Acne Rosacea

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ACNE ROSACEA

Flushing, swelling and the development of papules and postules of affected areas characterize acne rosacea, the skin lesions are distinguishable from acne vulgaris due to the lack of comedones, commonly known as blackheads and whiteheads. Other symptoms include, burning or stinging sensation when some lotions are applied to the affected areas, and the face may feel increasingly dry, sensitive, or sunburned. Rosacea can also cause serious eye problems if not treated, early stage symptoms of ocular rosacea include, dry, red, irritated eyes, swollen eyelids, and blurry vision.

Acne Rosacea

Acne Rosacea Cases:

If not treated properly, some cases of acne rosacea can cause rhinophyma, a disease that typically afflicts white males age 40 and up, although there have been a few cases of men that have been affected in their 20’s. The disease is the end-stage of acne rosacea, which is three times more common in females. It is observed more frequently in persons of English or Irish descent and only very rarely in blacks.

Acne Rosacea Symptoms

In 1846 Dr. Rudolf Virchow recognized rosacea progressing to acne rosacea, as the only clearly associated entity and precursor of rhinophyma. It begins as an accentuation of the normal flush reaction in adolescence and young adulthood and can involve the nose, central forehead, malar areas that are commonly known as the cheekbones, and chin. With time, the vessels of the nose become progressively dilated and the skin thickens and may become involved with cysts and pustules, and the skin can be quite oily. The nose thickens at the tip and sebaceous glands hypertrophy. As the deformity worsens, pits, nodules, fissures, lobulations, and pedunculation deform the nose into grotesque cosmetic problems. There is no uniformity in the end stage or final appearance. Progression of disease in the chin has been termed mentophyma, and involvement of the pinna can lead to otophyma, but these areas are much less frequently involved than the nose.

Telangiectasias are broken or enlarged blood vessels, when people with rosacea flush, the small blood vessels of the face get larger, eventually showing through the skin. They may appear as spots or as thin wavy lines. The most common areas where these lesions occur when related to acne rosacea are, the face and cheeks, particularly on the sides of the nose and around the nostrils.

Flushing and persistent central facial redness are common traits found in erythematotelangiectatic rosacea. The appearance of telangiectasia is common but not essential for a diagnosis of this type of acne rosacea. Stinging and burning sensations, and roughness may also occur. Flushing alone is very common among patients with erythematotelangiectatic rosacea.

Acne Rosacea Subtypes

Papulopustular rosacea is characterized by persistent central facial redness with transient papules or pustules. Papulopustular rosacea resembles acne vulgaris, except that comedones are absent. It is common that patients affected by this rosacea type report burning and stinging sensations. Erythematotelangiectatic rosacea is frequently associated with this subtype, as well as the appearance of telangiectasias. Phymatous rosacea refers to the thickening of the nose skin, irregular surface nodularities, and enlargement. Rhinophyma present in the nose is a clear example, but phymatous rosacea may occur in other locations, including the chin, forehead, cheeks, and ears.

A highly debilitating and severe form not officially recognized yet is Neuropathic Rosacea; symptoms include bouts of burning and pain sensations in the patients face after exposure to triggers. Such bouts may last longer than 30 minutes. In some instances these symptoms can become semi-permanent if dermal inflammation or various inflammatory cytokines damage or permanently activate sensory nociceptors. Nociceptors are the sensory receptors responsible for sending the signals that that produce the sensation of pain. In severe cases, underlying facial inflammation may trigger these sensory nociceptors in the absence of external triggers. It is important to acknowledge that this type of rosacea can cause physical disability comparable to diabetic neuropathy and other painful peripheral neuropathies.

WHAT CAUSES ACNE ROSACEA?

What are the causes of Rosacea...for more information click the link.

ACNE ROSACEA TREATMENT

Rosacea has many possible Treatments depending on the severity. Click the link to find out what type of treatments you can consider.

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