Rosacea: types, causes, symptoms, treatment

Rozaceea tipuri cauze simptome tratament

Rosacea is a chronic condition that primarily manifests on the face. Although rosacea can develop in many ways and at any age, studies have shown that it usually starts after the age of 30, with the first symptoms being redness of the chin, cheeks, nose, and forehead. Initially, the redness appears and disappears. Once it becomes more intense and persistent, dilated blood vessels may also be observed.

In this article, we explain what rosacea is, its main types and symptoms, what factors can trigger or worsen the condition, and what treatment options are available.

Table of Contents

What is rosacea?

Rosacea is a chronic skin condition that affects blood vessels and sebaceous glands, especially in the central area of the face, namely the chin, nose, cheeks, and forehead. It is more common in women, people with fair skin, and those with a family history of rosacea. However, symptoms can be more severe in men.

The cause of rosacea is still unknown, which is why there is no 100% effective cure. However, research has allowed doctors to find ways to treat the condition, minimizing its symptoms.

Persistent or recurrent erythema (redness), papules (superficial, red or black lesions), pustules (purulent vesicles), telangiectasias (dilated small or terminal vessels causing red lines on the skin), and inflammatory nodules characterize this skin disease.

Types of rosacea

There are four types of rosacea:

  1. Erythematotelangiectatic rosacea
  2. Papulopustular rosacea (acne rosacea)
  3. Phymatous rosacea (rhinophyma)
  4. Ocular rosacea

Each of these has its own set of symptoms. Some people may develop more than one type of rosacea.

Rosacea symptoms

Rosacea: symptoms

The first symptom of rosacea is redness of the chin, nose, cheeks, and forehead. This sign appears and disappears in the early stage of rosacea (also known as couperose). Later, burning and stinging sensations may also appear when using water or skincare products.

As rosacea worsens, small blood vessels dilate, creating the so-called "spider veins." In some cases, pink or red bumps filled with pus appear.

Other symptoms of couperose:

  • Dry, rough skin
  • Swollen area around the eyes
  • Yellow-orange spots on the skin
  • Pain in the eyelids
  • Enlarged pores
  • Thickened skin, mainly on the nose

Symptoms of erythematotelangiectatic rosacea

  • Facial redness (erythema)
  • Visible dilated blood vessels (telangiectasias)
  • Swollen and sensitive skin
  • Stinging sensation on the face
  • Dry, rough, and scaly skin

Symptoms of papulopustular rosacea

  • Acne-like eruptions (pimples with pus) and very red skin
  • Oily skin
  • Sensitive skin
  • Visible blood vessels (telangiectasias)
  • Stinging sensation and papules

Symptoms of phymatous rosacea

  • Uneven skin texture
  • Thickened skin on the nose, chin, forehead, cheeks, and ears
  • Enlarged pores
  • Dilated, visible blood vessels
  • Oily skin

This type of rosacea, also known as rhinophyma, is a rare form associated with thickening of the skin on the nose. It usually affects men.

Symptoms of ocular rosacea

  • Red and watery eyes
  • Gritty sensation in the eyes
  • Burning or stinging sensation in the eyes
  • Dry eyes and sensitivity to light
  • Broken blood vessels on the eyelids
  • Diminished vision
Acne rosacea

What causes rosacea?

The cause of rosacea is unknown, but there are certain factors that can lead to the development of this dermatological condition:

  • Genetic factor – The risk of developing rosacea is higher in people with a family history of the disease.
  • Blood vessel problems – Redness on the skin can be caused by problems with blood vessels on the face. Sun exposure can dilate blood vessels, making them more visible.
  • Mites – A type of mite, called Demodex folliculorum, which lives on the skin and in hair follicles, can trigger rosacea.
  • Bacteria – Helicobacter pylori, a bacterium that lives in the intestine, could cause an increase in the amount of gastrin, a digestive hormone that stimulates gastric acid secretion.
  • Environmental factors – Sun exposure can exacerbate rosacea symptoms.

In short, rosacea is triggered by activities or factors that lead to an increase in blood flow to the face. It is important to remember that rosacea is not caused by poor hygiene and is not contagious.

Rosacea treatment face

Aggravating and/or triggering factors for rosacea

  • Hot drinks and spicy foods
  • Red wine and other alcoholic beverages
  • Caffeine
  • Extreme temperatures, sun, and wind
  • Strong emotions, stress, and anxiety
  • Physical exercise
  • Hot baths
  • Medications that dilate blood vessels
  • Certain cosmetic products (especially those containing alcohol or fragrances)

Rosacea: risk categories

  • Women
  • People aged between 30 and 50
  • People with fair skin, blond hair, and blue eyes
  • People with a family history of rosacea
  • Smokers
  • People suffering from severe acne
What is rosacea

Rosacea treatment

Generally, diagnosing rosacea is not difficult. For this, at least one primary sign must be present in the central area of the face: erythema, papules, pustules, or telangiectasias. Clinical examination, medical history, and the exclusion of other medical conditions, such as eczema or acne, are essential factors in diagnosing this skin condition.

To date, no cure has been identified for the definitive treatment of rosacea, but there are certain solutions to alleviate the symptoms. Dermatologists can prescribe oral or topical treatment, dermatocosmetic products to control facial redness.

Main forms of rosacea treatment:

  • Topical creams and gels
  • Oral antibiotics
  • Anti-inflammatory medications – usually for ocular rosacea
  • Laser therapy – destroys dilated blood vessels
Recommended Ivatherm cosmetic products for rosacea-prone skin: Rosederm Cream for sensitive skin with couperose – reduces redness, irritation, the number and size of visible small veins, improves peripheral microcirculation. Rosederm Cream SPF30 – reparative, soothing action, prevents an increase in intradermal temperature. Rosederm Thermal Water Micellar Anti-redness – gently cleanses, removes makeup, and soothes fragile skin.

Steps for preventing rosacea

  • Daily application of a sunscreen cream with at least SPF 30
  • Daily application of a thermal water spray with calming and anti-irritant properties
  • Avoiding high temperatures, as well as areas with high humidity
  • Covering the face in cold weather
  • Using skincare products for sensitive skin
  • Cleaning the eyelids at least once a day
  • Stress management
  • Avoiding alcohol consumption
  • Avoiding foods that can aggravate symptoms
Rosacea

How does rosacea affect quality of life?

Rosacea can affect more than just the skin and eyes. Because it is a long-lasting manifestation, it can have negative effects on the quality of life, by lowering self-esteem. According to studies in recent years, many people suffering from rosacea report problems at work, in marriage, and in interacting with new people.

Problems that may arise:

  • Feelings of frustration and embarrassment – 41% of patients avoid contact with other people or cancel social engagements
  • Worry – Patients worry that rosacea will worsen or cause scars
  • Low self-esteem – almost 70% of people with rosacea believe their confidence and self-esteem have decreased
  • Problems related to professional activity – 70% of patients say the condition affects their interactions at work
  • Anxiety and depression – rosacea symptoms can cause anxiety and depression

Thus, although rosacea is not a life-threatening condition, it has negative effects on the quality of life. Early treatment is recommended to control rosacea symptoms.

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