Rosacea

WhatIs ?

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WhatCauses ?

Clinical Presentations Of

Complication Of

Treatment Options For

Prevention Of

What Is Rosacea?

Rosacea is a skin inflammatory condition which mostly presents as facial redness. It has 4 distinct clinical presentation. It affects anywhere from 2-10% of general population. The inflamed papules associated with rosacea are due to over growth of demodex mites causing folliculitis over the face.

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Rosacea
What Causes Rosacea?

Rosacea tends to develop due to chronic sun exposure as well as over growth of demodex mite within hair follicle. These factors cause release of inflammatory mediators which results in vasodilation as well as occlusion of hair follicle opening.

Clinical Presentations Of Rosacea
  • Erythematotelangiectatic (ETR) rosacea
    • Flushing which is combined with permanent background of central facial redness, telangiectasia & skin sensitivity
      • Telangiectasia & erythema develop due to chronic sun damage
  • Papulopustular rosacea
    • Centrofacial superficial small papules and pustules
  • Rhinophyma
    • Initially presents as dilated pores on the distal nose
    • Late stage is characterized by enlarged nose
  • Ocular rosacea
    • Symptoms include eye itching, dryness, grittiness, crusting, inability to wear contacts and recurrent styes
Complication Of Rosacea

Granulomatous & phymatous changes which can result in disfiguring presentation. Enlarged and disfigured nose due to rosacea is more common in male patients who have not received any therapy for years.

Treatment Options for Rosacea
  • Home remedies
    • Wash face with lukewarm water and soap free cleanser
    • Use sunscreen with SPF 30 all the times
  • Over the counter
    • Use cosmetics and sunscreen containing silicone
    • Use moisturizers containing humectants (glycerin)
  • Prescription
    • Topical therapy
      • Azelaic acid
      • Metronidazole
      • Oxymetazoline
      • Sodium sulfacet,amide compounded with sulphur
      • Benzylperoxide compounded with clindamycin
      • Cyclosporine 0.5% ophthalmic solution
    • Systemic therapy
      • Doxycycline, minocycline, tetracycline
      • Erythromycin
      • Isotretinoin
    • Laser
      • IPL for facial redness
      • CO2 laser for Phymatous changes
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Prevention Of Rosacea
    • Avoid use of toners, waterproof cosmetics and heavy foundations
    • Avoid recognized triggers including sun exposure, heat exposure (hot shower), hot drinks (coffee, tea), alcohol, stress, mint and chocolate

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Rosacea is a skin inflammatory condition which mostly presents as facial redness. It has 4 distinct clinical presentation. It affects anywhere from 2-10% of general population. The inflamed papules associated with rosacea are due to over growth of demodex mites causing folliculitis over the face.