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According to the National Rosacea Society Expert Committees latest diagnostic guidelines, having any one of these clinical presentations would be enough to diagnose rosacea: Fixed redness in the middle of the face in a characteristic pattern that may intensify intermittently Changes related to phymatous In addition, having at least two of these major criteria would also be enough for diagnosis: Flushing Papules and pustules Blood vessels seen on the skin surface (telangiectasia) Eye-related symptoms like visible blood vessels on the eyelid margin, redness of the white part of the eye (conjunctival injection), irregular shaped inflamed spots in the cornea, and inflammation of the fibrous layer of the eye (scleritis and sclerokeratitis)