Commonly mistaken for acne, eczema, or a skin allergy due to its characteristic redness and the appearance of small pus-filled bumps, Rosacea is a chronic yet benign skin condition that, unlike mot similar skin diseases, is confined only to the face, commonly affects fair-skinned individuals, and occurs in the form of periodic or unregulated flare-ups lasting anywhere between a few weeks to months. Below we talk in detail about the symptoms and treatment for Rosacea.
Rosacea is divided into 4 subtypes based on individualized symptoms accompanying a shared trait, i.e. facial redness due to broken and visible blood vessels:
1- Erythematotelangiectatic Rosacea (ETR)
It is characterized by frequent flushing and redness in the center of the face, with other symptoms being:
2- Papulopustular Rosacea
Acne-like breakouts accompany facial redness and blood vessel breakage in this common form of rosacea. Other signs include:
3- Rhinophyma
While commonly affecting the skin on the nose, this rare subtype can also form thickened skin patches on the chin, forehead, cheeks, ears and eyelids (where it is then called ‘phyma’), and usually affects men; with other defining symptoms being:
4- Ocular Rosacea
Often mistaken for an eye infection, rosacea may sometimes manifest as blood vessel breakage and redness in the eyes and eyelids. It can happen before or after facial redness. Ocular rosacea can damage and expose the eyes to potentially sight-threatening infections if left untreated. Other definitive symptoms include:
The exact causes of Rosacea are not known to doctors, yet. However, they have singled out some things that might be to blame. These are:
Also, you are likely to contract Rosacea if you have these characteristics: are a female; middle-aged ( in your 30s or 40s); have a lighter skin tone; and/or indulge in smoking. Some things about you may make you more likely to get rosacea.
Although varying from person to person, following are the most common flare-up triggers that work by increasing blood flow to the face:
Since rosacea cannot be cured, treatment usually comprises of symptom control via the following methods:
1- Skincare
This first-line treatment involves mild facial cleansers applied only using the fingertips, oil-free, water-based skincare products, rinsing with lukewarm or cool water, and foregoing products containing alcohol, menthol, and exfoliating agents to avoid irritating the skin. Moreover, flare-ups can also be disguised using green-tinted facial powders or concealers prior to applying a light, liquid foundation.
2- Sunlight Protection
Sufferers of rosacea should avoid direct sunlight, particularly during midday, wear sun-protective clothing and sunglasses, and apply broad spectrum sunscreen (a minimum of SPF 30) before going outdoors.
3- Medication
Commonly prescribed for severe cases, medication options can be in the form of oral or topical antibiotics, such as:
4- Lasers and Light Therapy
Severe facial redness can also be reduced via a series of laser or light exposure treatments that work by shrinking blood vessels, with effects lasting between 1-2 years. However, it can produce dangerous side-effects such as burns, blisters, skin discoloration, and permanent scarring if performed incorrectly.
For thickened skin reduction, Microdermabrasion, a form of exfoliation that works by sanding off the top layer of skin, is also a viable option.
5- Surgery
Extremely thickened skin can be treated surgically by removing the excess skin and reshaping the operated area, such as the nose, or chin. Patients often require regular isotretinoin use to maintain the results post-surgery.
As symptoms and treatment for Rosacea are common with many other skin conditions and eye infections, prolonged inflammation, particularly in the eye region, should be examined by a professional in order to rule out other skin and eye conditions. You can book an appointment with a top Ophthalmologist (in case of ocular rosacea) or Dermatologist in Karachi, Rawalpindi and Multan through oladoc.com, or call our helpline at 042-3890-0939 for assistance to find the RIGHT Doctor for your dermal concerns.
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