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Rosacea
July 3, 2009
Rosacea is common and is often misunderstood condition, which is estimated to be affecting over forty five million people worldwide. Fair skinned people are the most effected people from this disease.
It is mostly in northwestern European descent. It is also known with the name of “curse of the Celts”. It starts showing its effect by redness or flushing (erythema) on central face & cheeks, forehead or nose but is less commonly seen to effect chest and neck. This problem if not treated keeps on progressing and may develop as semi permanent erythma, red domed papules, pustules, telangiectasea, burning with stinging sensations and also read gritty eyes.
This disorder is sometimes confused with acne, which is much less severe as compared to this disease when it reaches its full transformation. This problem can affect both the sex equally but is 3 times more common among women as compared to men.
This problem has peal age of Between 30 – 60. The presence of rashes on scalp or the ears indicates that the person might be suffering from rosacea.
There are 4 types of rosacea and a person can get affected by more than one type, which are:-
- Erythematotelangiectatic rosacea – This subjects to permanent redness with tendency of blush and flush. In this there is a possibility of visibility of blood vessels near surface of skin.
- Phymatois rosacea – This one is the most common type, which is commonly associated with a disease “rhinophyrna”, a condition of enlargement of nose. Symptoms of this include irregular surface nodularities, enlargement and thickening skin. It can also affect chin, cheeks, ears, forehead and eyelids.
- Papulopustular rosacea – This result in permanent red bumps with redness with pus filled in it.
- Ocular rosacea – dry, irritated eyes and even eyelids and also red. Symptoms for this may also include burning, itching and sensation.
Treatment of rosacea varies from one patient to another patient depending on the severity and subtypes. Dermatologist takes a subtype directed approach for the treatment of rosacea patients.
Trigger avoidance can also help reduce onset of rosacea. It is also important to have gentle skin cleansing regimen by using non-irritating cleansers. Protection from sun is also important and one should use sunscreen daily.
The treatment of blushing and flushing has also been attempted by the means of centrally acting α-2 agonist clonidine, but proof of their benefit is not there. If there is occurrence of flushing with red wine then its consumption should be avoided. There has been no evidence of antihistamines showing any benefit in the treatment of rosacea.
People who develop infection of the eyelids should frequently do eyelid hygiene. Daily scrubbing eyelids gently with a diluted baby shampoo and/or an over the counter eyelid cleaner and then applying warm compresses several times in a day is also recommended.
Dermatological vascular laser (a single wavelength) or the Intense Pulsed Light (a broad spectrum) machines are offer one of best treatments for the rosacea, in particularly that of the erythema of the skin.
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