Resumen

Objectives: Deepen understanding of rosacea's cyclical symptoms and impact on diverse skin types, particularly the underdiagnosis in skin of color. Explore advanced diagnostic techniques, such as Wood's lamp, to reveal subtle signs. Evaluate the effectiveness of traditional treatments like isotretinoin and the role of innovative approaches, including the use of rose-derived exosomes for their anti-inflammatory and skin barrier restoration properties. Aim to develop comprehensive, tailored treatment plans that address the unique challenges and symptoms presented by individuals with skin of color. Introduction: Rosacea, is frequently misdiagnosed in individuals with skin of color, where its classic signs are often masked. The condition's hallmark facial redness and bumps are commonly overlooked, leading to mistaken attributions of symptoms like large pores on the nose for phymatous changes and dark circles under the eyes to mere pigmentation issues rather than underlying inflammation. This misinterpretation highlights the critical need for a refined diagnostic lens that recognizes these atypical presentations, ensuring those affected receive accurate diagnoses and appropriate management. Materials / method: Study on two 30-year-old females with atypical rosacea symptoms in skin of color. Case 1 reported visible pores and nasal enlargement; Case 2 had dark circles and eye inflammation. Interventions included skincare for barrier repair, hydration, a rosacea diary, radio frequency micro needling, CO2 laser, and rose-derived exosomes for Case 1; Laser Genesis, exosomes microneedling, and cooling wands for Case 2.Outcomes were measured by changes in redness, phymatous alterations, dehydration, skin texture, and the severity of dark circles and inflammation. Results: Results revealed significant improvements: Case 1 experienced a marked reduction in nasal phymatous changes and visible pores, alongside a notable decrease in facial redness and dehydration. Case 2 saw a substantial alleviation of dark circles and eye inflammation, with enhanced skin texture and hydration. Both cases demonstrated considerable symptom relief, underscoring the tailored treatment approach's effectiveness in addressing atypical rosacea manifestations in skin of color, with patients reporting high satisfaction levels. Conclusion: The study underscores the critical importance of recognizing rosacea symptoms beyond initial visual appearances, especially in individuals with skin of color. The significant improvements observed in both cases highlight the efficacy of tailored treatments. These findings advocate for a more nuanced diagnostic approach that considers atypical presentations of rosacea, promoting better patient outcomes through personalized management strategies. This may also reduce the risk of scarring & worsening of symptoms through misdiagnosis.