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Acne Basics Acne Treatment Common Skin Disorders Acne Types Rare Skin Diseases
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Acne RosaceaAcne rosacea is a skin problem that affects the nose and face. The cause of rosacea is unknown. There are several theories regarding the origin of overactive facial blood vessels and inflammation, including genetic, vascular, inflammatory factors. This syndrome is characterized by both vascular and papulopustular components involving the face and occasionally the neck and upper trunk. Pimples can occur in rosacea that resemble teenage acne. In fact, rosacea is frequently mistaken for acne and is also referred to as acne rosacea. Rosacea is most common in white women between the ages of 30 and 60. When it occurs in men, it tends to be more severe and may eventually cause the nose to become red and enlarged (rhinophyma). As rosacea progresses, other symptoms can develop such as semi-permanent erythema, telangiectasia (dilation of superficial blood vessels on the face), red domed papules (small bumps) and pustules, red gritty eyes, burning and stinging sensations, and in some advanced cases, a red lobulated nose (rhinophyma). It may be transient, recurrent or persistent. Acne rosacea may be aggravated by facial creams or oils, and especially by topical steroids. Rosacea is basically different than 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. Symptoms that suggest ocular (eye) rosacea include a feeling of dryness and grittiness in the eyes and inflamed bumps (chalazions) on the lids. Over time the nose may develop small lumps and look swollen. The nose can become quite enlarged, and its surface may become thickened with scar tissue. Acne rosacea may also be found in children, although rarely. Rosacea may be overlooked in nonwhites because of a low index of suspicion or because skin pigmentation results in an atypical presentation. Rosacea can be treated but not cured. Treatment includes avoidance of anything that makes one flush and known precipitants of flare-ups. Tetracycline antibiotics including doxycycline and minocycline reduce inflammation. They reduce the redness, papules, pustules and eye symptoms of rosacea.
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