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Lesional a* and ∆a* significantly decreased from baseline to week 16 and 28 (P less then .05). A weak correlation existed between clinical ratings and lesional a* (Rs = 0.37), and between clinical scores and ∆a* (Rs = 0.3, with an obvious trend towards greater a* and ∆a* for greater medical results. Interobserver correlation had been large (R2 = 0.82). Conclusion ImageJ is a simple, quick, unbiased and reproducible tool to monitor erythema in rosacea pat