Learn About Rosacea

What is the definition of Rosacea?

Rosacea is a chronic skin problem that makes your face turn red. It may also cause swelling and skin sores that look like acne.

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What are the alternative names for Rosacea?

Acne rosacea

What are the causes of Rosacea?

The cause is not known. You may be more likely to have this if you are:

  • Age 30 to 50
  • Fair-skinned
  • A woman

Rosacea involves swelling of the blood vessels just under the skin. It may be linked with other skin disorders (acne vulgaris, seborrhea) or eye disorders (blepharitis, keratitis).

What are the symptoms of Rosacea?

Symptoms may include:

  • Redness of the face
  • Blushing or flushing easily
  • A lot of spider-like blood vessels (telangiectasia) of the face
  • Red nose (called a bulbous nose)
  • Acne-like skin sores that may ooze or crust
  • Burning or stinging feeling in the face
  • Irritated, bloodshot, watery eyes

The condition is less common in men, but the symptoms tend to be more severe.

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What are the current treatments for Rosacea?

There is no known cure for rosacea.

Your provider will help you identify the things that make your symptoms worse. These are called triggers. Triggers vary from person to person. Avoiding your triggers may help you prevent or reduce flare-ups.

Some things you can do to help ease or prevent symptoms include:

  • Avoid sun exposure. Use sunscreen every day.
  • Avoid a lot of activity in hot weather.
  • Try to reduce stress. Try deep breathing, yoga, or other relaxation techniques.
  • Limit spicy foods, alcohol, and hot beverages.

Other triggers may include wind, hot baths, cold weather, specific skin products, exercise, or other factors.

  • Antibiotics taken by mouth or applied to the skin may control acne-like skin problems. Ask your provider.
  • Isotretinoin is a strong drug that your provider might consider. It is used in people who have severe rosacea that hasn't improved after treatment with other medicines.
  • Rosacea is not acne and will not improve with over-the-counter acne treatment.

In very bad cases, laser surgery may help reduce the redness. Surgery to remove some swollen nose tissue may also improve your appearance.

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What is the outlook (prognosis) for Rosacea?

Rosacea is a harmless condition, but it may cause you to be self-conscious or embarrassed. It cannot be cured, but may be controlled with treatment.

What are the possible complications of Rosacea?

Complications may include:

  • Lasting changes in appearance (for example, a red, swollen nose)
  • Lower self-esteem
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What are the latest Rosacea Clinical Trials?
A Study Of The Tolerability, Safety, And Efficacy Of DMT310 For The Treatment Of Acne Rosacea

Summary: The objective is to evaluate the tolerability, safety, and efficacy of DMT310 topical powder mixed with diluent in male and female patients with moderate to severe facial acne rosacea.

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A Non-Interventional Pilot Study to Explore the Role of Gut Flora in Acne

Summary: This study seeks to correlate microbiome sequencing data with information provided by patients and their medical records.

What are the Latest Advances for Rosacea?
Treatment and Maintenance of Cutaneous Rosacea in Latino Skin Types With Prescription Medications and Non-Prescription Cleansers and Moisturizers as Adjuncts: A Review.
A randomized split-face comparative study of long-pulsed alexandrite plus low-fluence Nd:YAG laser versus pulsed-dye laser in the treatment of rosacea.
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Corneal Perforation Secondary to Rosacea Keratitis Managed with Excellent Visual Outcome.
Who are the sources who wrote this article ?

Published Date: July 19, 2021
Published By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Dinulos JGH. Acne, rosacea, and related disorders. In: Dinulos JGH, ed. Habif's Clinical Dermatology: A Color Guide in Diagnosis and Therapy. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 7.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous, and pustular diseases. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 410.

van Zuuren EJ, Fedorowicz Z, Carter B, van der Linden MM, Charland L. Interventions for rosacea. Cochrane Database Syst Rev. 2015;(4):CD003262. PMID: 25919144 www.ncbi.nlm.nih.gov/pubmed/25919144/.