Rosacea is a common, chronic skin condition that affects about 10% of the population. It is found mostly in adults with fair skin.
Patients present with facial redness, flushing and visible tiny blood vessels. Common exacerbating factors include sun, heat, alcohol, and spicy foods. Some even get numerous red pimples concentrated on the center of the face, which somewhat looks like acne. For this reason, many doctors including dermatologists confuse and wrongly treat this condition as acne. In 50% of patients, rosacea can also affect the eye. This leads to itching, dryness, redness, and the development of styes.
Rosacea is a chronic recurrent condition. Traditional treatment focuses on the use of oral antibiotics and creams. Optimal treatment is using a combination of laser therapy with oral antibiotics. NDYAG laser is especially efficient in reducing the erythema and giving back the skin its normal color. Patients continue their day regularly. Maintenance sessions may be needed.
Meanwhile patients should avoid any precipitating factors including heat, alcohol and spicy foods. They should wear a sunscreen daily and watch out for the cosmetic products they use as their skin is very sensitive. Use of a daily moisturizer is helpful in repairing the skin’s barrier function. To diminish relapses between antibiotic courses and laser sessions, metronidazole creams can be used for maintenance as part of a daily skin care regimen.