Rosacea
 

1. What is acne rosacea?
Acne rosacea or rosacea is a skin disease that causes redness and swelling on the face. As the disease progresses, small blood vessels and tiny pimples begin to appear on and around the reddened area. When it first develops, rosacea may appear, disappear, and then reappear a short time later. The condition rarely reverses itself and may last for years. It will become worse without treatment.

2. What does rosacea look like?
As rosacea progresses, pimples appear on the face in the form of small, solid red bumps and pus-filled bumps. These are usually accompanied by telangiectasia which are enlarged blood vessels on the surface of the skin. This condition affects mainly the forehead, the chin and the nose. Rosacea may also be accompanied by oily skin, and possibly dandruff. Approximately half of all rosacea patients experience burning and grittiness of the eyes. If this condition is not treated, it can lead to even more serious complications that may threaten vision.

3. Who develops rosacea?
Those most likely to develop rosacea are fair-skinned adults, especially women, between the ages of 30 and 50. For some unknown reason, women get rosacea more often than men. Rosacea develops over a long period of time. It may first seem like a tendency to blush easily, a ruddy complexion, or an extreme sensitivity to cosmetics. Certain drugs may dilate the blood vessels in the skin and make rosacea worse. The exact cause of rosacea is still unknown, although studies have shown that many factors can irritate the condition.

4. What should patients with rosacea avoid?
Drinking too much alcohol of any type, spicy foods, hot drinks, caffeine, and smoking will dilate blood vessels and cause blood to rush to the affected areas.

  • Limiting exposure to sunlight, or extreme hot and cold temperatures will help relieve the symptoms of rosacea. Use a nonalcohol based sunscreen with an SPF of 15 or higher.
  • Rubbing or massaging the face should also be avoided because it will tend to irritate the reddened skin.
  • Avoiding irritating cosmetics and using hair sprays properly will help prevent redness and swelling.

5. What treatments are available for rosacea?
Topical antibiotic gels or creams such as metronitrozole will probably provide a slight improvement in the first three to four weeks of use. When applying these creams, the chances of irritation will be reduced if the face is freshly washed and dried. A great deal of improvement will be noticeable in two months. Oral antibacterial capsules or tablets tend to produce faster results than topical medications and are used in more severe cases. Steroid (cortisone) creams will often reduce the redness and help heal the bumps. Strong steroid creams used over a long period of time may aggravate or cause rosacea. Telangiectasias may be treated with a small electric needle or laser surgery to close off the dilated blood vessels.


 

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