Dermatologist Dr Anna Chapman explains what is Rosacea, what causes Rosacea, what are the signs and symptoms of Rosacea and how a Dermatologist treats Rosacea.
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Rosacea is a very common dermatology skin condition. It is an inflammatory dermatitis that causes flushing and blushing, predominantly of the face but occasionally of ears and can also cause redness of the eyes.
Rosacea is very frequently encountered in dermatological settings. In the United States 1 in 20 patients suffers from Rosacea.
The cause of Rosacea is unknown to Dermatologists. It is a dermatology condition that is usually recognized as being triggered by a number of common factors.
Most commonly Rosacea is triggered by spicy food, hot beverages, alcohol and changes in temperature of the environment. It is also triggered by ultraviolet light.
Dermatologists know that Rosacea tends to appear more in some families than in other families so there is a family background to Rosacea too.
There are four types or Rosacea. Each type of Rosacea is characterized by certain signs and symptoms. The predominant feature of each type of Rosacea is some form of redness. The most commonly encountered type of Rosacea is one with deeply seated erythema, so uniform redness, most often noticed over the cheeks, but also on the nose, forehead and on the chin. Rosacea can be predominantly papular and pustular.
The pustular component can be so prominent that the condition is sometimes mistaken for Acne vulgaris. The dermatology conditions Acne and Rosacea can coexist. Sometimes the treatment of one of these conditions can unmask the other condition. It is very important for Dermatologists to distinguish between the two conditions as some treatments can help both conditions but there are treatments that can worsen the other condition.
With the treatment of Rosacea it is very important to recognize a trigger for any flare-ups. I often advise patients to keep a diary and to see what is relevant for their particular type of Rosacea. I also emphasize the common triggers such as ultraviolet light, changes in temperature, spicy food, alcohol and stress. If possible these triggers should be avoided.
The second line treatment by Dermatologists would be topical treatments that often contain metronidazole gel or azelaic acid gel and a third-line treatment by Dermatologists would be systemic therapy.
In addition laser treatments can be very effective for treating dilated blood vessels and for treating general redness of the face.
This video on how a Dermatologist treats Rosacea is part of the series of Dermatology video’s on dermatology conditions, produced to help patients and their families, general practitioners and other specialists, and for those who are interested in Dermatology. You can watch all the videos on The London Skin and Hair Clinic YouTube channel.
Looking for further information? You can find out more about Rosacea here.