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Although rare in pediatric practice, rosacea does occur in children and is probably underrecognized. Pediatric dermatologists and ophthalmologists in France performed a retrospective review of 20 children with rosacea (age range, 1–15 years). Six patients had family histories of rosacea; 6 had cutaneous disease, 3 had ocular disease, and 11 had both.
The researchers noted three dermatologic patterns: in descending order of frequency, papulopustular rosacea, facial erythema (with or without flushing), and granulomatous rosacea (perioral dermatitis). The latter was associated with previous use of topical steroids (Journal Watch Dermatology Apr 11 2008).
The ocular rosacea noted in 14 children appeared as chalazions in 10, blepharoconjunctivitis…