Rosacea

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It is a common skin condition that causes redness, pimples and visible blood vessels on the face (cheeks, nose, forehead and chin). They may appear for weeks or months and then disappear for a while. It can be confused with acne, other skin problems or natural flushing.

 The age when the first symptoms appear and the lack of blackheads and whiteheads help distinguish rosacea from acne. It can affect anyone but is more common in women between 30-50 years of age who have fair skin. 

Its cause is unknown, but some people may be prone to develop it due to hereditary and environmental factors. There are factors that can trigger outbreaks such as hot drinks and spicy foods, alcoholic beverages, extreme temperatures, sunlight or wind, emotions, exercise and various cosmetic products. 

It manifests with frequent flushing, transient or permanent redness (erythema), telangiectasias, papules and pustules with periodic exacerbations and remissions, as well as rhinophyma in the more advanced stages. There may also be ocular involvement in which the patient presents with dry, irritated and swollen eyes and red, puffy eyelids. 

There is no cure for rosacea, but treatment can control and reduce the signs and symptoms through the use of oral or topical antibiotics, laser treatment or dermabrasion. To avoid worsening rosacea, it is recommended to avoid certain foods, alcohol and hot beverages, and to avoid exposure to sunlight, extreme temperatures, wind and cosmetics.

Bibliographic references
  1. Van Zuuren, Esther J; Fedorowicz, Zbys; Carter, Ben; van der Linden, Mireille MD; Charland, Lyn (2015). «Interventions for rosacea». Cochrane Database of Systematic Reviews.
  2. Culp, Brittney; Scheinfeld, Noah (enero de 2009). «Rosacea: A Review» .
  3. Rohrich RJ, Griffin JR, Adams WP., Jr Rhinophyma: Review and update. Plast Reconstr Surg. 2002;110(3):860–869. quiz, 870.
  4. Scheinfeld NS. Rosacea. Skinmed. 2006;5:191–194.
  5. Halder RM, Brooks HL, Callendar VD. Acne in ethnic skin. Dermatol Clin. 2003;21(4) .
  6. Berg M, Liden S. An epidemiological study of rosacea. Acta Dermatol Venereol. 1989;69:419–423.
  7. Pray WS, Pray JJ. Differentiating between rosacea and acne. US Pharmacist. 2004;29(4)
  8. Kroshinsky D, Glick SA. Pediatric rosacea. Dermatol Ther. 2006;19(4):196–201.
  9. Shelley WB, Shelley ED. Advanced Dermatologic Therapy II. 2nd ed. Philadelphia: WB Saunders; 2001.
  10. Berth-Jones J, Clark SM, Henderson CA. Rosacea and perioral dermatitis. In: Lebwohl M, Heymann WR, Berth-Jones J, et al., editors. Treatment of Skin Disease. London: Mosby; 2002.
  11. Marks JG, Miller JJ, editors. Principles of Dermatology. 4th ed. Philadelphia: Elsevier/Saunders; 2006. Rosacea.
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Pustule(s)


    Thick, red nose skin


    Pimples on face - Acne


    Reddened facial skin


    Superficial blood vessels visible on the skin

Self-care

Identify and avoid the triggering factors.
Avoid excessive sun exposure.
Use sunscreen with SPF 30 or higher.
Consult with your primary care physician regarding the prescription of antibiotics.