Rosacea

🌹 Rosacea

Rosacea is a chronic inflammatory skin condition that mainly affects the face, causing redness, visible blood vessels, and sometimes acne-like bumps. It often worsens over time without treatment and is more common in fair-skinned adults over age 30.


🔍 Causes & Triggers

While the exact cause is unknown, possible factors include:

  • Abnormal immune response
  • Genetic predisposition
  • Demodex mites (microscopic skin mites)
  • Environmental triggers

Common Triggers:

  • Sun exposure
  • Hot or spicy foods
  • Alcohol (especially red wine)
  • Stress or emotional changes
  • Heat or cold
  • Certain skincare products

⚠️ Types of Rosacea

  1. Erythematotelangiectatic Rosacea (ETR):
    • Persistent redness, flushing, and visible blood vessels
  2. Papulopustular Rosacea:
    • Red bumps and pus-filled pimples, often confused with acne
  3. Phymatous Rosacea:
    • Thickened skin, especially on the nose (rhinophyma)
  4. Ocular Rosacea:
    • Irritated, red eyes and eyelids; dry or gritty eye feeling

🧪 Diagnosis

  • Clinical exam by a dermatologist
  • No specific test; diagnosis is based on history and visible signs
  • May require ruling out acne, lupus, or allergic reactions

🛠️ Treatment Options

Topical Medications

  • Metronidazole gel or cream
  • Azelaic acid
  • Ivermectin (targets inflammation and mites)
  • Brimonidine or oxymetazoline (reduce redness temporarily)

Oral Medications

  • Doxycycline (low-dose antibiotic with anti-inflammatory effect)
  • Isotretinoin (in severe or resistant cases)

Laser & Light Therapy

  • Intense Pulsed Light (IPL) or vascular lasers to reduce redness and visible vessels

🛡️ Self-Care & Management

  • Identify and avoid personal triggers
  • Use gentle, non-irritating skin care
  • Daily sunscreen (SPF 30+)
  • Avoid rubbing or scrubbing your face
  • Use green-tinted makeup to mask redness

💬 When to See a Doctor

  • If symptoms affect your confidence or quality of life
  • If you notice eye symptoms or worsening of skin changes
  • If over-the-counter products aren’t helping
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