Rosacea is a common, long-term skin disorder that causes flushing and redness of the face. Rosacea can also affects the eyes making them red and irritated this is called ocular rosacea.
Rosacea symptoms are commonly triggered by: Very hot or spicy foodsCaffeineAlcoholSun exposureExtreme temperatures (very hot or very cold)ExerciseEmotional stress or social embarrassmentRubbing, scrubbing, or massaging the faceIrritating cosmetics and other toiletries
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The cause of rosacea is unknown. There may be a genetic link for some.
Rosacea is more common in women between 30 and 50 years old, people of European descent, and people with fair skin.
Other factors that may increase your risk include: Having a family member with rosaceaLong-term use of steroids applied to the skinA bacterial overgrowth of the small intestine
The hallmark symptoms of rosacea are facial flushing and redness. Other symptoms may occur that vary from person to person, such as: Symptoms of the face, ears, chest, and back: Broken blood vesselsSwellingStinging and burning skin Dry, oily, or rough skin AcneRaised patches of skin Thickened skin (rare) Symptoms in the eyes: Redness and tearingBurning, itching, and drynessSensitivity to lightBlurred vision
You will be asked about your symptoms and medical history. A physical exam will be done which includes examination of your skin. You may be referred to a doctor who specializes in skin disorders. Certain over-the-counter medications could make your condition worse.
There is no cure for rosacea. Treatment is focused on reducing symptoms and is based on your specific needs. Talk with your doctor about the best plan for you. Options include:
Decreasing irritation and triggers is important to managing symptoms. The following may be helpful: Identify and avoid triggersWash with a mild soap and dry the skin gentlyUse moisturizerWear sunscreen with an sun protection factor (SPF) of 30 or greaterAvoid outdated cosmeticsApply cosmetics with brushes instead of spongesWash affected eyelids with mild soapExercise in a cool environment
Prescription medications to treat rosacea symptoms include: Antibiotics taken by mouth or applied to the skin Topical medications that help to manage acne by killing bacteria and cleaning skin pores Topical medication to help shrink blood vesselsEye drops to increase tear production for those with ocular rosacea
Certain oral acne medications may also be recommended for severe rosacea.
The following procedures may be used to minimize redness and enlarged blood vessels: Intense pulsed light therapyLaser therapy
There is no known way to prevent rosacea.
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Rosacea. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/condition/rosacea/. Updated April 2014. Accessed January 24, 2017.
Rosacea: overview. American Academy of Dermatology website. Available at: https://www.aad.org/public/diseases/acne-and-rosacea/rosacea#overview. Accessed January 24, 2017.
Sunscreen FAQs. American Academy of Dermatology website. Available at: https://www.aad.org/media-resources/stats-and-facts/prevention-and-care/sunscreens. Accessed January 24, 2017.
Tanzi EL, Weinberg JM. The ocular manifestations of rosacea.
van Zuuren EJ, Fedorowicz Z, et al. Interventions for rosacea. Cochrane Database Syst Rev. 2015 Apr 28;(4):CD003262. doi: 10.1002/14651858.CD003262.pub5. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003262.pub5/full. Accessed January 24, 2017.
Last reviewed February 2016 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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