Rosacea Facts - Rosacea Information - Rosacea Treatments
Rosacea is a chronic disorder involving inflammation of the cheeks, nose, chin, forehead, or eyelids. It may cause redness, prominent blood vessels, swelling, or skin eruptions similar to acne.
The cause of rosacea is unknown. The disorder involves enlargement of the blood vessels just under the skin. It occurs most often in fair skinned people, particularly those who blush easily. Women are more commonly affected, but men are usually more severely affected. Symptoms usually begin between ages 30 to 50. Rosacea may be associated with other skin disorders (acne vulgaris, seborrhea) or eye disorders (blepharitis, keratitis).
Although the cause of rosacea is unknown, you are more likely to develop this harmless skin condition if:
|
·
|
You are a woman. However, men are usually more severely affected.
|
|
·
|
You are between the ages of 30 and 50.
|
Rosacea involves enlargement of the blood vessels just under the skin and may be associated with other skin disorders (acne vulgaris, seborrhea) or eye disorders.
Symptoms
|
·
|
Redness of the face in discrete areas or covering the entire face
|
|
·
|
A tendency to flush or blush easily
|
|
·
|
Increased vascularity (spider-like blood vessels called telangiectasia) of the face
|
|
·
|
Acne-like skin eruptions (may ooze or crust)
|
|
·
|
A burning or stinging sensation of the face
|
|
·
|
Irritated, bloodshot, watery eyes
|
Treatment Return to top
There is no known cure for rosacea. The goal is to identify and avoid possible triggers, and thus reduce flare-ups. In fact, the National Rosacea Society strongly recommends that you keep a symptom diary to identify the specific triggers you may have. As you keep track of your symptoms, you should start to see a pattern within several weeks of what makes your rosacea worse. Use this information to avoid future flare-ups.
Here are some steps that may help:
|
·
|
Avoid sun exposure. Use sunscreen every day.
|
|
·
|
Avoid prolonged exertion in hot weather.
|
|
·
|
Try to reduce stress. Try deep breathing, yoga, or other relaxation techniques.
|
|
·
|
Limit spicy foods, alcohol, and hot beverages.
|
Triggers vary from person to person. Other triggers may include wind, hot baths, cold weather, specific skin products, exercise, or other factors. Booklets and a symptom diary containing more detailed management tips can be found at www.rosacea.org.
Oral antibiotics (such as tetracycline, minocycline, or doxycycline) or topical antibiotics (like metronidazole) applied to your face may control skin eruptions. Other medications (isoretinol or Accutane), which are similar to vitamin A, are stronger alternatives that your doctor or dermatologist might consider.
In severe cases, laser surgery may help reduce the redness. Surgical reduction of enlarged nose tissue may also improve your appearance, if you so choose.
Who Gets Rosacea?
Approximately 14 million people in the United States have rosacea. It most often affects adults between the ages of 30 and 60. Rosacea is more common in women (particularly during menopause) than men. Although rosacea can develop in people of any skin color, it tends to occur most frequently and is most apparent in people with fair skin.
What Does Rosacea Look Like?
There are several symptoms and conditions associated with rosacea. These include frequent flushing, vascular rosacea, inflammatory rosacea, and several other conditions involving the skin, eyes, and nose.
Frequent flushing of the center of the face--which may include the forehead, nose, cheeks, and chin--occurs in the earliest stage of rosacea. The flushing often is accompanied by a burning sensation, particularly when creams or cosmetics are applied to the face. Sometimes the face is swollen slightly.
A condition called vascular rosacea causes persistent flushing and redness. Blood vessels under the skin of the face may dilate (enlarge), showing through the skin as small red lines. This is called telangiectasia (tel-AN-je-ek-tay-ze-ah). The affected skin may be swollen slightly and feel warm.
A condition called inflammatory rosacea causes persistent redness and papules (pink bumps) and pustules (bumps containing pus) on the skin. Eye inflammation and sensitivity as well as telangiectasia also may occur.
In the most advanced stage of rosacea, the skin becomes a deep shade of red and inflammation of the eye is more apparent. Numerous telangiectases are often present, and nodules in the skin may become painful. A condition called rhinophyma also may develop in some men; it is rare in women. Rhinophyma is characterized by an enlarged, bulbous, and red nose resulting from enlargement of the sebaceous (oil-producing) glands beneath the surface of the skin on the nose. People who have rosacea also may develop a thickening of the skin on the forehead, chin, cheeks, or other areas.
How Is the Eye Affected?
In addition to skin problems, up to 50 percent of people who have rosacea have eye problems caused by the condition. Typical symptoms include redness, dryness, itching, burning, tearing, and the sensation of having sand in the eye. The eyelids may become inflamed and swollen. Some people say their eyes are sensitive to light and their vision is blurred or otherwise impaired.
What Causes Rosacea?
Doctors do not know the exact cause of rosacea but believe that some people may inherit a tendency to develop the disorder. People who blush frequently may be more likely to develop rosacea. Some researchers believe that rosacea is a disorder where blood vessels dilate too easily, resulting in flushing and redness.
Factors that cause rosacea to flare up in one person may have no effect on another person. Although the following factors have not been well-researched, some people claim that one or more of them have aggravated their rosacea: heat (including hot baths), strenuous exercise, sunlight, wind, very cold temperatures, hot or spicy foods and drinks, alcohol consumption, menopause, emotional stress, and long-term use of topical steroids on the face. Patients affected by pustules may assume they are caused by bacteria, but researchers have not established a link between rosacea and bacteria or other organisms on the skin, in the hair follicles, or elsewhere in the body.
Can Rosacea Be Cured?
Although there is no cure for rosacea, it can be treated and controlled. A dermatologist (a medical doctor who specializes in diseases of the skin) usually treats rosacea. The goals of treatment are to control the condition and improve the appearance of the patient's skin. It may take several weeks or months of treatment before a person notices an improvement of the skin.
Some doctors will prescribe a topical antibiotic, such as metronidazole, which is applied directly to the affected skin. For people with more severe cases, doctors often prescribe an oral (taken by mouth) antibiotic. Tetracycline, minocycline, erythromycin, and doxycycline are the most common antibiotics used to treat rosacea. The papules and pustules symptomatic of rosacea may respond quickly to treatment, but the redness and flushing are less likely to improve.
Some people who have rosacea become depressed by the changes in the appearance of their skin. Information provided by the National Rosacea Society indicates that people who have rosacea often experience low self-esteem, feel embarrassed by their appearance, and claim their social and professional interactions with others are adversely affected. (See "Where Can People Get More Information About Rosacea?" below.) A doctor should be consulted if a person feels unusually sad or has other symptoms of depression, such as loss of appetite or trouble concentrating.
Doctors usually treat the eye problems of rosacea with oral antibiotics, particularly tetracycline or doxycycline. People who develop infections of the eyelids must practice frequent eyelid hygiene. The doctor may recommend scrubbing the eyelids gently with diluted baby shampoo or an over-the-counter eyelid cleaner and applying warm (but not hot) compresses several times a day. When eyes are severely affected, doctors may prescribe steroid eye drops.
Electrosurgery and laser surgery are treatment options if red lines caused by dilated blood vessels appear in the skin or if rhinophyma develops. For some patients, laser surgery may improve the skin's appearance with little scarring or damage. For patients with rhinophyma, surgical removal of the excess tissue to reduce the size of the nose usually will improve the patient's appearance.