Rubeosis faciei

Erythema perstans faciei, erythema faciale perstans, erythema faciale persistens, persistent facial redness, constitutional facial mask

Harmless, symmetrical, butterfly-shaped cheek redness

Women > Men

• Butterfly-shaped, erythematous, slightly scaly, chronic, indistinct redness, without involvement of the perioral region

• Associations:
  • Keratosis pilaris
  • Keratosis pilaris syndrome
  • Ulerythema ophryogenes

• Anamnesis
• Clinic

Self-limiting. Often regresses in older age.

• Brimonidine tartrate 
• IPL treatment
• Betablockers if there is evidence that Rubor e pudore would be a differential diagnosis 

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1. Namazi, M.R., J.L. Jorizzo, and M.K. Fallahzadeh, Rubeosis faciei diabeticorum: a common, but often unnoticed, clinical manifestation of diabetes mellitus. ScientificWorldJournal, 2010. 10: p. 70-1.
2. Demirseren, D.D., et al., Relationship between skin diseases and extracutaneous complications of diabetes mellitus: clinical analysis of 750 patients. Am J Clin Dermatol, 2014. 15(1): p. 65-70.
3. Sehgal, V.N., et al., Noninsulin-dependent, type II diabetes mellitus-related dermatoses: part II. Skinmed, 2011. 9(5): p. 302-8.
4. Pavlovic, M.D., et al., The prevalence of cutaneous manifestations in young patients with type 1 diabetes. Diabetes Care, 2007. 30(8): p. 1964-7.
5. Borkenstein, M. and M. Haidvogl, [Dimenhydrinate poisoning in childhood (author's transl)]. Padiatr Padol, 1978. 13(2): p. 201-4.