Plaque psoriasis on hand with scales, redness and inflammation:
WHAT IS ROSACEA?
higher risk. The cause of rosacea is unknown but there many theories as to what causes rosacea. These include emotional stress, cathelicidin (protein that protects the skin from infection) inflammation, abnormal blood vessels (vascular system), genetics (rosacea runs in families), gut issues, weak circulatory system, microscopic mites (Demodex), environmental factors, compromised immunity and an impaired barrier function. in men. Characterized by thick, enlarged skin on the nose (rhinophyma), telangiectasia (visible, broken, blood vessels) and in severe cases, inflammatory pimples. Excessive bumpy skin tissue can lead to facial deformity and low nasal airflow if severe. ● Ocular rosacea : This is an inflammatory eye condition that affects some who have rosacea. The exact cause of ocular rosacea is unknown; however, this condition may cause eyes to become, dry, irritated, itchy, swollen, burning, and teary. Also, eyes can become infected with pink eye, with a crusty appearance on the eyelids and eyelashes. There are numerous ways inflamed eyes can be soothed and lubricated, including saline solutions, eyelid washes, warm compresses, and gently massaging the eyelids may free up clogged glands. Eyes may become sensitive to light, with clients experiencing blurred vision, vision loss, and corneal damage. Rosacea of the eyes is often treated with oral antibiotics (tetracycline, doxycycline. (Gotter, 2018). ● Chemical peels : Use mild, superficial peels, including BHAs (beta hydroxy acids), retinol, and mandelic acid. ● Light therapy: Treatment with light, including sunlight, nonvisible ultraviolet light (UVA or UVB), or visible blue light. ● Mineral and thermal waters : Mineral and thermal water is used to stimulate circulation, alleviate pain, and heal irritated skin diseases such as psoriasis and eczema. Soaking in thermal or mineral water reduces physical tension, hormonal, and mental stress. ● Lymphatic drainage : This aids in the reduction of edema and is an excellent treatment for rosacea. It removes waste and toxins. Cells are revitalized by oxygenation, through improved lymph circulation and blood flow. (Fleck-Madigan, 2016).
It is estimated that 16 million Americans are currently living with rosacea. (National Rosacea Society, 2019). Rosacea is a complex, chronic skin disease with different signs and symptoms involving inflammation of the cheeks, chin, forehead, eyelids, and nose. This disorder frequently affects more women than men, usually between 30 to 50 years of age; but tends to be more severe in men. Fair-skinned people with severe acne (cysts or nodules) from Northern and Eastern European descent are at a Rosacea signs and symptoms Because there are numerous signs and symptoms of rosacea, experts have categorized rosacea into four subtypes. To complicate things even further, each subtype requires a different treatment: ● Erythematotelangiectatic rosacea : This is persistent facial redness and is the most common indicator of rosacea. This symptom resembles blushing or a sunburn that does not go away. It is characterized by flushing; visible blood vessels; sensitive skin; swelling (edema) of the skin; stinging skin; scaly, rough, dry skin despite the client having an oily skin type; itchiness; and feelings of tightness of the skin. ● Papulopustular rosacea : Characterized by oily skin, acne pus-filled pimples without blackheads, plaques (raised patches of skin) sensitivity, burning, and stinging sensations may occur. ● Phymatous rosacea : This less common type is identified by large pores and thick skin on the chin, forehead, cheeks, ears. Skin thickening is most common Professional treatments and modalities for rosacea ● Microcurrents : This form of electrotherapy delivers micro-amps of electric current to the body. In order to see long-term results, a series of six to 12 treatments should be given twice a week or once a month. Microcurrent benefits include increased blood circulation, reduction of edema and inflammation, improved cell metabolism, and tissue repair. ● Laser therapy : Ablative lasers remove the outer layers of skin using heat, and this procedure reduces visible blood vessels, redness, and flushing. ● Medication : Antibiotics are applied directly to the skin (metronidazole, sulfacetamide) or taken orally (tetracycline, erythromycin). Other medications used include anti-inflammatories (isotretinoin).
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