Rosacea (Adult Acne)
What Is Rosacea?
Rosacea is a skin disorder that may affect as many as 45-50 million
people worldwide and approximately 14 million people in the United
States alone. The condition is primarily characterized by inflammation
and reddening of the facial skin. It commonly occurs on and around the
nose, cheeks, forehead, chin, eyelids, and occasionally on the neck and
upper chest. The redness sometimes progresses to visible vessels;
swollen bumps, called papules, or pus-filled bumps, called pustules,
that are often mistaken for adult acne; and in some cases, thickened
skin that results in a red, bulbous nose. Most people with rosacea don’t
even realize they have it and are not treating it. Although the red
facial skin is harmless, the red-faced appearance often causes people
with rosacea to be unhappy with their appearance.
What Causes Rosacea?
Scientists do not fully understand what causes rosacea. Rosacea may
arise from a single specific trigger, or as a result of a combination of
factors and genetics. There is evidence that certain environmental
factors, foods, drinks, and medications may trigger rosacea. In
addition, some researchers believe that specific living organisms may
possibly even play a role in the flushing and blushing that precede
Who Gets Rosacea?
Rosacea affects people of all ethnicities, skin colors, gender, and
age. However, there are patterns in which certain groups of people are
more likely to develop rosacea than others. Rosacea tends to occur in
fair-skinned people more often than people with darker skin. The onset
of rosacea primarily occurs between the ages of thirty and sixty, but it
can also first appear in children or the elderly.
Rosacea afflicts many more women than men, and it is sometimes occurs
around menopause. However, although there are more cases in women, men
generally develop far more severe rosacea symptoms.
Rosacea and Adult Acne Treatment Options (not limited to):
Tetracycline: Can cause upset stomach in about 10% of patients. It can cause increased sensitivity to the sun. If you are going to be out in the sun for longer than 20 minutes, sunscreen SPF 30 or greater should be applied. In women, it can increase the frequency of yeast infections. Theoretically, may make birth control pills less effective.
Minocycline: Can cause lightheadedness in a small number of people. Long term use can lead to some of the medicine being deposited in the skin. This shows up as small blue spots in the mouth, on the face, and in scars. It almost always goes away when you stop the medicine. In women, it can increase the frequency of yeast infections. It, theoretically, may make birth control pills less effective. Rarely, people may develop "lupus-like" symptoms with muscle and joint aches and fatigue.
Doxycycline: The old Doxycycline and generic doxycycline are absorbed in the stomach and have a high incidence of sun sensitivity. The new Doxycyline (Doryx – brand) is a pellet that bypasses the stomach and is only absorbed in the small intestine. This has almost completely eliminated the sun-sensitivity side effect. Some people get a little light headed. It, theoretically, may make birth control pills less effective. It does not get deposited in the skin or give the rare "lupus-like" symptoms that could potentially be seen with Minocycline. It is generally taken one time per day. It is not known if it is as effective as Minocycline however.
Topical Metronidazole is applied to the skin in adults to help control rosacea. This medicine helps to reduce the redness of the skin and the number of pimples, usually found on the face, in patients with rosacea. Topical Metronidazole is available only with a doctor's prescription. In order to keep rosacea under control, it is important to use this medicine for the full course of treatment. May have to continue using this medicine every day for 9 weeks or longer.
+Pulsed Dye Laser
The pulsed dye laser targets spots on the skin that are vascular (made up of blood vessels). The pulsed dye laser emits laser light that targets blood vessels right below the skins surface. The heat from the laser is collected in the vessels, destroying them while leaving the surrounding skin intact. The pulsed dye laser is safe and has been commonly used for the treatment of rosacea for a number of years.