Acne rosacea is a disease with dermal and ophthalmic manifestations that combines the symptoms specific to rosacea with the pustules of acne.
So far, the cause that triggers acne rosacea is not fully explained although it is known that sun exposure will increase the risk of disease development. The pustules and the flushing of the skin usually affect the face and the chest with a deterioration of the condition after the consumption of alcohol, spicy foods or hot drinks.
It seems that acne rosacea affects more women than men, with a higher occurrence of the disease in the middle-aged group.
Thus, the majority of patients are people between 30 and 60, but here we ought to add that black skin is more difficult to diagnose.
Although many assumptions have been made on the preponderance of acne rosacea with fair-skinned people, the theory is not supported by clinical evidence.
The acne lesions specific to the disease usually appear in the nose area, on the cheeks and chin, but the central forehead doesn’t get spared either. The skin is usually very oily too, yet there are some major differences between acne rosacea and acne vulgaris. In traditional acne forms, comedones have no limitation of extent, whereas with rosacea they don’t even appear in the flush areas. Moreover, acne rosacea is characterized by hypertrophy which is not found with acne vulgaris.
Unlike regular acne forms, acne rosacea is a chronic disease that evolves in time, sometimes extending over years. Most often, topical corticosteroids are applied to reduce the intensity of the symptoms and to improve the overall condition, but they are not suitable for long-term therapy because of the risk to cause an atrophy or permanent vaso-dilation of the tissues. Most dermatologists will therefore go for the systemic treatment instead of the topical one.
Depending on the skin changes caused by acne rosacea, surgical intervention could become necessary but only after running medical tests and at the special recommendation of a dermatologist. The tunable dye laser procedure and electrocautery represent the two main options under the circumstances, but one could also choose excision, skin grafting, dermabrasion ands so on. Do not postpone the treatment of acne rosacea because the more time passes, the more difficult will be to cure it.
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