Rosacea is a very serious condition affecting especially North Americans from 30 to 50 years of age; it can lead to serious facial, ocular and emotional damages if overlooked. It usually affects women and is frequently ignored because people don’t discuss about it or because doctors don’t always identify it.
The neglecting of Rosacea is often caused by it atypical signs in the beginning, by its low appearance in the adolescence or at dark-skinned people. The most important sign of Rosacea is Rhinopema, usually seen in men.
About the physiopathology of Rosacea we know it’s an inflammatory condition caused by some food and beverages, chemical, emotional and environmental triggers. The exact relation between Rosacea and stress is not known, but according to studies there is a strong link with Helicobacter Pylori, Demodex Folliculorum, migraines and infections.
Symptoms like face flushing can also occur in mastocitosis and carcinoma syndrome, when it has no particular triggers and is accompanied by cardiac, pulmonary and gastrointestinal factors.
Because they are often regarded as alcohol drinkers and also due to flushing, erythema and different pustules and papules, patients suffering from Rosacea tend to have very low self-esteem, suffer from anxiety and doubt themselves their capacity for work or sexual activity.
Rosacea can sometimes lead to ocular problems that could get to the stage of needing a corneal transplant. Patients with Rosacea should therefore consult a doctor as soon as possible, as well as people with intractable blepharities or conjunctivitis.
The first treatment stage is avoiding triggers for Rosacea, control sun exposure and use sun filters with simethicone and cyclometicone, avoid using irritating cosmetics.
Oral antibiotics like tetracycline, vibramicyne, metronidaole as well as local antibiotics like metronidazole cream or gel beastly handle pustular and papular Rosacea. Metronidazole can also reduce redness and teleangiectasia but can induce burning sensations to some patients. For pregnant women it can be replaced with clyndamicine as it produces fetus malformations. The gel or cream containing antibiotics should be applied on the entire surface of the face, not only on spots you consider have worse lesions.
Rosacea is a chronicle condition and therefore it needs to be monitorised frequently and requires a long-term treatment with metronidazole gel to keep symptoms under control.