatol 2002; 46: 584–587.
  • Schaefer I, Rustenbach SJ, Zimmer L, Augustin M. Prevalence of skin diseases in a cohort of 48,665 employees in Germany. Dermatology 2008; 217: 169–172.
  • Berg M, Lidén S. An epidemiological study of rosacea. Acta Derm Venereol 1989; 69: 419–423.
  • Powell FC. Epidemiologic data, triggering factors and clinical stages of rosacea. J Eur Acad Dermatol Venereol 1998; 11: S107.
  • Kyriakis KP, Palamaras I, Terzoudi S, Emmanuelides S, Michailides C, Pagana G. Epidemiologic aspects of rosacea. J Am Acad Dermatol 2005; 53: 918–919.
  • Gupta MA, Gupta AK, Chen SJ, Johnson AM. Comorbidity of rosacea and depression: an analysis of the National Ambulatory Medical Care Survey and National Hospital Ambulatory Care Survey – outpatient department data collected by the U.S. National Center for health statistics from 1995 to 2002. Br J Dermatol 2005; 153: 1176–1181.
  • Braun-Falco O, Plewig G, Wolff HH, Burgdorf WHC. Diseases caused by environmental exposure or trauma. In: Braun-Falco O, Plewig G, editors. Dermatology, 2nd edn. New York: Springer-Verlag; 2000: p. 521–569.
  • Wilkin J, Dahl M, Detmar M, Drake L, Liang MH, Odom R, et al. Standard grading system for rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rosacea. J Am Acad Dermatol 2004; 50: 907–912.
  • Guttman C. Rosacea prevalence underestimated. Dermatology Times 2006; 27: 48–57.
  • Danby FW. Rosacea, acne rosacea, and actinic telangiectasia. J Am Acad Dermatol 2005; 52: 539–540.
  • Izikson L, English JC, Zirwas MJ. The flushing patient: differential diagnosis, workup, and treatment. J Am Acad Dermatol 2006; 55: 193–208.
  • Gessert CE, Bamford JTM. Measuring the severity of rosacea: a review. Int J Dermatol 2003; 42: 444–448.
  • Feldman SR, Hollar CB, Gupta AK, Fleischer AB Jr. Women commonly seek, care for rosacea: dermatologists frequently provide the care. Cutis 2001; 68: 156–160.
  • Abram K, Silm H, Maaroos HI, Oona M. Subjective disease perception and symptoms of depression in relation to healthcare-seeking behaviour in patients with rosacea. Acta Derm Venereol 2009; 89: 488–491.
  • Lonne-Rahm SB, Fischer T, Berg M. Stinging and rosacea. Acta Derm Venereol 1999; 79: 460–461.
  • Information of the Estonian Unemployment Insurance Fund. Available from: URL:
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    Volume 90, Issue 3

    DOI: 10.2340/00015555-0856

    Pages: 269-273

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