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Rosacea

Rosacea

Rosacea is a chronic rash involving the central face that most often affects those aged 30 to 60. It is common in those with fair skin. Rosacea is a skin condition affecting the face which typically causes one or more of the following symptoms: persistent redness of the cheeks (often sparing the skin around the eyes), abnormally long and sometimes uncomfortable flushing (blushing) of the skin in response to emotional or environmental stimuli, and sometimes red spots and pustules on the face.

What is the cause of rosacea?

There are several theories regarding the cause of rosacea, including genetic, environmental, vascular and inflammatory factors. Skin damage due to chronic exposure to ultraviolet radiation plays a part.

What are the clinical features of rosacea?

Rosacea results in red spots (papules) and sometimes pustules. They are dome-shaped rather than pointed and unlike acne, there are no blackheads, whiteheads or nodules. Characteristics of rosacea include:

  • Frequent flushing
  • A red face due to persistent redness and/or prominent blood vessels – telengiectasia
  • Red papules and pustules on the nose, forehead, cheeks and chin often follow (inflammatory or papulopustular rosacea); rarely, the trunk and upper limbs may also be affected
  • Dry and flaky facial skin
  • Aggravation by sun exposure and hot and spicy food or drink (anything that reddens the face)
  • Sensitive skin: burning and stinging, especially in reaction to make-up, sunscreens and other facial creams
  • Red, sore or gritty eyelid margins including papules and styes and sore or tired eyes (conjunctivitis) –ocular rosacea

What is the treatments available ?

The treatment can be divided into

  1. General Measures:
    Like avoidance of sun, avoiding topical steroids, minimise your exposure to hot or spicy foods, alcohol, hot showers and baths and warm rooms.
  2. Oral antibiotics for rosacea
  3. Topical treatments
  4. Vascular laser