Author : Bhadresh Bundela
What is rosacea?
Rosacea (roz-ay-sha) is a very common benign skin disorder that affects many people worldwide. As of 2008, it is estimated to affect at least 14 million people in the United States alone. The main symptoms of this facial condition include red or pink patches, visible broken blood vessels, small red bumps, red cysts, and pink or irritated eyes. Most people with the disease may not even know they have rosacea or that it is a diagnosable and treatable condition. Many patients may just assume they blush easily or have gotten sunburned.
Rosacea is considered a chronic (long-term), non-curable skin disease with periodic ups and downs. As opposed to traditional acne, most adult patients do not "outgrow" rosacea. It characteristically involves the central region of the face, causing persistent redness or transient flushing over the areas of the face and nose that normally blush -- mainly the forehead, the chin and the lower half of the nose. It is commonly seen in people with fair or light skin, and particularly in those of Irish and Scottish backgrounds. Some famous people with rosacea have included former President Bill Clinton and W.C. Fields.
The redness, often aggravated by flushing, may cause small blood vessels in the face to enlarge (dilate) and become more visible through the skin, appearing like tiny red lines (called telangiectasias). Continual or repeated episodes of flushing may promote inflammation, causing red bumps that resemble teenage acne. In fact, rosacea can frequently be mistaken for common acne. Rosacea is also referred to as acne rosacea
Is rosacea like acne?
Rosacea is basically different than acne, although the two can coexist. It is also sometimes called "adult acne." Unlike common acne, rosacea is not primarily a plague of teenagers but occurs most often in adults (ages 30 to 50), especially those with fair skin. Different than acne, there are usually no blackheads or whiteheads in rosacea. Furthermore, most teens eventually outgrow acne whereas patients with rosacea don't generally outgrow it. Rosacea consists mostly of small red bumps that are not "squeezable" or extractable like blackheads. Rosacea patients tend to have a rosy or pink color to their skin as opposed to acne patients whose skin is usually less red.
Rosacea strikes both sexes and potentially all ages. Overall, it tends to be more frequent in women but more severe in men. It is very uncommon in children, and it is very infrequently seen in darker skin tones or black skin. Overall, it is seen in light-featured adults between 30-50 years of age.
How is rosacea cured?
Rosacea is currently not considered a curable condition. While it cannot be cured, it can usually be controlled with proper, regular treatments.
There are some forms of rosacea that may be significantly cleared using laser, intense pulse light, photodynamic therapy, or isotretinoin (Accutane). Although still not considered a "cure," some patients experience long-lasting results and may have remissions (disease-free period of time) for months to years.
What about using acne medicine?
Since there is some overlap between acne and rosacea, some of the medications may be similar. Acne and rosacea have in common several possible treatments including (but not limited to) oral antibiotics, topical antibiotics, sulfa-based face washes, isotretinoin, and many others. It is important to seek a physician's advice before using random over-the-counter acne medications since they can actually irritate skin that is prone to rosacea. Overall, rosacea skin tends to be more sensitive and easily irritated than that of common acne.
What is used for treating rosacea?
There are many treatment choices for rosacea depending on the severity and extent of symptoms. Available medical treatments include antibacterial washes, topical creams, antibiotic pills, lasers, pulsed-light therapies, photodynamic therapy, and isotretinoin.
Mild rosacea may not necessarily require treatment if the individual is not bothered by the condition. More resistant cases may require a combination approach, using several of the treatments at the same time. A combination approach may include home care of washing with a prescription sulfa wash twice a day, applying an antibacterial cream morning and night, and taking an oral antibiotic for flares. A series of in-office laser, intense pulsed light, or photodynamic therapies may also be used in combination with the home regimen. It is advisable to seek a physician's care for the proper evaluation and treatment of rosacea.
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