acne scars
Acne rosacea is a disease with dermal and ophthalmic manifestations that combines the symptoms specific to rosacea with the pustules of acne. So far, the nature and exact causes of acne rosacea is not fully explained although it is generally admitted that the disease is favored by sun exposure. The pustules and the flushing of the skin usually affect the face and the chest with a deterioration of the condition after the consumption of alcohol, spicy foods or hot drinks.
It seems that acne rosacea has been reported in more women than men, with the preponderance of the condition in the middle-aged group. Thus, the majority of patients are people between 30 and 60, but here we ought to add that black skin is more difficult to diagnose. Yet, there is not enough clinical evidence to support the idea that acne rosacea affects fair-skinned people most of the times.
The acne lesions specific to the disease usually appear in the nose area, on the cheeks and chin, but the central part of the forehead is also commonly affected. Although the oily appearance of the skin makes acne rosacea resemble acne vulgaris, differences do exist. In traditional acne forms, comedones have no limitation of extent, whereas with rosacea they don’t even appear in the flush areas. Moreover, acne rosacea has a hypertrophy dimension that is not found with acne vulgaris.
Since acne rosacea is a chronic disease its evolution usually expands over several years marked by critical episodes characterized by inflammation. Corticosteroids are commonly prescribed for the alleviation of the symptoms, but they are not suitable for long-term therapy because of the risk to cause an atrophy or permanent vaso-dilation of the tissues. Most dermatologists will therefore choose to recommend the systemic treatment instead of the topical one.
Sometimes the damage caused by acne rosacea needs surgical treatment, but only an expert can decide on such a course of action. Electrocautery and the tunable dye laser procedure represent the two main options under the circumstances, but skin grafting, dermabrasion and other forms of excision are also possible. The treatment of acne rosacea should not be ignored or postponed even if the condition shows an improvement over some periods of time.
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