Rosacea is a chronic (long-term) skin disease that causes redness and swelling, primarily on the face. Other areas that can be affected are the scalp, neck, ears, chest and back. Sometimes, rosacea affects the eyes.
Rosacea affects an estimated 14 million Americans. Adults, especially those between 30 and 50 years of age who have lighter skin, blonde hair and blue eyes, are most likely to suffer from rosacea. However, rosacea can affect children and people of any skin type.
Rosacea is often passed on in families, with women being afflicted more often than their male counterparts. Men, however, often get more severe forms of rosacea. For women with rosacea, increased flushing and blushing may occur around and during menopause.
While the precise cause of rosacea remains a mystery, researchers believe that heredity and environmental factors are to blame. One explanation is that something causes the blood vessels to swell. The result, these scientists believe, is the flushing and redness characteristic of rosacea.
Another theory is that a mite called Demodex folliculorum, which lives in hair follicles, could be a cause of rosacea. The belief is that the mites clog oil glands, which leads to the inflammation seen in rosacea. Others believe that a bacterium called Helicobacter pylori, which causes intestinal infection, might be a cause.
The immune system also has been implicated as playing a role in rosacea’s development.
Those afflicted with rosacea may first notice a tendency to flush or blush easily. The condition can occur over a long period of time and often progresses to a persistent redness, pimples and visible blood vessels in the center of the face that can eventually involve the cheeks, forehead, chin and nose. Rarely, rosacea may also involve the eyes. In addition patients also commonly complain that their skin is sensitive and easily irritated. Particularly during flushing episodes, patients report that their skin feels hot.
Since rosacea causes facial swelling and redness, it is easily confused with other skin conditions, such as acne and sunburn. For this reason, rosacea is known as the “great pretender,” and often incorrectly referred to as “adult acne.”
This condition rarely gets better by itself and may last for years. Fortunately, with treatment and avoidance of triggers, this condition can be controlled successfully.
Our staff at East Coast Dermatology recommend keeping a journal to find out what triggers your rosacea. Be sure to note foods, skin care products, activities, and even medications that cause your rosacea to flare.
