What is the most likely diagnosis for a 40-year-old woman with facial flushing, papules, telangiectasias, and dry eyes?

The symptoms described—facial flushing, papules, telangiectasias, and dry eyes—are classic indicators of rosacea. This skin condition typically presents with persistent redness on the face, often accompanied by small red bumps (papules) and visible blood vessels (telangiectasias). Flushing can also occur, especially when triggered by certain stimuli like temperature changes or food.

In patients with rosacea, dry eyes can be a common co-existent condition as the inflammation can extend beyond the skin to affect the eyes, leading to conditions such as ocular rosacea. This connection helps to draw a more comprehensive picture of the patient's condition.

In contrast, perioral dermatitis mainly affects the area around the mouth and may present with small red bumps but does not typically involve flushing or the broader array of symptoms found in rosacea. Acne vulgaris involves deeper cysts and does not generally lead to the flushing and redness characteristic of rosacea. Hot tub folliculitis, typically caused by pseudomonas infection, would present with different types of lesions and is usually associated with exposure to contaminated water rather than the chronic redness and flushing seen in rosacea.