A 40 year old woman presents with a 2 year old H/o erythematous papulo pustular lesions on convexities of the face. There is a background of erythema & telengiectasia. The most likely diagnosis is –

This woman has :- i) Papulo-pustular lesion ii) Background of erythema and telangectasia iii) Involvement of face iv) Age → 40 years Papulo-pustular lesion on face are caused by acne vulgaris and Acne rosacea, but presence of telangectasia and age (40 years) suggest the diagnosis of Acne rosacea.