Health Disease
Neurology Disorders | Cardiology Disorders | Respiratory Diseases | Blood Disorders | Eye Diseases | Endocrine Disorders | Reproductive Disease | Urinary Disorders | Digestive Disorders | Infectious Diseases | Skin Disorders | Immune Disorders | Home Remedies | Herbal Medicines | Drugs & Medicines | First Aid | Plastic Surgery | Depression | Yoga Health | Hair Loss

Home :: Skin Disorders

Rosacea - Causes, Symptoms and Treatment

 

Acanthosis Nigricans
Acne Scars
Acne
Acrochordons
Acrodermatitis Continua
Actinic Keratosis
Allergic Contact Dermatitis
Alopecia Areata
Amoebiasis
Anal Warts
Androgenic Alopecia
Angioma
Aphthous Ulcer
Athlete's Foot
Atopic Dermatitis
Atypical Moles
Baldness
Blackheads
Blue Nevi
Boils
Bowens Disease
Bullous Pemphigoid
Capillary Hemangioma
Cavernous Hemangioma
Cellulitis
Chapped Lips
Chilblains
Common Warts
Cracked Heels
Dandruff
Dark Circles
Dermatitis Herpetiformis
Dermatitis
Dermatofibroma
Dry Lips
Dyshidrotic Eczema
Dysplastic Nevi
Eczema
Epidermolysis Bullosa
Erythroderma
Facial Rashes
Flexural Psoriasis
Folliculitis
Fordyce's Condition
Freckles
Furunculosis
Genetal Wart
Genital Herpes
Granuloma Annulare
Guttate Psoriasis
Halo Nevus
Hand Dermatitis
Heat Rash
Herpes Simplex
Herpes Zoster
Hidradenitis Suppurativa
Leucoderma
Lyme
Lymphomatoid Papulosis
Mastocytosis
Melasma
Morton's Neuroma
Mucocutaneous Candidiasis
Mycosis Fungoides
Necrobiosis Lipoidica Diabeticorum
Paget's Ddisease
Pemphigus Vulgaris
Perioral Dermatitis
Periorbital Cellulitis
Pimples
Pityriasis Alba
Pityriasis Lichenoides Chronica
Pityriasis Rosea
Pityriasis Rubra Pilaris
Pityrosporum Folliculitis
Plantars Wart
Poison Ivy
Pompholyx
Porphyria Cutanea Tarda
Pruritis
Pruritus Ani
Pseudofolliculitis Barbae
Puffy Eyes
Pustular Psoriasis
Rosacea
Sarcoidosis
Scabies
Sebaceous Cyst
Sebaceous Hyperplasia
Seborrheic Keratoses
Shingles
Skin Abscess
Skin Cancer
Skin Darkening
Skin Infection
Skin Tags
Strawberry Hemangioma
Sunburn Treatment
Telogen Effluvium
Tinea Capitis
Tinea Corporis
Tinea Cruris
Tinea Infection
Tinea Versicolor

Rosacea is an inflammatory skin disease. The cause of rosacea is unknown. There are several theories regarding the origin of overactive facial blood vessels and inflammation, including genetic, environmental, vascular, inflammatory factors. It begins as erythema on the central face and across the cheeks, nose, or forehead but can also less commonly affect the neck and chest. As rosacea progresses, other symptoms can develop such as semi-permanent erythema, telangiectasia, red domed papules and pustules, red gritty eyes, burning and stinging sensations, and in some advanced cases, a red lobulated nose. Rosacea is most common in women and people with fair skin. Rosacea may be aggravated by facial creams or oils, and especially by topical steroids. There are also some foods and drinks that can trigger flushing, these include alcohol, foods and beverages containing caffeine, foods high in histamines and spicy food. Certain medications and topical irritants can quickly progress rosacea. If redness persists after using a treatment then it should be stopped immediately. Steroid induced rosacea is the term given to rosacea caused by the use of topical or nasal steroids. These steroids are often prescribed for seborrheic dermatitis.

Treating rosacea varies from patient to patient depending on severity and subtypes. People with rosacea often find that certain lifestyle and environmental factors trigger a flare-up or aggravate their individual conditions. Rosacea is not caused by alcohol abuse, as people once thought. But in people who have rosacea, drinking alcohol may cause symptoms to get worse. Trigger avoidance can help reduce the onset of rosacea but alone will not normally cause remission for all but mild cases. Rosacea can affect the eyes. How severely rosacea affects the eye is not related to how severe the facial rosacea is. Left untreated, rosacea tends to be progressive, which means it gets worse over time. Oral tetracycline antibiotics and topical antibiotics such as metronidazole are usually the first line of defence prescribed by doctors to relieve papules, pustules, inflammation and some redness. The treatment of flushing and blushing has been attempted by means of the centrally acting a-2 agonist clonidine, but there is no evidence whatsoever that this is of any benefit.

Causes of Rosacea

The exect cause of rosacea is unknown. Triggers that cause episodes of flushing and blushing play a part in the development of rosacea. Exposure to temperature extremes can cause the face to become flushed as well as strenuous exercise, heat from sunlight, stress, anxiety, cold wind, moving to a warm or hot environment from a cold one such as heated shops and offices during the winter. Certain medications and topical irritants can quickly progress rosacea. If redness persists after using a treatment then it should be stopped immediately. Some acne and wrinkle treatments that have been reported to cause rosacea include microdermabrasion, chemical peels, high dosages of isotretinoin, benzoyl peroxide and tretinoin.

Common causes and risk factors of Rosacea:

  • Sun and wind exposure.
  • Hereditary and environmental factors.
  • Abnormal immune reactions in the skin which leads to inflammation.
  • Long-term use of steroid creams on the face.
  • A steady diet of hot beverages.

Signs and Symptoms of Rosacea

Rosacea may begin as a tendency to flush or blush easily. There are red spots and sometimes pustules in both conditions. A rare symptom is rhinophyma, a thick, leathery texture of the nose skin. The eyes can be affected with irritation and increased light sensitivity. Rosacea may also result in reddened skin, scaling and swelling of affected areas. When the eyes are affected, symptoms may include burning and tearing or the feeling that there is a piece of grit in the eye. The eyelids may swell due to infection. Usually this condition does not impair vision.

Sign and symptoms may include the following :

  • Tendency to flush or blush easily.
  • Red, bulbous nose.
  • Thick skin, usually on the forehead, chin and cheeks.
  • Dry and flaky facial skin.
  • Frequent redness of the face, or flushing.

Treatment for Rosacea

There is no permanent cure for rosacea. There is nothing you can do to prevent rosacea from starting. However, treatments can ease symptoms. The treatments used may vary, depending on what symptoms develop. Oral tetracycline antibiotics and topical antibiotics such as metronidazole are usually the first line of defence prescribed by doctors to relieve papules, pustules, inflammation and some redness. People who develop infections of the eyelids must practice frequent eyelid hygiene. Daily scrubbing the eyelids gently with diluted baby shampoo or an over-the-counter eyelid cleaner and applying warm compresses several times a day is recommended.

Treatment may include:

  • Calcineurin inhibitors such as tacrolimus ointment and pimecrolimus cream are reported to help some patients with rosacea.
  • Tetracycline antibiotics including doxycycline and minocycline reduce inflammation. They reduce the redness, papules, pustules and eye symptoms of rosacea.
  • Sometimes other oral antibiotics such as cotrimoxasole or metronidazole are prescribed for resistant cases.
  • Surgery or other treatments may help your skin look better if you have advanced rosacea.
  • Rhinophyma can be treated successfully by reshaping the nose surgically or with carbon dioxide laser by a dermatologic or plastic surgeon.