Definitions and Overview
Rosacea is a common skin condition in the centre of the face. The disorder is characterized by redness and the presence of a wound containing pus. This condition is prolonged (chronic), with a burning and visible appearance. Because this condition affects a person’s physical appearance, the patient may experience psychological and emotional problems.
Four Types of Acne Rosacea
- Rosacea Eritematotelangiectasis, it is a type characterized by a permanent reddish face. The patient’s blood vessels may be visible on the surface of the skin. The skin becomes scaly, dry and easy to flush.
- Rosacea Papulopustular, patients of this type have a persistent redness of the face, sometimes there is a lump like pimples (pustules).
- Rosacea Fimatosa, associated with skin thickening.
- Rosacea Okular, in this type, the eye is also affected.
Patients can have a combination of more than one type of Rosacea at any given time. One type can also develop into other types.
Rosacea rarely occurs in someone less than 30 years old. In addition, heredity contributed to the Rosacea. Although no specific studies have been done to show that Rosacea is inherited, the survey showed that about a third of patients had relatively similar symptoms. Rosacea is more common in women. However, men who experience Rosacea tend to have more severe symptoms. An estimated 16 million people in the United States experienced Rosacea.
Cause of Acne Rosacea
Currently, there is still no known cause of Rosacea. White people who tend to be more easily flushed are believed to be persons who are at risk of suffering Rosacea. Other triggers, including climate change, excessive temperature exposure, and sunburn. Certain components in food, i.e. caffeine, alcohol and spices, can also cause this condition. Other triggers include stress and anxiety training.
Some medications, such as steroid smearing, can cause skin irritation that causes Rosacea. Peeling with chemicals, microdermabrasion treatments, tretinoin and benzoyl peroxide, all of which are used to treat acne, can also cause Rosacea. If you use this medicine, it is better to reduce the dose gradually rather than stopping directly, to prevent a sudden reaction or burning sensation.
The common symptoms of Rosacea are redness on the cheeks, forehead, chin and nose. Patients often experience redness and blush. Over time, redness becomes sedentary and can cause permanent skin changes. Depending on the type of Rosacea, some of the patient’s blood vessels and small pimples or pus-filled wounds on the face may be visible. In addition, plaques or patches are elevated, swelling and facial edema can also be experienced by patients. Physical symptoms may be accompanied by burning, itching or stinging sensations.
In patients with Rosacea eye type, the eyes become irritated. The eyes become red, and the eyelids swell and become red. Patients may experience foreign objects or sensations of sand in the eyes and light sensitivity. The eyes may also be susceptible to infection. In severe cases, the cornea of the eye can be damaged, causing vision loss.
Long-term rosacea may cause excessive growth of skin and connective tissue, especially from the nose. Rhinophyma is the result of thickening of the skin above the nose, resulting in enlargement of the nose and the skin of the nose becomes distorted and nodding.
Whom to Refer to and Type of Treatment Available
If you experience recurrent redness or persistence on the face or other symptoms of Rosacea, then you should consult a dermatologist. This condition is relatively similar to other common skin conditions such as seborrheic dermatitis or acne. The dermatologist will check this condition and can provide the right treatment.
Treatment depends on the type of Rosacea that the patient has and the severity of the condition. The goal of this treatment is to reduce redness and facial wound and minimize the occurrence and severity of burning sensation. A mixture of topical and drunk medicines is usually used to control symptoms. Once well-controlled, topical treatment is used to ensure improved condition. Improvements are usually recorded after 1-2 months of treatment.
Lifestyle changes and good skin care are important aspects of treating Rosacea. It is advisable to avoid triggers, such as foods or medicines that can cause worsening conditions. Minimizing sun exposure, using a regular sunscreen, a wide-brimmed hat, and an umbrella is also recommended. Skin care for patients with Rosacea includes the use of gentle cleansers, sunscreens, and non-irritating moisturizing products. Patients with mild Rosacea, on the other hand, may use cosmetics to mask the redness.
Certain medications can be used to treat wounds caused by Rosacea. Topical treatment such as antibiotic metronidazole can reduce injury and inflammation. Occasionally, topical treatment may be combined with the use of oral antibiotics, such as doxycycline, to treat ulcers. Certain topical treatment, such as alpha brimonidine agonists and propranolol beta blockers, may help to minimize redness.
In some cases, Rosacea, laser therapy is recommended. Intense pulsed light (IPL) can reduce skin reddening. Treatment with IPL uses light and heat to damage small blood vessels located in the skin and allows the skin to heal by itself.
For patients with rhinophyma, there are several options available to take excessive tissue over the nose and then restore the shape. The options in question are the use of carbon dioxide lasers, radiofrequency ablation (RFA), and surgery.
In the case of ocular Acne Rosacea, a patient should consult further with an ophthalmologist to relieve eye symptoms and prevent permanent damage and loss of vision.