Many individuals who are struggling with redness, pimples and visible blood vessels on their face may incorrectly diagnose their condition as acne, sunburn or sensitive skin.
However, they probably have rosacea, a skin condition which if not treated early, can continue to flare or begin to worsen. Therefore, it is important to visit a dermatologist who can make the correct diagnosis and recommend treatments and skin care products that will control the rosacea and keep the skin healthy.
Speaking today at the 64th Annual Meeting of the American Academy of Dermatology, dermatologist James Q. Del Rosso, D.O., clinical assistant professor in the department of dermatology at the University of Nevada, Las Vegas, spoke about the individualized treatment options that are helping patients with rosacea manage their condition.
"Rosacea can have devastating effects on self-esteem because it is so noticeable on the face," said Dr. Del Rosso. "When it affects teenagers and young adults, it can cause feelings of isolation and self-consciousness. Adults with rosacea often are caught unaware because they assume they would have outgrown skin conditions. But rosacea treatments are more effective than ever, offering a variety of therapies that are having successful results."
Rosacea is a chronic and often progressive skin disease that causes redness and swelling on the face. As many as 14 million Americans have rosacea, most between the ages of 30 and 50. Rosacea may begin as a tendency to flush or blush easily, and progress to persistent redness in the center of the face that may gradually affect the cheeks, forehead, chin and nose. As the disease progresses, the redness becomes more severe and persistent, and small blood vessels, acne-like pimples and nodules may become visible on the surface of the skin. Rosacea can be exacerbated by exposure to extremes of hot and cold, sunlight, emotional stress, hot beverages, alcohol, spicy foods and certain skin care products.
"Since what triggers rosacea in one patient may not trigger it in another, dermatologists often recommend that patients with rosacea keep a diary of flushing episodes and note associated foods, products, activities, medications or other triggering factors," said Dr. Del Rosso.
Topical treatment options such as metronidazole and azaleic acid can reduce redness, red or pus-filled bumps and other symptoms associated with rosacea. With topical medications, individuals are instructed to be consistent with the application of the product and to be patient, as it may take four to eight weeks to see noticeable improvement.
Oral tetracycline antibiotics, such as doxycycline or minocycline, are the most common oral medications used to treat rosacea. A new form of doxycycline, called anti-inflammatory dose doxycycline, is currently under review by the U.S. Food and Drug Administration (FDA) for the treatment of rosacea. This form of doxycycline reduces inflammation without any "antibiotic effects," such as antibiotic resistance. "Whether or not an oral antibiotic is recommended for treating rosacea depends on how severe the case is," stated Dr. Del Rosso.