Rosacea


Rosacea is a chronic disease that appears fundamentally on the face, nose, forehead and sometimes the eyes. Causes redness of the skin and pimples on the affected area. rosacea is more common among women and people with fair skin. It usually affects middle-aged and advanced adults.

In most cases, the symptoms may include:

Common chronic inflammatory acneiform disorder that affects the pilosebaceous facial units.
It is accompanied by an increase in the reactivity of the capillaries, which causes flushing and telangiectasia.
Also rash that may cause thickening of gummy consistency of nose, cheeks, forehead or chin due to sebaceous hyperplasia, edema and fibrosis.

Staging
I: persistent erythema with telangiectasia.
II: persistent erythema, telangiectasias, papules, small pustules.
III: intense persistent erythema, dense telangiectasias, papules, pustules, nodules; rarely persistent “solid” edema of the central region of the face.

Note: progression from one stage to another does not always occur. The disease may start in stage II or III and there may be overlapping stages.

Evolution of the rosacea

Prolonged. Recurrences are common. After a few years, the disease can disappear spontaneously; It is usually for life. Males and very few women can develop rhinophyma, gnatofima, etc.

Clinical manifestations
History of episodic flush of the face in response to hot liquids, spicy foods, alcohol and exposure to sunlight and heat. The acne it may precede the onset of rosacea by years, but this condition usually appears as a new disease.

Duration of injuries: Days, weeks, months.

Cutaneous symptoms: Concern about the facial aesthetic appearance.

Cutaneous lesions:  Early Pathognomonic facial flushing on the “red face” (Figure 5-1); small papules and papulopustules (2 to 3 mm), the pustules are often small (≤1 mm) and at the apex of the papule (Figures 5-2). There are no blackheads

Delayed: Red face, with papules and dark red nodules (Figures 5-2). Scattered lesions, isolated.

Distribution. Symmetrical location on the face (Figure 5-1).
Rarely in the neck, thorax (area in V), back and scalp.

Treatment of the rosacea

Prevention. The marked reduction or elimination of alcohol may be useful in some patients. Also avoid hot drinks like tea or coffee.
Topical Antibiotics in gel or cream, once or twice a day.
Systemic Oral antibiotics are more effective than topical treatment.

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9 comments on “Rosacea

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