대전피부과 Rosacea is a long-term skin condition that can cause redness, bumps, pus-filled bumps and thickened tissue. It usually affects people with fair skin and tends to run in families.
It can be triggered by stress, poor diet and cosmetics. It may affect the eyes, causing them to look bloodshot or watery.
Symptoms
A chronic inflammatory skin condition, rosacea is characterized by redness, pimples, and broken blood vessels. It typically affects the face and eyes, but can also be found on the neck or chest. It is more common in fair-skinned people and tends to begin after middle age, although it can affect anyone. It is not known what causes rosacea, but it may be triggered by a number of factors including sun exposure, alcoholic beverages, spicy foods, and certain cosmetics.
The most common individual sign of rosacea is persistent facial redness, which might resemble a blush or sunburn that doesn’t go away. Other signs include swollen bumps (papules) and pus-filled spots called papulopustules. The skin of the nose and cheeks might thicken, causing it to take on a bulbous appearance (rhinophyma). The eyes might become irritated and appear watery or bloodshot, and styes may develop. Over time, rosacea can cause the nose to enlarge and become misshapen, a condition called rhinophyma.
In some cases, rosacea can lead to a feeling of being overwhelmed and out of control. Stress reduction strategies, such as exercise, a healthy diet, and meditation can help to manage symptoms. It is also important to write down a list of the foods, drinks, and skincare products that make your symptoms worse. This will help you and your doctor identify what triggers your flare-ups so that you can avoid them in the future.
Diagnosis대전피부과
Your doctor will diagnose rosacea by looking at your skin and asking about your symptoms. Your doctor may also ask about any periods when your symptoms seem to improve or get worse. This helps them decide whether you have a common long-term condition called rosacea, or another problem with your skin like lupus or menopause.
Symptoms of rosacea include reddened skin, flushing, enlarged blood vessels in the face (telangiectasia), swollen nose and cheeks (rhinophyma), and a rough or bulbous appearance to the skin on the forehead, chin, and cheeks. But not all people with rosacea have these signs. People of any skin color can get rosacea, but it’s more likely to affect fair-skinned people of Celtic or Northern European descent.
Rosacea isn’t dangerous, but it can be embarrassing and disfiguring if not treated properly. It can lead to a loss of self-confidence and even depression. In severe cases, rosacea can cause problems with the eyes. This is called ocular rosacea, and it can cause eye pain, a gritty feeling in the eyes, and watery or dry eyes. It can also lead to a corneal ulcer or infection that could threaten your vision.
Your GP can help you control your symptoms with creams, washes, and other treatments. Some are designed to reduce the redness by causing your blood vessels to constrict. Others, such as the new cream brimonidine, decrease flushing by blocking a chemical in your body that makes blood vessels expand. Other treatments include laser or intense pulsed light treatment, which uses beams of light to shrink visible blood vessels and make them less noticeable. They can also remove excess tissue in some people who have thickened skin.
Treatment
For many people with rosacea, long-term treatment of symptoms is necessary to keep the disease in remission. This includes prescription medications in pill or gel form, such as azelaic acid, doxycycline, metronidazole, sulfacetamide/sulfur, retinoids and oral antibiotics, as well as light therapies and laser treatments. New drugs have expanded the armamentarium of treatments.
Skin irritants such as sun, wind, cold air, spicy food, alcohol and stress are common triggers of flare-ups. Other causes of inflammation may be a bacterial overgrowth in the gut, an increased density of microscopic skin mites (Demodex) and an imbalance of the natural oil production of the sebum glands.
Visible small blood vessels, called telangiectasia, appear on the cheeks and nose in people with rosacea. In some cases, the eyes become irritated and appear watery or bloodshot. The eyelids may swell and develop crusts or styes, and the nose may enlarge to produce a bulbous appearance, known as rhinophyma. Severe rosacea can lead to permanent loss of vision if not treated promptly by an ophthalmologist, a doctor who specializes in treating eye diseases.
Changing a person’s daily habits to avoid flare-ups can improve symptoms. For example, using an electric shaver rather than a regular razor can reduce the irritation that can cause redness and bumps. Keeping a diary to track foods, beverages, skincare products and activities that affect a patient’s symptoms can help to identify what triggers their condition. The charity Changing Faces can provide advice on this and other ways to manage rosacea.
Prevention
If facial redness flares up repeatedly, especially if it’s paired with burning or itching, rosacea may be to blame. It’s usually a long-term condition, and without treatment, redness can thicken and blood vessels can become enlarged. It can also cause eye problems, including sores and irritation. It typically occurs in people with fair skin, blue eyes, or Celtic or North European descent. But it can affect people of all ages, genders, and skin colors.
Some rosacea symptoms can be controlled with self-care. Try using gentle, fragrance-free soap or a soap substitute to cleanse your face and avoid scrubbing. It’s also important to protect your face with a sunscreen with an SPF of at least 30 that needs to be reapplied often.
In some cases, a person may need to take a topical medication or oral antibiotics to control the redness. A dermatologist may prescribe a cream with azelaic acid, brimonidine, or metronidazole. Some newer creams reduce redness by temporarily constricting blood vessels.
It’s important to avoid anything that can trigger your rosacea, like spicy foods or alcohol. Keep a diary of what causes your flushing so you can make note of what makes it go away or worsen. Some common triggers include sun exposure, hot or cold temperatures, stress, some medications, and menopause. You can also try wearing a hat when going outdoors and covering your face with a scarf that’s soft (like silk or acrylic). You should also wear a warm, loose fitting, cotton sweater, because a tight shirt can increase the heat in your head and trigger flare-ups.