Author Affiliations: University of Pennsylvania School of Medicine (Ms Schram) and Department of Dermatology, University of Pennsylvania (Dr James), Philadelphia.
Neurogenic rosacea (NR) has recently been described as a distinct variant of rosacea, characterized by dramatic facial redness, burning, stinging, and flushing with prominent neurologic symptoms1 that include complex regional pain syndrome, essential tremor, depression, and obsessive-compulsive disorder. Because the patient with NR described by Scharschmidt et al1 generally responded poorly to conventional treatment, it was suggested that neuroleptics or antidepressants might be useful therapeutic agents. We describe herein a similar patient who experienced a sustained complete clinical response after treatment with endoscopic thoracic sympathectomy.
Schram AM, James WD. Neurogenic Rosacea Treated With Endoscopic Thoracic Sympathectomy. Arch Dermatol. 2012;148(2):270-271. doi:10.1001/archdermatol.2011.2615