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  Acne Rosacea

Acne Rosacea is a recurring inflammatory disorder of the skin of the nose, cheeks, and forehead that is characterized by swelling, dilation of capillaries, pimples, and a reddened appearance. The tiny blood vessels or capillaries in these appear as red lines called telangiectasias. Pimples Rosacea can be frequently mistaken for acne, often referred to as acne rosacea.

Acne Rosacea Skin diseases
Acne Rosacea


Symptoms:

Symptoms of rosacea may gradually appear, disappear and then reappear. After a while, the skin does not return to its normal color and the telangiectasias or dilated blood vessels and pimples appear. Rosacea looks like an inflammation of the skin of the middle face: nose, cheeks and lower forehead, though it can appear on the chin as well. Rarely does rosacea clear up on its own. It can last for years and can worsen. Rosacea does not cause blackheads or whiteheads as in typical acne.

When untreated, rosacea can cause rhinophyma – growth of the nose. The nose becomes disfigured, bulbous and red with puffy cheeks. Rosacea may also cause think bumps on the end of the nose and on the cheek area next to the nose. Sever rhinophyma may require surgery to repair the condition. Rhinophyma occurs mainly in men.

Fifty percent of patients with rosacea have eyes that burn and feel gritty like conjunctivitis. This can cause complications, if untreated resulting in rosacea keratitis. Rosacea Keratitis is damage to the cornea and leads to impaired vision.

Diagnosis:

A physician will examine the patient’s eyes and skin on the face and neck. If the diagnosis is uncertain, then the doctor may order blood work to rule out other conditions of the skin such as lupus or a fungal infection.

The doctor will also look at the history of the symptoms, when they began and how often they flare up and a family history to achieve the correct diagnosis.

Causes:

The cause of rosacea is unknown.

Rosacea is more common in people who blush easily. Emotional state – fear, stress, and anxiety may aggravate rosacea. Changes in weather such as increased humidity, sun exposure and strong wind aggravate rosacea as well. The bacteria Heliobacter pylori, associated with stomach ulcers, mites found in hair follicles and certain medications are thought to bring about rosacea. Medications called vasodilators, which dilate blood vessels are thought to cause some cases of rosacea.

Treatment:

There is no cure for rosacea, but proper treatment that is regularly followed can control this disease. Over the counter acne medicine is not recommended and can irritate the skin further.

Treatment to control rosacea is a combination of oral and topical medicines. Antibiotic cream and oral antibiotic are used to reduce the redness and inflammation. Cortisone preparations at the correct strength are also used to reduce inflammation. Some prescription creams that are used to treat acne may also be used to treat rosacea such as Accutane (isotretion), Retin-A (tretinoin). Elimite cream (permethrin) which is used to treat mites and scabies is also sometimes prescribed for rosacea patients.

Certain behaviors may help reduce the redness of rosacea. Rosacea patients are recommended to avoid smoking, food and drink that can cause blushing ( spicy food and hot beverages and alcohol). Strong doses of cortisone cream can promote blood vessel dilation and are also recommended to be avoided.

Care of the skin is also important when treating rosacea. Patients are advised to not rub their face, avoid certain cosmetics, soaps and hair sprays. Patients are also advised to gently apply lotion (after medication lotion has dried) and to always wear at least SPF 15 sun block lotion when outside – regardless of the weather. Many moisturizers and creams contain sun block.

Prevention:

Currently, since the cause is still unknown, there is no prevention for rosacea. Flair-ups can be avoided through a patient diary. A patient diary should not when flair ups occur and the precipitating circumstances. This will help determine rosacea flare-up triggers. Triggers, can be food, activity, sun, spicy foods, wind, make – up or cosmetics, hot or cold temperatures, stress, and exercise. There are no risk factors for rosacea, but there is a hereditary connection as many patients may have a family member also with rosacea.

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