A brief article on what rosacea or acne rosacea is and some common problems and treatments.
Latest research leaves doctors believing it is a vascular disorder that relates to flushing. It has three stages. The first stage usually involves redness and stinging or burning sensations on the facial area. Dry or tight feeling skin is another symptom. Groups of vessels close to the skin become dilated, which results in patchy red areas with small papules and pustules. Eventually the redness will become permanent and the skin tissue can be become damaged with swelling and thickening. Ocular or eye problems occur in at least half of patients with rosacea. Itchy, burning or gritty feelings are common symptoms along with conjunctivitis. These changes can worsen and become permanent as well as causing corneal scarring.
Rosacea episodes occur randomly or are set off by triggers that are unique to the individual. The most common triggers are sun, emotional stress, spicy foods, exercise and weather extremes. Each person should keep a journal and note down what they ate, felt or the weather was doing when an outbreak occurs to identify triggers.
Treatment is usually a lifelong control situation, as rosacea never leaves on its own. Antibiotics are usually used first. Oral antibiotics are given to help bring the condition under control at first. Later, once the condition is stabilized, topical metronidazole creams or gels are used twice a day. There are other treatments that are available if there are problems with the metronidazole creams. Every year or two brings another new treatment option such as Elidel and Ovace creams. For severe cases of scarring or skin thickening, there are various laser treatments. These need to be carefully researched with an experienced doctor to determine which type is correct for your conditions.
It is important to find a dermatologist who is familiar with rosacea and its treatments. Several rosacea organizations keep lists of doctors who regularly treat patients. Many of these doctors can help with creating skin care routines using non-prescription cleaners and lotions to help minimize the redness and ease the dryness and stinging sensations that sometimes accompanies rosacea.
