Definition, Facts, Causes and Treatments for Rosacea


You were recently diagnosed with rosacea, or you may have seen advertisements for treatments that have flourished in recent years. If so, you probably have a lot of questions. Is Rosacea Just Another Name For Adult Acne? What are the reasons? And, more importantly, are there treatments that can help eliminate it?

Also, what do we learn about how rosacea can be related to certain other conditions?


Rosacea is a condition in which abnormal behavior of the hairline occurs, which is a large word used to describe the pores or the combination of the hair follicle, hair shaft, and sebaceous gland. While it may look similar to adult acne , it is not adult acne. Pimples are common with rosacea, but blackheads (comedones) are not.

In the past, rosacea was one of those skin conditions that most people were unaware of (or believed they had something that did not respond to treatment) until irreversible changes occurred. Fortunately, rosacea is very treatable.

Let's start with some quick facts about rosacea to help you identify this condition:

  • Rosacea usually begins after age 30.
  • It is more common in women than in men, although it tends to be more severe in men than in women.
  • It is most often found in people of Scandinavian or Celtic descent, but it can affect anyone.
  • More than 12 million Americans have it.
  • The diagnosis is made on the basis of clinical examinations; there are no laboratory tests to diagnose the condition.


While researchers are unsure of the exact causes of rosacea, several ideas and risk factors have emerged. Some of these include:

  • The Demodex folliculorum mite may be associated with a hair follicle, although this connection has been questioned. Some people with rosacea have more mites on their skin, but others with rosacea have no symptoms.
  • Helicobacter pylori infection has been linked to rosacea and there is some evidence that H. pylori , the same bacteria that cause stomach ulcers, may play a role in rosacea. The H. pylori association does not mean that bacteria are present on the skin; Rather, a skin reaction to bacteria in the intestinal tract can make a difference.

Signs and symptoms

There are several skin characteristics that commonly occur with rosacea. People with rosacea can have any combination of these, including:

  • Reddened skin, sometimes swollen, around the middle of the face, on the forehead, cheeks and nose.
  • Red bumps that may contain pus, similar to acne.
  • Tiny blood vessels called telangiectasias above the nose and cheeks are visible up close, but appear as a red flush from a distance.
  • An enlarged, pitted, bulbous nose called rhinophyma , which occurs when there is an increase in fibrous tissue and sebaceous glands .
  • Symptoms tend to get worse and worse with remissions, followed by worsening of symptoms.
Rosacea. DermNet / CC BY-NC-ND

Rosacea of the eye (ocular rosacea)

About 20% of people with rosacea also suffer from ocular rosacea or rosacea of the eye, although ocular rosacea sometimes occurs without any facial changes. Symptoms often start with redness and swelling of the eyelids and the feeling of something in the eye, like a lump of sand. If you have any eye symptoms, talk to your doctor, who may recommend seeing an ophthalmologist. Many treatments can be used, including taking omega-3 fatty acid supplements.


The following is a list of triggers that sometimes make symptoms worse:

  • solar exposition
  • Stress
  • Hot weather
  • Alcohol consumption
  • The spicy food
  • The exercise
  • Wind
  • Hot baths
  • Hot drinks
  • Cold weather

Differential diagnosis

The facial features seen with rosacea are quite common, but there are other conditions that can look very similar in addition to acne in adults. Some of these include:

Related conditions

Research has shown that it is not an isolated phenomenon, but rather a link between rosacea and other diseases, including:

  • There appears to be some link between irritable bowel syndrome and rosacea , although the exact link has yet to be clarified.
  • People with rosacea have an increased risk of breast cancer (25% higher), non-melanoma skin cancer, and liver cancer, but how they are related is currently unknown.
  • Rosacea was also found to have a significant correlation with the development of dementia, especially Alzheimer's disease.
  • Other conditions that are in some way associated with rosacea include Parkinson's disease, anxiety, and depression.

Most of the research on these links was published in 2016 and 2017, so there is still a lot to learn about the possible link between rosacea and other conditions.

Watch out

There are several treatments that can help with rosacea, depending on the severity of your symptoms. This includes:

Oral Medicine : Various remedies can be used to treat rosacea. Erythromycin and tetracycline are the main oral antibiotics. Other commonly used antibiotics include doxycycline, flagyl (metronidazole), and minocin (minocycline). Some people only need to take antibiotics for flare-ups, while others need to take antibiotics every day to suppress symptoms. It is generally best to use the smallest dose possible to get the desired results. Antibiotics are most helpful for red spots and pimples on the face. They don't help much with redness and blood vessels. Isotretinoin (Accutane) has been used for persistent rosacea, but should be taken with caution as it can cause severe dry skin and lips, depression , and birth defects when taken by pregnant women.

Local Medicine: Various topical remedies can also be used to treat rosacea. The most widely used metrogel (metronidazole). Other topical remedies include Finacea (azelaic acid), sulfacetamide, and sulfuric lotion, which can be found in flesh-colored formulations to help hide some redness. Soolantra (ivermectin) is also used to treat rosacea. It is a topical drug used to kill mites (for example, in scabies) and prompts researchers to take a closer look at the possibility that certain skin mites play a role in the disease.

Lasers: Laser therapy uses heat from the wavelengths of light to essentially destroy the tiny blood vessels that become visible in rosacea. There are different types of laser treatments. Those used for rosacea include V-beam lasers and intense pulsed light (IPL) therapy.

Surgery – An enlarged nose cannot be cured with medicine. For this, cryosurgery, laser surgery and electrosurgical therapy have been used with variable efficacy. Electrosurgery and laser therapy are beneficial for the vessels.

Get the word of drug information

The most important first step in treating rosacea is understanding that you are dealing with the condition and that it is not adult acne. Most treatment approaches involve both treating the rash and recognizing and preventing triggers that can make the situation worse. If the condition persists for a long period of time, some people may benefit from cosmetic surgery.

If you have been diagnosed with rosacea, you may want to know that rosacea is associated with various conditions ranging from Parkinson's disease (rosacea is an independent risk factor) to breast cancer. Unfortunately, it is too early to understand the significance of these findings. These results really suggest that you should consider making an appointment with your doctor and discussing these results, especially to make sure you stay up-to-date with cancer screening results and more. In fact, sometimes a little anxiety can put someone with a predisposition in a better position than someone without a predisposition who is not worried. Being active can affect your health.

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