Rosacea is a chronic cutaneous condition of vasomotor instability characterized by central facial erythema, flushing, papules, pustules, and telangiectasia. Ocular symptoms may also be associated. Rosacea is rarely reported in children, and in this retrospective study of 20 children aged 1 to 15 years, Chamaillard et al describe the clinical cutaneous and ocular manifestations of rosacea in this population. The clinical features of childhood rosacea seem similar to those in adults, but ocular manifestations are frequently underdiagnosed or misdiagnosed, leading to ophthalmologic complications. If pediatric cutaneous rosacea is suspected, an ophthalmologic evaluation is necessary to detect ocular involvement and prevent complications such as keratitis and corneal ulcers.