Rosacea is a common skin disorder. Sometimes this disease is confused with acne vulgaris (which is more common in younger people). The skin of a person suffering from rosacea becomes red and inflamed. Also, rosacea may involve the entire face, ears, chest and back of the affected person.
People with white race or fair skin are more likely to get this disease. Also, this disease is more common in women over 30 years old. Rosacea affects approximately 5% of the world's population. This disease sometimes gets worse and sometimes its severity decreases.
Rosacea and red spots on the skin with itching
Usually, experts consider rosacea or red spots on the skin with itching as a chronic skin problem; Rosacea is a progressive disease that becomes more severe over time if left untreated. Since there is no definitive cure for rosacea, medical treatments only control it and slow its progression.
Symptoms of rosacea
The symptoms of rosacea vary from person to person, and most of the time, sufferers only see some of the symptoms of rosacea, but in any case, this disease brings at least one of the following symptoms:
flare up
Most rosacea sufferers have a history of frequent redness or inflammation of the skin. One of the first signs of this disorder is redness and inflammation of the face in different periods of time. Of course, these symptoms should not be confused with premenstrual skin changes.
Swollen blood vessels
One of the other symptoms of this disease is swelling of blood vessels. These veins either look like small spiral lines under the skin or are hidden from view due to the redness of the skin.
Other symptoms of rosacea include:
Burning or tingling of the skin
Dry skin
Red bumps on the skin
facial swelling
Burning or itching of the eyes, inflammation of the eyelids, eyelash swelling and redness of the eyes
Thickening of the skin, inflammation, redness and fleshy nose
Diagnosis of rosacea
It is difficult for doctors to diagnose rosacea.
Because rosacea manifests itself in different ways, it is difficult for doctors to diagnose it. Rosacea is often confused with the following:
Acne vulgaris
Seborrheic dermatitis
Abnormal skin fat (seborrhea)
Keratosis pilaris or chicken skin
Demodex infection (a type of skin parasite)
Acne lesions caused by steroid use
Facial pyoderma (a type of acne)
Dermatitis around the mouth, etc
Dermatologists divide acne rosacea into four main categories.
1) Erythematotelangiectatic erythema
In this type of rosacea, the affected person's skin is inflamed and red, and the patient feels that his skin is burning and tingling. Other signs of erythema totelangiectatic rosacea include stiff blood vessels and scaly skin.
2) Papulopustular
In this type of rosacea, the patient sees red swollen acne-like pimples on his skin. Sometimes papulopustular rosacea is associated with redness and burning of the skin. In this type, blood vessels may be seen under the skin.
Sometimes papulopustular rosacea is similar to acne vulgaris, except that the blackhead (comedon) is not seen on the skin. Unless the patient has acne vulgaris at the same time.
3) Phymatous
Phymatous rosacea is associated with thickening and uneven texture in the skin. In this type, the patient's nose becomes fleshy and swollen. Sometimes the blood vessels of the patient can be seen.
4) Eye
Ocular rosacea affects the patient's eyes. Symptoms of this disease include watery, red and bloodshot eyes, burning, itching and redness of the eyelids, sensitivity to light, blurred vision, eyelash swelling, and feeling of a foreign body in the eye.
Ocular rosacea is often associated with other types of rosacea. For this reason, the patient may need local treatment in addition to eye treatment.
What is the cause of rosacea?
Rosacea is caused by genetic and environmental factors.
Although dermatologists have not yet succeeded in identifying the exact cause of rosacea, it seems that rosacea is caused by genetic and environmental factors. Researchers associate the following factors with rosacea:
Disturbance in facial blood vessels
light skin color
Demodex follicularum parasite increase
Helicobacter pylori
family history (inheritance)
The following factors also (by increasing the blood flow to the skin surface) cause the occurrence or exacerbation of rosacea:
Spicy drinks and foods
Caffeine, spicy foods and dairy products
alcohol consumption
hot weather
Sunlight, humidity or wind
extreme sport
Hot bath and sauna
Stress, anxiety and anger
Medicines such as corticosteroids (cortone)
Some chronic diseases such as high blood pressure
Medicines to treat high blood pressure
Acute medical conditions such as cold, fever or cough
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Medicinal treatment of rosacea
Rosacea disease does not have a definitive cure, and the available treatments only reduce its signs and symptoms. However, some treatments have been able to relieve the symptoms of this disease. You can read some of these treatments below:
Effective topical drugs in the treatment of rosacea
Effective topical drugs in the treatment of rosacea
It is better for the doctor and the patient to have a close relationship with each other in the process of treating rosacea. Medicines and ointments must be taken with a doctor's prescription. Most doctors recommend medications that reduce the inflammation and redness of skin spots.
Patients usually need to take these medications once or twice a day. Metronidazole, benzoyl peroxide, benzoyl peroxide/clindamycin, azelaic acid, sulphastamide
10% and 5% sulfur are some of the drugs that are prescribed to treat rosacea.
Isotretinoin for rosacea
Doctors usually prescribe isotretinoin if rosacea is severe and cannot be treated with other methods. This drug is especially effective for young patients and those suffering from phymatous rosacea.
Oral antibiotics (most notably, doxycycline)
Oral antibiotics usually work faster than topical medications. Of course, the use of these drugs should be limited and doctors do not recommend their long-term use.
Rosacea treatment with laser
Usually, a dermatologist performs this treatment. The use of laser reduces constricted blood vessels, redness and other symptoms of rosacea. The laser is sometimes painful, but usually does not require anesthesia.
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Rifaximin (SIBO treatment)
According to an interesting study published in a reputable medical journal, people with rosacea have more small intestinal bacteria (SIBO) than other people.
Hence, the researchers prescribed rifaximin (a strong antibiotic) to the patients. SIBO bacteria were reduced or eradicated by administering this medication. As a result, rosacea symptoms were completely resolved in 20 of 28 patients and significantly improved in 8 others. Also, the positive effects of this treatment remained for at least 9 months.
Effective factors in the treatment of rosacea
Effective factors in the treatment of rosacea
Apply sunscreen and use appropriate sunscreen creams.
Exposure to direct sunlight is one of the triggers of acne rosacea. Try to use fragrance-free and hypoallergenic sunscreen with zinc oxide.
Avoid skin-stimulating products.
According to this article, soap, products containing sodium lauryl sulfate, astringents, toners, menthol, and camphor may irritate or burn your skin. So, it is better to avoid consuming these products.
Home and natural remedies for rosacea
There are also various herbal remedies to reduce the symptoms of this disease. You can read our other article on home remedies for rosacea to know them.
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If you have a question about rosacea that you did not find an answer to in the above article, you can raise it in the comments section and give your opinions and suggestions.
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