You are seeing a 26-year-old female in a primary care setting who has presented with flushing. This individual informs you that she has persistent redness of the skin, which flushes intermittently lasting several hours. On examination you note the presence of telangiectasia and multiple dome-shaped red papules which are not tender to touch. The patient also informs you that this flushing often burns. What is the most likely diagnosis based on the above presentation?