Rosacea is known as a condition that is characterized by facial erythema also known as redness with pimples. This condition is not age discriminating and can affect anyone. It comes in four sub-types, where three affect the skin and the fourth affecting the eyes (ocular type). The condition need fast medical attention since if left untreated for long it worsens. Topical steroids treatment will only aggravate the condition.It is nicknamed the ‘Curse of the Celts’ by people from Britain, and Ireland since it effect are quite pronounced on the northwestern European descent. The Rosacea is not genderdiscriminatingtoo since is affects both sexes though is quite highly common on women and has a peak ageof between 30 and 60 year old people.Its is unpleasant mostly for the women since it takeawaythe natural beauty. this is be cause most of itssymptomsare evident around the face. thedifferentsub-typesof the Rosacea come withuncomfortablecondition ofitchingamong othersymptomshence quite irritating on the facial skin and unpleasant to stay with.
Rosacea typically show it signs with redness on the central face across and the cheeks, nose, or forehead, nevertheless it less commonly affects the neck, chest, ears, and scalp.
Other symptoms of the Rosacea are:
telangiectasia (dilation of superficial blood vessels and on the face),
red domed papules (small bumps) pustules,
red gritty eyes,
burning and stinging sensations,
In some quite advanced cases, a red lobulated nose (rhinophyma), may be evident.
Research has shown there are four identified Rosacea sub-types. Rosacea patients may be affected by more than one sub-types at anytime.
1. Erythematotelangiectactic Rosacea: Here, a permanent redness (erythema) is present with tendency feeling of flush and brush easily. It is quite common to have small-widened blood vessels visible near the surface of the skin (telangieclasias) with possible intensive burning, stinging, and /or itching sensations. Patients affected with this ETR type often have sensitive skin. The skin of such patients often becomes very dry and flaky. In addition to the face, these symptoms can also appear on the ears, neck, chest upper back, and scalp.
2.Papulopustular Rosacea: this is a permanent redness with red bumps (papules) with some pus filled (pustules) (can last 1-4 days, extremely varied symptoms); one can easily confuse thissub-typewith acne.
3.Phymatous Rosacea: thissub-typeis most commonly associate with rhinophyma, an enlargement of thenose. The of the Symptoms Phymatous Rosacea: include thickening skin, Irregular surface nodularities, and enlargement. The Phymatous Rosaceasub-typecan also affect the following
Then near the surface of the skin (telangiectasias) there’s usually a tendency of Small blood vessels to become visible.
4. Ocular rosacea: this appears Red (due to telangiectasias), dry irritated or gritty, eyes and eyelids, Watery eyes. Where Eyelids also often develop cysts. Other symptoms attached to the ocular Rosacea include:
foreign body sensations,
Sensitivity to light
The Eyes become more susceptible to this infection since about half of the people with sub-types 1-3 also have eye symptoms. Blurry vision and loss of vision usually occur.
There are a number of variant of Rosacea infections, which including
Development of Rosacea is brought about by triggered episodes of flushing and blushing. From the Exposure to temperature extremes can cause the face to become flushed as well as strenuous exercise, severe sunburn, cold wind, heat from sunlight, stress, anxiety, and rapid change from a warm or hot environment to a cold one and vice versa such as heated shops or living and working rooms /offices during the winter. Different foods and drinks also can trigger flushing, including alcohol, food and beverages containing caffeine (especially, hot tea, and coffee), and foods high in histamines and spicy food. These Foods high in histamine (red wine, age cheeses, yogurt, beer, cured pork products such as bacon) can actually cause persistent facial flushing in those individuals without Rosacea due to a separate condition, histamine intolerance.
Some Certain medications and topical irritants can quickly trigger Rosacea. Some acne and wrinkle treatments that have been reported to cause Rosacea include microdermabrasion and chemical peels, as well as high dosage of isotretinoin, benzoylperoxids. These steroids are often prescribed for seborrheic dermatitis. The for his steroids Dosage should be slowly decreased and not immediately stopped to avoid a flare up
From a research survey done by the National Rosacea Society Of 1066 Rosacea patients, showed that the factors that affected most Rosacea patients were:
Alcohol consumption 52%
Certain cosmetics 27%
Certain fruits 13%
Certain skin-care products 41%
Certain vegetables 9%
Cold weather 46%
Dairy products 8%
Heated beverages 36%
Heavy exercise 56%
Hot baths 51%
Hot weather 75%
Indoors heating 41%
Marinated meals 10%
Medical conditions 15%
Medications (specially stimulants) 15%
Spicy foods 45%
Sun exposure 81%
It important to note that there exists significant disagreement amongst sufferers and clinicians as to the validity of these aggravators/triggers being categorized as causes of Rosacea. There have been claims that the Rosacea causes listed above have not been proven by epidemiological scientific study. The above list should in no way be taken as an explanation of Rosacea causes, given that spectrum disease is more complex that simply a direct or sole result of habits and diet. As to this, many sufferers report that elimination of triggers has little or no eventual impact on the actual progression of the diseases.
According to Richard L Gallo and colleagues a recently discovery made pointed out that with Rosacea had elevated levels of the peptide cathelicidin and elevated levels of stratum corneum tryptic enzymes (SCTEs). Therefore, Antibiotics have been used in the past to treat Rosacea but they may only work because they inhibit some S C T Es.
2. Intestinal flora:
Intestinal flora also acts as another cause to the Rosacea disease. A recent study subjected patients to hydrogen breathe test to detect the occurrence of small intestinal bacterial overgrowth (SIBO). It was found that significantly more patients were hydrogen- positive than controls indicate to presence of intestinal overgrowth.