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Rosacea is a common chronic skin condition that usually only affects the face and eyes. Occasionally, the neck, chest, or other areas may be involved. Characterized by redness, pimples, and broken blood vessels, rosacea tends to begin after middle age (between the ages of 30 and 60). It is more common in fair-skinned people and women in menopause.
The cause of rosacea is unknown. An estimated more than 14 million people in the U.S. have rosacea.
Rosacea often begins with easy blushing and flushing of the facial skin. Eventually, redness will persist around the nose area. Then it extends to the rest of the face. Rosacea has a variety of clinical symptoms. It is classified into the following four types, based on these different symptoms:
Frequent episodes of blushing and flushing of the face and neck
Swelling of blood vessels under the facial skin, leading to swollen, warm skin (common in women)
Formation of pimples and enlarged blood vessels on the face
Enlarged oil glands in the nose and cheeks that cause an enlarged, bulbous red nose (almost only seen in men)
In addition, rosacea often affects the eye and eyelid. Eye symptoms may include:
Sensation of a foreign object in the eye
The symptoms of rosacea may resemble other dermatologic conditions, such as acne. Always talk with your healthcare provider for a diagnosis.
Rosacea is usually diagnosed with a complete medical history and physical exam.
Specific treatment for rosacea will be discussed with you by your healthcare provider based on:
Your age, overall health, and medical history
Extent of the rash
Your tolerance for specific medicines, procedures, or therapies
Expectations for the course of the rash
Your opinion or preference
The goal of treatment is to control the symptoms associated with rosacea. Treatment may include:
Diet modifications (for example, avoiding foods that dilate the skin's blood vessels, such as caffeine, spicy foods, and alcohol)
Topical and oral antibiotics
Prescription creams or lotions
Glycolic acid peels
If you have been diagnosed with rosacea, you can help manage the condition by:
Keeping a record of triggers, such as stress, weather, or certain foods or drinks
Always using a sunscreen that protects against UVA and UVB rays and has a sun-protecting factor (SPF) of 15 or higher
Being careful not to use any irritating products on your face
Taking your medicines as prescribed
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