Evidence map›Paper›PMID 42124752›Full record

ReviewCureus2026

Therapeutic Efficacy and Safety of Botulinum Toxin Type A in Erythematotelangiectatic Rosacea: A Systematic Review.

Khadija Marrar, Rawan Althiyabi, Maria Alsannaa, Renad Alfalah, Jumanah Soroje, Eyad Anbar, Ibtiahl Al Ibrahim, Ameen Al Awadhi

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Khadija MarrarCollege of Medicine, Almarefa University, Riyadh, SAU.
Rawan AlthiyabiCollege of Health Science and Rehabilitation, Princess Nourah University, Riyadh, SAU.
Maria AlsannaaCollege of Medicine, Royal College of Surgeons in Ireland, Medical University of Bahrain, Busiteen, BHR.
Renad AlfalahDepartment of Dermatology, King Saud Medical City, Riyadh, SAU.
Jumanah SorojeCollege of Medicine, Umm-Al Qura University, Makkah, SAU.
Eyad AnbarCollege of Medicine, King Abdulaziz University, Jeddah, SAU.
Ibtiahl Al IbrahimCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Ameen Al AwadhiDepartment of Dermatology, Sheikh Khalifa Medical City, Abu Dhabi, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum toxin type A (BoNT-A) injections have a well-known cosmetic outcome and safety profile in a variety of medical conditions. Recent studies have shown promising results for possible use in treating erythematotelangiectatic rosacea (ETR). This systematic review aimed to evaluate the efficacy and safety of BoNT-A injections in patients with ETR. A systematic search was conducted across multiple databases to identify relevant studies. Eligible articles were randomized controlled trials (RCTs) that investigated BoNT-A injections in adults diagnosed with ETR. Studies involving other rosacea subtypes, lacking a comparative group, or combining BoNT-A with other interventions without isolating its effects were excluded. Three RCTs met the inclusion criteria. Both parallel-group and split-face analyses demonstrated that BoNT-A injections significantly reduced facial erythema and flushing, resulting in improved patient satisfaction. Across all studies, BoNT-A was well-tolerated, with adverse events being mild, transient, and self-limited. However, the evidence remains limited by the small sample sizes, suboptimal study designs, and short follow-up durations. BoNT-A injections show promising efficacy and safety in the treatment of ETR. However, larger, well-designed randomized trials with longer follow-up durations are required to confirm its therapeutic role and establish standardized treatment protocols.

Indexed as

bont-abotulinum toxinbotulinum toxin-a (bont-a)etrrosaceasystematic reviewtype 1 rosacea

Identifiers

PMID42124752
PMCPMC13159499

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.