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Rosacea (Pink-AY-sha) is a chronic (long term) skin disease, it is estimated to affect over 45 million people worldwide. It causes redness and pimples. Rosacea occurs in both men and women, and although it may occur at any age, onset usually begins after age 30. It affects fair-skinned people of mostly north-western European descent, and was nicknamed the 'curse Celts' by some in Ireland. Rosacea is sometimes called acne rosacea, which is misleading because rosacea and acne are two conditions totally different, although they may appear together. As rosacea progresses, other symptoms can develop such as semi-permanent erythema, telangiectasia (dilated superficial blood vessels on the face), red domed papules (small bumps) and pustules, red gritty eyes, burning and tingling, and in some advanced cases, a red lobulated nose (rhinophyma). The disorder may be confused and co-exist with acne and / or seborrheic dermatitis. There are four subtypes identified rosacea. Ocular rosacea: Red, dry and irritated eyes and eyelids. Some other symptoms include foreign body sensations, itching and burning. Papulopustular rosacea: Permanent redness with red bumps (papules) filled with pus (pustules) (which typically last 1-4 days), this subtype can be easily confused with acne.Phymatous Rosacea is most often associated with rhinophyma, an enlargement of the nose. Erythematotelangiectatic rosacea is redness (erythema) with a tendency to flush and blush easily. It is also common to have small blood vessels visible near the surface of the skin (telangiectasias) and possibly burn or itching.

Frst signs of rosacea are known as persistent redness due to exercise, temperature changes and cleaning. It is also wrong to believe that this red-faced condition is caused by the consumption of alcoholic beverages. It usually starts between age 30 and 60. Rosacea may be aggravated by facial creams or oils, and especially by topical steroids. Rosacea can affect all segments of the population, especially those with fair skin who tend to blush easily. The disorder may be somewhat more common in women, but it is often more severe men – perhaps because men tend to delay seeking medical until the situation reached advanced stages. There are several theories regarding the origin of blood vessels facial hyperactivity and inflammation, including genetic, environmental factors, vascular inflammation. Some believe that social and emotional effects of rosacea are worse than the physical symptoms. In one study, 1 nearly 70 percent of rosacea patients said it reduced their self-confidence and self esteem. Forty-one percent said the state has made them avoid public contact or cancel social engagements. In some cases the eyes may also be affected by rosacea, resulting in a grainy feel and appearance Blood. As the severity progresses, symptoms include blood vessels in May swollen eyes, and in rare cases small hard lumps grow in May on the eyelids and vision may be affected.

Rosacea and demodex mites have revealed that some people with rosacea have an increased number of mites, especially those with steroid induced rosacea. Helicobacter pylori, which causes intestinal infection in rosacea. Certain medications and topical irritants can quickly progress rosacea. The immune system has also been implicated as playing a role in the development rosaceae's. Tiny blood vessels under the skin of the face enlarge and dilate. These blood vessels may become hyper-sensitive to certain triggers. Triggers that cause episodes of flushing and blushing play a role in the development of rosacea. Exposure to extreme temperatures can cause the face to become red, and heavy exercise, heat from sunlight, severe sunburn, stress, anxiety, cold wind, moving with a hot or warm environment from a cold bath, such as shops and offices heated during the winter. There are also some foods and beverages that can trigger flushing, these include alcohol, foods and beverages containing caffeine (especially, hot tea and coffee), foods rich in histamine and spicy foods. As rosacea affects the face, it can be associated with anxiety and lack of trust and may lead to psychological problems and depression. Treating rosacea varies from patient to patient depending on severity and subtypes. Dermatologists are recommended to take a subtype-directed approach to treating rosacea patients.

Rosacea Treatment and Prevention

1.Protection the sun is high and the daily use of sunscreen at least SPF 15 contains a physical blocker such as zinc oxide or titanium dioxide is advised.

2.Oral tetracyclines (tetracycline, doxycycline, minocycline) and topical antibiotics such as metronidazole are usually the first line of defense provided by doctors to relieve papules, pustules, inflammation and redness

3.The treatment of hot flashes and flushing was attempted using the centrally acting a-2 agonist of clonidine, but there is no evidence that this is of any benefit.

4.People who develop infections of the eyelids must practice of frequent eyelid hygiene. Daily scrubbing the eyelids gently with diluted baby shampoo or an over-the-counter eyelid cleaner and the application of heat (not hot) compresses several times a day is recommended.

5.Dermatological vascular laser (single wavelength) or intense pulsed light (broad spectrum) machines offer one of the best treatments for rosacea.

6.CO2 lasers can be used for remove excess tissue caused by phymatous rosacea. CO2 lasers emit a wavelength that is absorbed directly through the skin. The beam laser can be focused into a thin beam and used as a scalpel or defocused and used to vaporise tissue. Low light treatments were used to treat rosacea.

7.Rhinophyma can be treated successfully by reshaping the nose surgically or with laser carbon dioxide by a dermatologic surgeon or plastic.

8.One treatment alternative skin, fashionable in Victorian and Edwardian eras, was sulfur. Recently, sulfur has regained some credibility as a safe alternative to steroids and coal tar

9.Isotretinoin (Accutane) is a powerful medication sometimes used for severe cases of inflammatory rosacea.

10.Keeping a newspaper for several weeks may help identify foods and other triggers that appear to be flushing worse so they can be avoided if possible.

Juliet Cohen writes articles on skin disorders and homemade beauty recipes. She also writes articles on beauty tips [https://www.beauty-makeup-advice.com].


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