Decoding Rosacea: Understanding and Managing Acne Rosacea

Decoding Rosacea: Understanding and Managing Acne Rosacea

The face looks red and swollen, pustules cover the skin, and red and blue veins cover large parts of the skin’s surface. Rosacea, a chronic and inflammatory skin disease of the face, cannot be cured. Dreaded complications are eye infections. However, there are various cosmetic and therapeutic options for treating acne rosacea that lead to significant improvement.

Rosacea: cause unclear

Rosacea (rose blossom) is the flattering term for a skin disease that, in its advanced stages, literally disfigures those affected, often isolates them and can lead to depression. Men and women over the age of 40 are almost always affected;  fair-skinned guys with red hair seem to be particularly susceptible — though scientists still can’t pinpoint the cause.

An unstable vascular nervous system and microorganisms such as hair sebum mites and liver diseases are assumed to promote the disease. In addition, almost exclusively, men get growths on the sebaceous glands in the nasal area, the so-called “bulb nose” (rhinophyma). The disease can be hereditary, but it is not contagious.


Stages of Rosacea

Rosacea begins inconspicuously with reddening of the skin. In particular, these occur under the influence of the following circumstances:

  • heat
  • cold
  • emotional stress
  • spicy foods
  • Alcohol

The finely branched and superficial blood vessels are visible and permanently dilated – the skin is said to “bloom”. This still mild form of the disease is called “couperosis”.

In the second stage, pustules, nodules, and swelling appear in spasms. These can become inflamed in the next stage and are sometimes purulent. The skin is swollen and reddened, has large pores, and can develop blackheads: the similarities with acne sometimes lead to misdiagnoses.

Complications of rosacea include eye inflammation. Around one-fifth of the affected patients get dry eyes, conjunctivitis, and sometimes corneal and iris inflammation.

Treating Acne Rosacea

Under no circumstances should those affected try to self-medicate with cortisone . Doctors will prescribe an antibiotic such as erythromycin and metronidazole if bumps and pustules cover the face. Some dermatologists also use vitamin A acid, although women who are pregnant or can still have children should not use this remedy as it can damage the fetus. If the eyes are affected, patients may need to take the antibiotics.

The red and blue veins can be desolate well. With the help of a laser, the burst capillaries are sclerosed in up to five sessions – but health insurance companies do not pay for this. In the case of the bulbous nose, the overgrown tissue is also removed with a laser until a standard nose shape is achieved.

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