Rosacea is a chronic inflammatory condition of the facial skin affecting the blood vessels and the pilosebaceous units. It is more common in people with a fair complexion. It is generally associated with waxing and waning of the symptoms in the short term. However rosacea progresses with time. Etiology:Triggers for rosacea include hot or cold temperature, wind, sunlight, alcohol, spicy food, emotions as well as some medications. Neural and hormonal mechanisms lead to flush reactions which are visible on the face. Clinical features:There are 4 main subtypes of rosacea:erythematotelangiectatic, papulopustular, phymatous and ocular. The primary clinical features of rosacea include papules, pustules and telangiectases. Persistent facial erythema and flushing is noted. It may be associated with edema, burning, stinging,roughness or scaling. Ocular involvement may manifest asblepharitis, conjunctivitis, iritis, scleritis, hypopyon and keratitis. Treatment:Both topical as well as oral medications are used in the management of rosacea. 15 percent azelaic acid gel, 1 percentmetronidazole are some of the approved for the management of rosacea. They are effective in clearing the inflammatory papules. Tetracycline or oral retinoidsmay also be used in the management of rosacea. Some of the other medications which have been proved to be beneficial in rosacea include clindamycin, adapalene, benzoylperoxide and tacrolimus. Some reports have also suggested the beneficial effects of phototherapy in the management of rosacea. Rosacea is a common and chronic condition and has a tendency to relapse. A multi modal approach to treatment is required in the effective management of rosacea.