A 45-year-old woman presents with persistent facial redness and tiny visible blood vessels on her nose and cheeks. She also reports intermittent flushing episodes. What is your evaluation and plan?
These symptoms are consistent with erythematotelangiectatic rosacea, a subtype of rosacea characterized by facial redness and visible blood vessels. The intermittent flushing is a common feature. Initial management should include trigger avoidance, sun protection, and topical treatments such as brimonidine for the redness and potential laser or light therapy for the visible blood vessels.