Rosacea

Description Rosacea is a common...

Description

Rosacea is a common skin disease of adults that is characterized by a red face and in some cases acne-like pimples. The redness is caused by swelling of blood vessels just under the skin and is primarily confined to the cheeks, nose, forehead and chin. Some cases may involve the neck and chest and other cases may progress to dilated small blood vessels (telangiectasias) and persistent redness in the center of the face. The eyes can be affected causing redness and itchiness and eyelids can swell. Rarely, individuals may develop rhinophyma (enlarged nose).Rosacea is more common in women and fair-skinned adults. Many aggravating factors have been reported to worsen rosacea. They include: sun, stress, alcohol, spicy food, extreme temperatures, cosmetics and medications

Symptoms

Flushing and a feeling of heat in the face. The cheeks and the nose may have red bumps (papules) and dilated small blood vessels (telangiectasias).

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. The diagnosis is usually made based on symptoms and facial appearance. There is no specific diagnostic test for rosacea.

Other Specific Tests: CBC, ANA

Specialists:
Internal Medicine, Dermatology, Family Practice, Telemedicine Dermatology

Treatment

The goal of therapy is to reduce flare ups and decrease symptoms. Patients should avoid any substances such as topical steroids (glucocorticoids) or activities that are known to cause the rash (triggers). Many rosacea treatments are applied directly on the affected skin and include topical antibiotics (metronidazole), isotretinoin (Accutane) and azelaic acid. Oral antibiotics such as doxycycline, minocycline or tetracycline may control acne-like symptoms. Laser treatment and surgery may be used for more severe symptoms.