Rosacea

Rosacea causes redness and swelling of the face and acne-like lesions, most often starting across the cheeks and nose like a mask. Adults with fair skin, especially women between the ages of 30 and 50 years, are most likely to develop this skin disease, although the condition can occur in anyone of any age. Rosacea develops over months to years, first appearing like a blush that comes and goes, followed by a ruddy complexion with redness that doesn't disappear, to progression to thick bumps on the nose and cheeks if left untreated. Patients tend to flush or blush easily.

Physical exam

Areas of the face are red and may show tiny blood vessels on the skin's surface (telangiectasias) and small red bumps and pimples. The ears, chest, and back may also be affected. In more advanced forms of rosacea, enlarged oil glands may cause a bulbous nose (rhinophyma) and puffy cheeks. Some patients may even have burning or a gritty sensation in the eyes (ocular rosacea).

Treatment

  • Stop the use of soaps and moisturizers containing alcohol
  • Topical antibiotics such as metronidazole
  • Topical cleansers and creams such as benzoyl peroxide and azelaic acid
  • Oral antibiotics to reduce inflammation, such as tetracycline, Doxycycline, minocycline, or erythromycin
  • Isotretinoin (Accutane) for severe cases or if other treatments fail
  • Laser Therapies to close off the dilated blood vessels or in advanced cases to remove excess tissue
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