Rosacea is a facial skin disorder that affects 14 million Americans, but most of them don't know it. A recent survey discovered that 78% of Americans have no knowledge of this condition. Rosacea causes redness on the cheeks, nose, chin or forehead, small visible blood vessels on the face, bumps or pimples on the face, and watery or irritated eyes. Because of its red-faced, acne-like effects, it can cause significant psychological, social and occupational problems if left untreated. In recent surveys by the National Rosacea Society, nearly 70% of rosacea patients said the condition had lowered their self-confidence and self-esteem, and 41% reported it had caused them to avoid public contact or cancel social engagements. Among rosacea patients with severe symptoms, nearly 70% said it had adversely affected their professional interactions, and nearly 30% said they had even missed work because of their condition. The causes of rosacea are unknown and there is no cure. Treatment is aimed at controlling the symptoms and reducing the social impacts.

Rosacea is a chronic skin condition, most often affecting the face, characterized by flare-ups and remissions. It typically begins after age 30 as redness on the cheeks, nose, chin or forehead that comes and goes. Over time the redness becomes ruddier and lasts longer. Eventually, visible blood vessels may appear. Left untreated, bumps and pimples often develop. In severe cases, the nose may grow swollen and bumpy from excess tissue. Often the eyes are also affected, feeling irritated and appearing watery or bloodshot. Rosacea does affect all segments of the population, but individuals with fair skin who tend to flush or blush easily are believed to be at greatest risk. Rosacea is more often diagnosed in women, but more severe symptoms tend to be seen in men. This may be because men delay seeking medical help until the disorder has reached advanced stages.

Because the causes are not known, treatment varies from patient to patient based on their symptoms. Various oral and topical medications may be prescribed to treat the bumps, pimples and redness. Treatment usually begins with oral antibiotics and topical therapy to bring the condition under immediate control. This is followed by long-term use of the topical therapy alone to maintain remission. When appropriate, treatments with lasers, intense pulsed light sources or other medical and surgical devices may be used to remove visible blood vessels, reduce extensive redness or correct disfigurement of the nose.

Triggers have been identified through patient histories and surveys. These are almost endless and include: foods, beverages (especially alcohol and hot drinks), emotions (stress and anxiety), hot conditions, medications, and skin care products. Those identified as most common include sun exposure, emotional stress, and hot weather. Many rosacea sufferers can control their symptoms by managing their lifestyles to avoid triggers. Diagnosis and compliance with medication therapy are also keys to successful control.

Reference: http://www.rosacea.org/patients/index.php. This web site contains many useful photos and brochures.

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