My Women’s World and the Future.
I hope that my Articles on Rosacea to date have been
informative. This is my final article on the subject and I am about to complete
my research into PMT for My Women’s world and will publish an E-book on the
subject as I think it is so important that we Women understand and know
ourselves better than our previous generations.
Best wishes to you all. I hope you had a happy St Patrick’s
Day. Take a leaf out of the Irish handbook. Sing Laugh and Dance and remember
you’re loved. Looking forward to a Happy Easter
The Four Phases of
Rosacea
Rosacea is a mysterious disease that can afflict anybody
from age 30 and up. Medically speaking, Rosacea is simply a chronic
inflammation of the skin. The symptoms are not very aesthetic nor pleasing to
the eyes, however. For one, it causes redness and pimples on the nose, the
cheeks, chin and forehead. The annoying part is that the disease comes and goes
and comes around again without your notice.
It is sometimes called adult acne. Once it had started it
also causes soreness of the eyes and eyelids. Starting out as the tendency to
blush easily, Rosacea can progress fast into facial redness, and red bumps and
pustules.
Diagnosis
Many dermatologists and medical researchers are one in the opinion
that Rosacea is one disease hard to diagnose. The reason is simply that there
are many other skin conditions that co-exist with it. The list of these
diseases — acne, seborrhea, eczema, psoriasis, or lupus symptoms — is rather
plentiful.
Primary problem
The main problem is that medications used in the treatment
of acne, for instance, can be too harsh leading to the onset of “acne Rosacea”.
In the meantime, aggressive acne treatments to reduce oiliness of the skin can
result in the flaking associated with seborrheic dermatitis. The butterfly rash of lupus can lead to a
misdiagnosis of Rosacea.
Phases
Rosacea has four distinct and recognized phases, each one
with its own groupings of symptoms. The disease does not always evolve from one
phase to the other, but the symptoms have a tendency to eventually become
severe. The four phases of Rosacea are pre-Rosacea, vascular Rosacea,
inflammatory Rosacea, and late Rosacea.
Pre-Rosacea
In the early phase of Rosacea, it appears as a repeated
tendency to blush. The blushing is known to be caused by the dilation of the
blood vessels just under the skin. Gradually, the redness from the blushing
becomes more persistent, and particularly around the nose.
Vascular Rosacea
In this phase of Rosacea, the blood vessels swell and fluid
leaks out of them at a faster-than-normal rate. This results in the skin
looking puffy and warm. As the blood vessels dilate, they are visible on the
skin as small red lines. It is called telangiectasia, commonly referred to as
“spider veins”. At this time, the skin also becomes more sensitive. When
cosmetics and other skin products are used, there often is a stinging or
slightly burning sensation. The skin’s sebaceous glands enlarge, making the
skin oilier.
Inflammatory Rosacea

When papules (small red bumps) and pustule (pus-filled
pimples) star appearing, Rosacea has entered the inflammatory stage. These two
symptoms are like acne, but they are totally different and require different
treatments.
Late Rosacea
This is the most advanced phase of Rosacea. The illness
still has all its earlier symptoms, only they appear more intense. The redness
of the skin deepens, and the number of visible veins increases. At this point,
the skin may also thicken. In some people, the excess skin tissue causes the
nose to become enlarged and bulbous. This is called rhinophyma. Rosacea has
never been more distinct.
Managing Rosacea
Rosacea starts out like any other common skin disease where
the victims usually begin with a tendency to flush or blush easily. As Rosacea
progresses, the victims usually develop redness in the centers of both their
cheeks. The redness, after a time, spreads gradually beyond the nose and the
cheeks. It then goes to the forehead and the chin, and on some people, even the
ears, chest and back are affected.
The face of Rosacea
Tiny blood vessels they call spider veins develop on their
faces, especially on both their cheeks. After a while, small red bumps develop
and appear in crops. Some of these red bumps contain pus (pustules) and those
without pus are called papules. These red bumps look like acne, and people
usually call them adult acne. However, the affected skin swells and these bumps
do not develop into blackheads.
Other symptoms
In advanced cases, rhinophyma may develop. Rhinophyma makes
the nose larger (“bulbous nose”) and the cheeks puffy. These are caused by the
enlarged oil glands.
At the lower half of the nose, thick bumps also develop.
Usually, this condition tends to develop more in men than in women. About half
of Rosacea victims develop what is called ocular Rosacea, affecting the eyes.
It often causes dryness, burning and grittiness of the eyes. If left untreated,
it can develop into serious complications, including blindness.
Tips for patients

There are so many things that can trigger Rosacea flare-ups.
To help decrease these, the following are recommendations from dermatologists
taken from data supplied by the victims themselves. Avoid certain foods and
drinks. Spicy foods, caffeine, hot drinks, and alcohol – these are just some of
the most common triggers for Rosacea. Alcohol is bad for both drinkers and
non-drinkers alike. Even the smell of spicy foods triggers some reactions to
those allergic to them.
Always have a good sun protection. Exposure to the sun seems
to be the most common trigger. Limit your exposure to sunlight, but if you do,
wear some SPF30 sunscreen and re-apply them every 2 hours.
Guard your skin from extreme heat or very cold temperatures.
Either one aggravates Rosacea. Protect your face from cold and wind with a
non-irritating scarf or ski mask. Do not overheat. Exercise in a cool place.
Do not use skin care products or any cosmetics that contain
alcohol or other irritating substances. When using hair sprays, avoid having the
spray getting in contact with your face.
Avoid rubbing, scrubbing or massaging the face. As much as
possible, keep your face clean and avoid having to touch it unless necessary.
Keep your skin care routine simple and use fewer products.
It is important to note the episodes when your flushing
occurs. The above list is just the common triggers that happen to most Rosacea
victims. There are other triggers not listed here.
By writing down and taking notes to what foods, products,
activities, medications and other things that triggers your Rosacea, you would
be able to exactly know them to be able to avoid them.
Tips on How to Deal
With Rosacea Breakouts
Rosacea may not be a dangerous disease but it can severely
affect a person's self-confidence. The skin disease is characterized by redness
in the forehead, cheeks, nose and chin regions of the face. This can be really
hard to hide. In fact, some people with Rosacea refuse to even go out because
they are ashamed of how they look. Besides the redness, some cases also have
pustules and pimples similar to acne but instead of whiteheads, you will find
clear liquid. Blood vessels also become dilated and thus showing through the
skin and the eyes may become watery.
Although it affects millions of people all over the world,
about 46 million to be exact, nothing much has been known about Rosacea in
terms of its causes, spread and cure. There are many theories as to what
exactly causes the break outs but nothing has been proven yet. So far, there is
no evidence that it spreads from person to person contact but again, nothing is
conclusive. One thing is for sure, as of now, there is no cure for Rosacea.
People with it will need to control the symptoms and manage the problem all throughout
their lives. There are treatments though that will help people lessen the
breakouts but these treatments should be done continuously. People who have
stopped treatment had remissions.
The struggle against Rosacea may be lifelong but with
treatments to control the symptoms widely available, coping with it is not so
bad. Here are some tips that might help you deal with the problem.
1.Know your triggers
Break outs are usually triggered by a host of factors. These
triggers are different for each person. Some may even have more than one trigger.
The trick is to determine what your triggers are so that you can minimize your
break outs. This is the first line of defense for Rosacea patients. Sun
exposure and changing weather are the most common triggers along with spicy
food and stress. Some vegetables like eggplants and spinach can also trigger
breakout also citrus fruits, raisins and plum. Chocolates and other dairy
products are also in the list of triggers also cigarettes and alcoholic
beverages.
2. Get treatment
One thing to remember about Rosacea is it worsens with age
especially when it is left untreated. It occurs later in life, from about 30
years old to about 50. It is important that you get treatment as soon as you
realize that you have the problem. This will help you control your symptoms.
3. Be aware
One of the hardest things about Rosacea is recognizing its
symptoms. It is a chronic skin problem, meaning that the symptoms comes and
goes. They do not appear regularly or in the same extent. This is why some
people do not realize that they have the problem. Some think that the redness
is because of sunburn or because they get easily flushed than other people. Be
aware. Your vigilance will help you deal with the problem early on.
Ways That You Can
Deal With Rosacea
Rosacea is one of those diseases that is hard to deal with
perhaps because nothing much is known about it. In fact, even with more than 46
million Americans affected by the skin problem, only few know just what exactly
Rosacea is. Some do not even know that they have Rosacea.
One reason is the fact that symptoms are not regular. It is
not like a disease that you will have symptoms for and it will not go away
until it is cured. With Rosacea, flares are usually caused by triggers from the
environment. The most common trigger is sunlight and hot weather. Humidity is
also a factor. So is stress. Some patients also suffer from break outs when
they eat certain kinds of food or when they use some skin products. Spicy food
is a common trigger. Because Rosacea only occurs when these triggers are
present, some people do not even realize that they have Rosacea. They think
that it is just ordinary sunburn or flushing when their skin develops red
patches or it is just an allergy when they get pimples.
Despite these, there are a lot of medications available for Rosacea
patients precisely because not all people react to the problem the same way.
The most effective line of defense is of course avoid the triggers altogether.
Those who are triggered by heat and sun exposure make sure that they have
umbrellas and hats when they leave the house. Others try to pick their food
carefully to make sure that they will not eat trigger foods. These are of
course trial and error. You first need to find out what exactly is causing the
break outs. This can be a problem especially if the incidents are not really
regular.
Still, those who do have confirmed cases of Rosacea have a
wide array of treatments to choose from. From the simplest home remedies to the
extreme measures of laser therapies for those with extreme cases, Rosacea
patients are sure to find one that suits their condition and needs. But
remember though that Rosacea cannot be cured. People can only manage the
disease and control the symptoms. There is actually nothing more they can do.
It's a good thing that Rosacea cases are often mild.
In extreme cases, doctors often prescribe topical and oral
medicines. Some medicines used to treat acne are also used for Rosacea like
erythromycin and clindamycin. Topical steroids are also used but care should be
given because prolonged use can have side effects like skin irritation like
perioral dermatitis which is seen on the areas surrounding the mouth.
There are also prescription cleansers that Rosacea patients
are prescribed with. Isotretinoin is one example, which is used daily for about
four to six months. This is also used to treat acne problems. But like
steroids, monitoring is essential here because of its side effects. For women
who are using it, regular blood tests are done because the medicine can harm
the pregnancy should the woman get pregnant while using the drug.
Rosacea – A Short
Overview
From a medical point of view, Rosacea is a “chronic
inflammation of the skin”. It causes redness and pimples on the nose, cheeks,
chin and forehead. It comes and goes and is sometimes called adult acne. It can
also cause soreness of the eyes and eyelids.
It starts as someone’s tendency to blush easily, but it can
progress into facial redness, and red bumps and pustules.
Symptoms
The disease is likely to appear at age 30. (Pre-Rosacea is
seen sometimes in teens and early 20’s.) A flushed face, pimples or bumps
(swelling) around the cheeks, nose, mouth and forehead are early indications.
Sometimes, tiny red veins appear on the face, and there is a
burning or stinging pain when applied with lotions or medicines. The face will
become increasingly dry and sensitive.
In ocular Rosacea, the eyes become red and look irritated,
including the eyelids which may look red and swollen. Vision sometimes can be
blurry. The eyes become watery and tend to develop sties. (Unchecked, there is
a possibility of corneal damage or even blindness)
In extreme cases, especially without treatment, there would
be knobby bumps on the nose and cheeks that can multiply. This is advanced Rosacea
(rhinophyma).
Causes
The exact cause or causes are not yet known. Researchers
think Rosacea is caused by genetic conditions and environmental factors
(bacteria and the sun, etc.)The disease has a tendency to affect fair-skinned people
or those who blush easily.
Rosacea flares up when blood vessels in the face expand and
causes blushing or redness. The triggers are the sun, wind, stress, alcohol,
spicy food, hot weather and hot baths. Sometimes, mood changes can cause a Rosacea
flare-up.
Treatments
Unfortunately, Rosacea has no cure, only medicine to manage
the disease. The symptoms can be treated to keep the disease from getting
worse.
For the redness and the pimples, antibiotic creams and pills
are sometimes recommended by the doctors. (Pregnant women are barred from using
antibiotics.) Antibiotics also take some time to work on the improvements of
your symptoms.
Surgery
Doctors sometimes prescribe stronger medicines if
antibiotics cannot do the control job. As a last resort, surgery may sometimes
help your skin look better. The choices include dermabrasion, cryosurgery or
laser surgery.
Oral antibiotics and some topical solutions can keep your Rosacea
under control. A photodynamic therapy can reduce redness and the appearance of
the blood vessels. For patients with severe rhinophyma (“bulbous nose”), laser
re-surfacing can be used to reshape your nose.
Acne and Rosacea
There is no truth that one causes the other, but these two
skin conditions often appear together. Unfortunately, acne (“acne vulgaris”)
and Rosacea required two different kinds of treatments.
Rosacea is a disorder afflicting the extensive facial
vascular network. Acne, on the other hand, is related to the oil glands that
can affect the skin all over the body.
If you have both, it is best to consult your doctor on your
skin care routine because the methods used to treat one condition can make the
other disease worse. It is a tricky
position for you and your Rosacea.
Rosie @
www.dozierosiepublisher.com