rosacea
ROSACEA
Rosacea is a chronic cutaneous disease of the convexities of the central face (cheeks, chin, nose and central forehead) w/ periorbital and perioral skin sparing. This condition is attributed to chronic vasodilation.
Remissions and exacerbations are common.
It typically appears after 30 years of age but may occur at any age.  It commonly affects fair-skinned individuals.
The common presenting symptoms are facial flushing, stinging/burning erythema, telangiectasia, edema, papules, pustules, ocular lesions, and hypertrophy of the sebaceous glands of the nose with fibrosis.
A history of episodic flushing often heralds onset of rosacea.

Rosacea Management

Prevention

Aggravating Factors

  • Sun exposure
    • Use sunscreens with combined ultraviolet-A and ultraviolet-B with a sun-protection factor 30+
    • Sunscreen formulations with Dimethicone and Cyclomethicone may be less irritative
    • Use wide-brimmed hats
  • Hot or cold weather, wind, humidity
    • Application of cool compresses and staying in air-conditioned room during hot and humid days
    • Cover face with scarf and use moisturizer on cold days 
  • Stress
    • Use stress reduction techniques and exercises
  • Exercise
    • Avoid high-intensity workouts that cause flushing and overheating
    • During warm weather, exercise early or late in the day in a cool environment
    • Exercise for shorter, more frequent intervals
    • Place ice chips in mouth immediately following exercise
  • Spicy foods, alcohol, hot beverages
    • Identify and avoid foods and beverages that worsen facial redness
    • A study has found that caffeine does not increase the risk of rosacea
  • Hot baths, skin care products
    • Avoid hot water
    • Use hypoallergenic, non-irritating, noncomedogenic skin products and avoid heavy cosmetics
    • Apply soap-free cleansers, silicone facial foundations and film-forming moisturizers
    • Men may benefit from use of electric razor 
  • Medication
    • Avoid use of topical corticosteroids on the face: Fluorinated topical steroids produce rosacea-like syndrome while non-fluorinated low-potency steroids may worsen preexisting rosacea and delay the resolution of flare-ups from steroid use
    • Avoid medications that may aggravate flushing (eg vasodilators, Nicotinic acid, amyl nitrite, calcium antagonists, opiates)
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Infectious Diseases - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Tristan Manalac, 18 Nov 2020
The substitution of isoleucine to leucine at amino acid 97 (I97L) in the core region of the hepatitis B virus (HBV) seems to reduce its potency, decreasing the efficiency of both infection and the synthesis of the virus’ covalently closed circular (ccc) DNA, reports a new study presented at The Liver Meeting Digital Experience by the American Association for the Study of Liver Diseases (AASLD 2020).
Pank Jit Sin, 13 May 2020
A trial vaccine for the prevention of COVID-19 is underway with the first US participants being dosed in the Phase 1/2 clinical trial. Known as the BNT162 vaccine programme, the trials are a collaboration between Pfizer Inc. and BioNTech SE, and is part of a global development programme with Germany and the US taking the lead in having the first cohorts to be vaccinated. Germany started the study 1 week earlier. 
Jairia Dela Cruz, 18 Dec 2020
Rinsing with mouthwash that contains povidone-iodine (PI) or cetylpyridinium chloride (CPC) helps reduce SARS-CoV-2 levels in the saliva of COVID-19 patients, with the effect persisting for up to 6 hours, as shown in a study from Singapore.