Rosacea – What is Rosacea?

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Rosacea is a common skin condition that can cause persistent redness, visible small blood vessels (telangiectasia), pimples and pus-filled spots. The nose can become enlarged and bulbous (rhinophyma), and there may be excess oil secreting from the glands in the eyelids (ocular rosacea).

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A physician will treat the patient with oral and topical medications to control symptoms. A person can help by practicing good skin care and avoiding things that trigger the condition.

Symptoms

If you have rosacea, your skin might look flushed or red and may feel hot or warm. There are four different types of rosacea, and your doctor can advise you which type or types you have. Your doctor will also advise you on your symptoms and which things might make them worse or better.

The most common symptoms of rosacea are long-lasting facial redness and dilated blood vessels. You might also have small red solid bumps and pus-filled pimples that resemble acne. The skin on your nose might thicken and enlarge, making it bulbous (rhinophyma). In some people, the eyelids might become irritated, and the eyes might appear watery or bloodshot. Occasionally, the skin on the chest and neck can be affected.

Your symptoms might come and go, but if you don’t treat them they will get worse. Symptoms often flare up after sun exposure, in cold weather, when you drink alcohol or take spicy foods, when you smoke, or if you use harsh cleansers. Rosacea is more likely in women and light-skinned people, but anyone can develop it. It tends to affect people over 30. It can be caused by heredity, an overactive immune system, certain medications, or environmental factors. It most commonly appears on the forehead, cheeks, chin, and nose but can affect other parts of the face and body as well.

Diagnosis

There are no specific tests for rosacea, so doctors usually diagnose the condition by its appearance. However, if you have symptoms that affect the eyes (eye rosacea), it’s important to see an ophthalmologist (eye specialist) as soon as possible. In rare cases, the inflammation of rosacea can cause damage to the cornea or the vitreous body (the gel that fills the eyeball), which could result in permanent vision loss.

Symptoms of rosacea can vary greatly from person to 강남피부과 person, so it may take some time before you find the right combination of treatments to help control your symptoms. It’s important to keep a diary of your symptoms, including when they appear or get worse and what seems to make them better or worse. This can help your doctor identify things that trigger your rosacea and find ways to reduce your flare-ups.

Dermatologists (skin doctors) treat rosacea with topical creams and oral medications, especially those that are able to suppress the skin’s excess oil production. In some cases, laser or intense pulsed light treatment can be used to shrink visible blood vessels and reduce redness and flushing. In addition, a plastic surgeon can reduce the appearance of a bulbous nose (rhinophyma) that occurs in some people with severe rosacea. For ocular symptoms, an ophthalmologist should be seen as soon as possible because untreated eye complications such as styes can lead to permanent vision loss.

Treatment

A variety of medications can reduce your symptoms and help your face look better. But long-term treatment is needed to prevent your rosacea from coming back.

The first step is avoiding anything that makes your rosacea worse. That might include sun damage, spicy foods, alcohol, and more. Your doctor can tell you what triggers your rosacea.

Some rosacea is caused by problems with your blood vessels. They get larger and more visible, especially in the cheeks, chin, and forehead. This type of rosacea is called erythematotelangiectatic rosacea. It’s often milder than other types of rosacea.

Your doctor may prescribe skin creams that reduce inflammation and redness. These can be used once or twice a day, such as metronidazole (0.75% gel, lotion, and cream), sodium sulfacetamide and sulfur, azelaic acid, and brimonidine tartrate. You may also need a prescription-strength antibiotic such as ivermectin.

If you have ocular rosacea, your doctor may prescribe eye drops to help relieve dryness and irritation. They might also prescribe a topical steroid such as blephamide or tetracycline.

You might have other treatments for your rosacea, including laser or light therapy. These are used to treat the redness and bumps of papulopustular rosacea. Your doctor might also recommend sclerotherapy to remove small blood vessels that cause rosacea. This treatment is done in the office and takes about an hour.

Prevention

Whether it is caused by an overactive immune system, heredity or environmental factors, rosacea can make people feel embarrassed or depressed. However, rosacea is not contagious and there are things that can be done to improve symptoms. It is important to see a skin specialist (dermatologist) for a diagnosis and proper treatment.

For example, if people know that their rosacea gets worse after they drink alcohol or use spicy foods, they may be able to prevent flare-ups by cutting down on these triggers. It is also important to wear sunscreen, especially during the midday sun, as this can reduce redness and flushing by limiting the amount of UV radiation that comes into contact with the skin. People should also avoid hot baths and saunas, as well as excessive sweating.

Stress can also be a trigger, so reducing this by exercising regularly or trying relaxation techniques such as meditation or yoga can help. People should also wash their faces with a gentle cleanser and avoid products that are irritating, such as abrasive scrubs or those that require a strong solvent for removal.

It is a good idea to use a soft brush or a cotton pad soaked in water, not soap, to clean the face, and to allow it to dry completely before applying cosmetics. For those whose eyes are affected, using a gentle, water-based eye makeup or using a cream that is not comedogenic can help prevent irritation and swelling.