Information about Rosacea*

WHAT IS ROSACEA?
Rosacea is an "adult form" of acne which is characterized by a chronic inflammation of the cheeks, nose, chin, and forehead. Pimples and pustules may also occur, and in some patients enlargement of the oil glands of the nose results in enlargement of the nose, or rhinophyma.
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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. 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. The source of this article is
Wikipedia, the free encyclopedia. The text of this
article is licensed under the
GFDL
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