Acne Rosacea
Acne rosacea is a chronic relapsing and remitting facial inflammatory disorder where flushing will be a common presentation. It rarely affects people less than 30 years old. So far, the etiology is unknown. It is triggered by alcohol, spicy food, etc. Acne rosacea might be wrongly diagnosed by your physician because it sometimes looks alike to acne vulgaris. It usually affects fair-skinned people.
Signs and symptoms
- Fixed erythema (redness) often seen over the cheeks, chin, nose and forehead.
- Telangiectasia
- Papules
- Pustules
- Rhynophyma may occur. (Well, don’t get confused with rhinoceros, rhynophyma is a condition where there is swelling and soft tissue overgrowth of the nose. Unfortunately, it only occurs in males. Hmm, perhaps that is how rhinoceros get its name, they do have similarities…)
- Lympoedema – this will develop after there is recurrent of severe flares
- Eye problems commonly associated – conjunctivitis, keratitis (rarely) and blepharitis (scaling and irritation at base of eyelashes)
Management and treatment
- Oral Tetracycline (250 – 1000 mg per day) – mainstay of treatment. It also can be used in acne vulgaris. Antibiotics can be discontinued after the skin settled. It can be started if any recurrence of acne rosacea
- Avoid irritants
- Avoid excessive sun exposure
- Topical metronidazole – effectively control mild to moderate disease
- Topical non-fluorinated glucocorticoids
Reference:
- Oxford handbook of clinical specialties. 5th edition. 2001.
- Harrison’s Manual of Medicine. 16th edition. 2005.
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Tags: acne, acne vulgaris, alcohol, health, metronidazoles, non-fluorinated glucocorticoids, rhynophyma. tetracyscline, rosacea, skin, telangiectasia
Technorati Tags: acne, acne vulgaris, alcohol, health, metronidazoles, non-fluorinated glucocorticoids, rhynophyma. tetracyscline, rosacea, skin, telangiectasia
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Does this look like normal acne and is it contagious? Thanks for the general information on acne rosacea.
If you want a good at home acne treatment, try microdermabrasion treatment kits for home use. These kits provide the benefit of microdermabrasion techniques while allowing you to do it in your home, which eliminates the need to find time to work several appointments into your schedule. Not only do they save you time, but microdermabrasion home treatments kits can also save you money over the costly visits to a spa and they really work.
A gentler and more natural approach to treating acne is the new way to go. Abrasive and expensive doesn’t necessarily equate to clearer skin. Find out which one works for you.
Not too long ago I suffered from skin acne. One treatment truly minimized my condition- creams which contain honey, it’s very helpful in face acne healing since it slows the increase of bacterias on your facial skin as well as helps with scar recovery.