Acne Rosacea is a common inflammatory skin disease. Generally, the rash confined to the face, particularly the cheeks, the forehead, the nose and the chin. In some cases the lesions can extend to the scalp and occasionally to the neck and the upper part of the body. A common early feature is hot flashes, often accompanied by a burning sensation. The inflammatory lesions (papules and pustules formation) are typical and maybe get a red color. Also, often observed vascular changes (erythema and telangiectasia). At first, these changes are mild, but later may become very apparent.
Other characteristics that presented later are the development of lymphoedema, fattening and sclerosis. In the nose and, less frequently, in the ears, forehead or chin, the hypertrophy and the lymphoedema of subcutaneous tissue can grow into separate swellings, known as a phyma, of which the best known is the rhinophyma.
Also, the eyes are often involved by sense of sand in the eyes, which maybe accompanied by conjunctivitis, blepharitis, episcleritis, chalazion, hordeolum, iritis, and in some cases, severe keratitis. The reasoning and pathogenesis of acne rosacea is still poorly understood.
Strategy for treatment of acne rosacea
Avoiding alcohol, spicy food, hot drinks, etc can be useful for patients as they may cause hot flashes and promote the development of telangiectasia. Exposure to irriting substances should be avoided and the use of emollients may be helpful. The erythema and telangiectasia cover with makeup can also help.
The massage on the face can promote lymphatic drainage and reduce the development of lymphoedema. The formation of papules, pustules and erythema can be suppressed effectively by using various topical and systemic antibiotics, retinoids and other factors. Unfortunately, these procedures usually are not very effective in suppressing hot flushes
and they have a little effect on well-developed telangiectasia. The telangiectasia and erythema can be treated effectively by using physical media for the regression of blood vessels, such as vascular LASER, ie PULSEDDYE LASER. The hot flashes are usually the characteristic that treated more difficult, but sometimes are improved during the treatment of telangiectasia.
Ocular rosacea is often treated symptomatically with various "artificial tears" - the equivalent of emollients for ophthalmic use. It also helps the systemic tetracyclines use, which are used for skin rosacea, and topical ophthalmic formulations of fusidic acid. The use of retinoids for acne rosacea requires special attention in patients whose eyes affect and may be not tolerated.