Rosacea in darker-skinned individuals may present with less obvious redness but can still cause persistent facial swelling, bumps, or pustules, leading to misdiagnosis as acne or other skin conditions. Common areas affected include the cheeks, nose, and forehead, with symptoms like burning, stinging, and visible blood vessels that may be harder to detect on darker skin. Treatment involves topical or oral medications such as metronidazole, azelaic acid, or doxycycline, as well as lifestyle modifications to avoid triggers like sun exposure, spicy foods, nicotine, or stress.