About Rosacea

SFMedica offers individualised treatments to rosacea sufferers depending on the severity of the condition and its subtype.

Rosacea is a chronic inflammatory condition affecting both men and women with a female predominance (i.e. almost four times more common) whereas men tend to get the most severe form (i.e. phymatous form).

It typically affects pale skinned people such as those of Celtic origin. However any phototype and age can be affected by this mainly cosmetic skin condition.

The major feature of rosacea is facial flushing which may be associated with a severe burning and /or a stinging sensation. Other associated symptoms and signs include acne-like pimples, dilated superficial small blood vessels most commonly seen on the face around the nose, cheeks, and chin. In its more severe form eyes can also be affected. Rosacea can cause blindness, therefore it should be taken seriously and treated by experienced skin specialists and if eye symptoms are present an occular surgeon should be involved too.

Rosacea should not be confused with acne or seborrhoeic dermatitis. If areas, other than face, are involved such as scalp or behind the ears then a different or co-existing diagnosis should be suspected. Please also note that comedones (i.e. blackheads) do not exist in pure rosacea - unless there is an associative acne – as rosacea has nothing to do with clogged hair follicles or propionibacterium acnes bacterium.

There is no known cause for rosacea. However there have been several studies implicating Demodex Folliculorum, a small mite that lives in the hair follicles on the face, as a possible trigger especially when present in large numbers.

Other factors which could potentially trigger or exacerbate rosacea include:

  • Sun exposure
  • Emotional stress
  • Hot weather
  • Wind
  • Heavy exercise
  • Spicy food
  • Heated beverages
  • Certain skin-care products

Classification

According to the National Rosacea Society Expert Committee there are four identified rosacea subtypes:

  • Erythematotelangiectatic rosacea (the vascular form) - most common subtype, associated with central facial flushing and redness secondary to dilated small blood vessels.
  • Papulopustular rosacea (the inflammatory or papulopustular form) – associated with acne-like pimples and permanent redness.
  • Phymatous rosacea – associated with thickening skin, irregular surface nodularities, and enlargement. Phymatous rosacea can affect the nose (rhinophyma), the chin (gnathophyma), forehead (metophyma), cheeks, eyelids (blepharophyma), and ears (otophyma).
  • Ocular rosacea- minimal facial symptoms but severe eye problems such as permanently dry and irritated eyes and eyelids, conjunctivitis, red eyes, burning and itching.

PDF

Rosacea (PDF 299Kb)