Facial burning, stinging and itching are commonly reported by many rosacea patients. Certain rosacea sufferers may also experience some swelling edema in the face that may become noticeable as early as the initial stage of the disease. The same flushing that brings on rosacea's redness can be associated with a build-up of fluid in the tissues of the face.
It often occurs above the nasolabial folds — the creases from the nose to each side of the mouth — and can cause a "baggy cheek" appearance. It is also believed that in some patients this swelling process may contribute to the development of excess tissue on the nose rhinophyma , causing it to become bulbous and bumpy. If you experience any of these symptoms, discuss them with your physician.
For a complete description of the signs and symptoms of rosacea, visit the All About Rosacea page. Rosacea can present itself in different ways for different individuals. Rosacea patients may exhibit varying levels of severity of symptoms over different areas of the face. Patients have often reported that the disorder actually began with a red spot or patch on one cheek or another part of the face, and then spread to other areas.
On the other hand, many rosacea patients exhibit similar symptoms on both sides of their faces. Rosacea and regular acne, called acne vulgaris, usually appear separately, but some patients are affected by both. While both conditions in adults are often informally referred to as "adult acne," they are two separate diseases , each requiring different therapy. Acne vulgaris is associated with plugging of the ducts of the oil glands, resulting in blackheads and pimples on the face and sometimes also the back, shoulders or chest.
Rosacea seems to be linked to the vascular network of the central facial skin and causes redness, bumps, pimples and other symptoms that rarely go beyond the face. Special care is necessary in treating patients with both conditions because some standard medications for acne vulgaris can make rosacea worse. It has been estimated that approximately half of all rosacea sufferers may appear to experience dry skin. With treatment, this dryness often eases along with disappearance of papules and pustules.
To combat dry, flaky skin, use a moisturizer daily after cleansing and applying medication. You also may wish to check with your dermatologist to see which medication is best for your skin type, since some have a drying effect and others are more moisturizing. There is no standard skin type for rosacea patients. Many sufferers experience dry, flaky skin, while others may have normal or oily skin, or both. The key is to identify your skin type and use medication and skin-care products that are suitable for you.
It is not unusual for seborrheic dermatitis to appear concurrently with rosacea. Seborrhea manifests as reddish-yellow greasy scaling in the central third of the face. Scalp, eyebrows and beard may have fine flakes of white scale, dandruff or patches of thicker, greasy yellow scale. Eruptions may also appear beyond the face. To learn more, visit the Seborrhea page. No, nothing in the medical literature links rosacea and atopic dermatitis, or eczema.
The two diseases may share some symptoms, but also have many differences. Rosacea is more common in fair-skinned individuals and nearly always affects the face only, causing such signs and symptoms as redness, visible blood vessels, bumps and pimples and sometimes swelling of the nose from excess tissue.
Atopic eczema is more common in individuals with dry skin and can appear in various areas of the body, producing red scaling and crusted or weeping pustules that itch fiercely. However, a recent NRS survey found than 55 percent of rosacea patients said they had experienced another skin disorder. Discoid lupus is a chronic, scarring skin disease. Another form, systemic lupus, is characterized by a variety of signs, including some in the vascular system.
Because lupus can cause a reddish skin rash that spreads across the bridge of the nose and face, often in a butterfly pattern, it can appear similar to rosacea. However, while both rashes can be smooth in texture, the presence of bumps and pimples, which rarely occur in a lupus flare, may help differentiate the diseases. In addition, lupus is almost always accompanied by other symptoms not associated with rosacea, such as fever, arthritis and signs of renal, lung or heart involvement.
A dermatologist can usually quickly tell the difference between a butterfly rash of lupus and rosacea. Moreover, unlike lupus, as many as 50 percent of rosacea patients may also have ocular signs.
Visually, an eye affected by rosacea often appears watery or bloodshot. Sufferers may feel a gritty or foreign body sensation in the eye, or have a dry, burning or stinging sensation. No medical evidence has linked rosacea directly with skin cancer.
Rosacea sufferers may be more likely to develop skin cancer later in life because of their frequent light complexions and propensity to injury from ultra-violet radiation from the sun. It is important that you consult your dermatologist if you have any signs of possible skin cancer, such as a mole that is enlarged or asymmetric or that has an irregular border or varying color.
Although unrelated to rosacea, skin cancer is a potentially fatal disease whose incidence has been on the rise. I've been using medication for some time now and it has cleared my pimples and reduced my redness, but it also seems to have made me develop more spider veins.
What's going on? Visible blood vessels telangiectasia sometimes develop with rosacea and were likely always there, but were hidden or less noticeable because of your redness. Once medication has diminished the redness, it is not uncommon for spider veins to become more noticeable. These can be camouflaged with makeup, or removed with a vascular laser, intense pulsed light source or other medical device. Although it is not a common feature of rosacea, symptoms have been reported to appear beyond the face.
In a National Rosacea Society survey , rosacea patients reported experiencing symptoms on the neck, chest, scalp, ears and back. The hot flashes sometimes associated with menopause may bring on a flare-up or even the initial onset of rosacea. A Swedish study also noted that postmenopausal women with rosacea may be more likely to experience migraine headaches. Several articles about the relationship between menopause and rosacea have appeared in Rosacea Review.
To view those archives, click here. Individuals with rosacea may be prone to styes, and light sensitivity and blurred vision may also be present. Left untreated, decreased visual acuity due to corneal involvement may occur.
Eye involvement may appear before as well as after any skin signs or symptoms, and individuals who suspect they may have ocular rosacea should consult a dermatologist or ophthalmologist for appropriate therapy. What are the most common lifestyle and environmental factors that aggravate rosacea or trigger flare-ups? Follow the same skin-care guidelines you do for choosing a moisturizer: Your cleanser should be fragrance-free and hypoallergenic.
Remember, scrubbing has no place in your rosacea skin-care routine. Chemical peels, microdermabrasion treatments, and even run-of-the-mill facials may be good for your best friend's complexion, but Green says they'll make your rosacea worse. Work with your dermatologist to find other skin-care options if you want a rejuvenating treatment to make your skin look younger or smoother. Makeup may be used to help cover up ruddy cheeks, but it can also worsen rosacea symptoms, says Taub.
When choosing a foundation, Green suggests to opt for pressed powder over liquid formulas because liquid can clog the pores and make rosacea symptoms worse. A past survey by the National Rosacea Society found that the top trigger for rosacea is sun exposure. In fact, 81 percent of respondents said that the sun triggered a rosacea flare.
When you're out in the sun, practice sun safety — apply sunscreen, wear a wide-brimmed hat, and stay in the shade as much as possible.
Apply them generously and reapply often. Flares happen when you have rosacea. To minimize rosacea symptoms, try placing ice packs on your face to calm down the inflammation, Taub suggests. Page last reviewed: 15 January Next review due: 15 January Check if you have rosacea The first signs of rosacea include redness blushing across your nose, cheeks, forehead and chin that comes and goes a burning or stinging feeling when using water or skincare products The redness may be harder to see on darker skin.
As rosacea gets worse, your cheeks, nose, skin and forehead will be red all the time Credit:. Rosacea can look a lot like other conditions, such as: acne contact dermatitis , seborrhoeic dermatitis and other types of dermatitis lupus keratosis pilaris.
Non-urgent advice: See a GP if:. Urgent advice: Ask for an urgent GP appointment or call Using cosmetic lasers, it is an entirely safe and noninvasive procedure.
Patients can come in for treatment return to their regular life the same day, with no downtime. The BroadBand Light treatment reduces the redness caused by enlarged blood vessels, lessening their appearance and removing or reducing redness and inflammation.
Also, laser resurfacing can repair and rejuvenate the skin, provide an even texture and colouration and reduce or eliminate rosacea symptoms. Common medications for rosacea, such as brimonidine and oral antibiotics or oral medication, can also help. They do not cure the underlying condition, although they can improve symptoms and reduce discomfort.
Visually, the benefits of medications are not as significant as those achieved through BBL treatments. However, they can be used in combination with BroadBand Light therapy to optimize results. Always consult a doctor before beginning to use rosacea medications or skin care products meant to help with flare-ups.
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