What is Rosacea?
Rosacea (another name - Rosacea, wrong - "Rosacea") - a chronic skin disease, the main features of which are redness of skin and formation of tubercles, pustules and other eruptions on the face. About half the cases of ocular Rosacea accompanied.
More information about the program Rosacea (" demodicosis ") ...
Our approaches to the treatment of other types of pimples and acne
Causes of Rosacea and demodex. What is demodicosis?
The exact cause of Rosacea is still unknown. It is assumed that the cause of Rosacea is hypersensitivity vessels of the face to various influences. Patients with Rosacea skin surface arteries dilate in response to stimuli that healthy people usually do not cause any reaction.
Previously it was thought that the main cause of Rosacea is a microscopic mite - demodex (Demodex folliculorum), dwells on the facial skin in the sebaceous glands of the hair follicles. Assumed that "subcutaneous mite" is of particular disease - demodekoz that provokes Rosacea. It is now known that Demodex can be detected and perfectly healthy people. Most scientists attached Demodex secondary importance in the development of Rosacea. Detection of Demodex may not be the cause but the consequence of skin changes. The existence of such diseases as demodicosis, a person has long disputed, but some doctors still continue to struggle with the mite, especially considering that treat infection, and forget about other causes rashes.
Another theory linking Rosacea with gastritis, explains the development of Rosacea under the influence of bacteria are blamed for gastritis - Helicobacter pylori.
Some medications can trigger the appearance of Rosacea (Rosacea dosage), including - corticosteroid ointment, which can not be applied to the face (steroid Rosacea).
Who is more often Rosacea? Risk Factors
Rosacea most often affects women okolomenopauzalnom period, and generally ill people of both sexes aged 30-50 years. It is believed that genetically northern people are more prone to the appearance of Rosacea. Thus, if you have fair skin, blond or red hair and blue eyes, you are more prone to the appearance of Rosacea.
Risk factors for Rosacea considered
diseases of the gastrointestinal tract (most often gastritis)
disorders of the endocrine system (ovarian insufficiency, menopausal syndrome, diabetes, and others)
impaired immunity, although this issue is treated uniquely.
It is believed that the exacerbation of Rosacea can cause being in hot or cold environments, the wind, the use of hot meals and drinks, alcohol, spicy and savory, prolonged sun exposure, emotional outbursts. The last factor is not universally accepted by researchers.
Signs and symptoms of Rosacea
The main signs of Rosacea are:
Persistent facial redness. Most often redness captures center of the face (forehead, nose, chin and cheeks). Redness can spread to the chest and back.
Rashes on the face. At the beginning on a background of redness develop small pink bumps (papules), which will eventually turn into pustules (pustules, pimples, blackheads).
Seal skin redness in the area. Often occurs at a late stage of the disease.
Vasodilatation and vascular manifestation of red mesh (teleengiektazii).
Rhinophyma. Persistent redness and thickening of the skin on the nose. More common in men.
Eye damage. Occurs in about half of cases. Manifested by redness, dryness, sharp pain, a sensation of a foreign body or sand in the eyes, lacrimation.
Possible the sensation of itching, burning, skin tightening.
There are complex and classification algorithms to identify forms and stages, depending on the symptoms of Rosacea, to establish the severity of the disease. Rosacea does not pass itself, but its manifestations can appear and then disappear for a while.
About the beginning of Rosacea should consider if you have easy or very often red face, you notice severe reddening using hot drinks, spicy foods and alcohol, or during very cold or very hot weather, and if you suddenly become highly responsive to spray Hair, soap or cosmetics for face. Remember that these symptoms do not indicate imaginary demodicosis, and the debut of a chronic progressive disease, which need time to stop.
How to diagnose Rosacea? Why look for Demodex?
In most cases, the doctor may make a diagnosis of Rosacea have appearance of the patient. In some forms of the disease may require a study of the microflora of the face, the condition of vessels. To distinguish Rosacea with similar skin diseases in women perform some blood tests.
Find mite - Demodex on the face itself can not serve as a basis for the diagnosis of Rosacea and demodicosis. Do not look for "subcutaneous mite" for any changes on the face - in most cases it would be neprichem.
What Rosacea?
Rosacea can progress and move to a more severe stage, difficult to treat: such as strong expansion vessels (telangiectasia) and rhinophyma. Therefore, the appearance of Rosacea - a reason for immediate treatment by a dermatologist.
Timely diagnosis can not only save you from the current manifestations of Rosacea, but also to prevent disease progression. Panacea for Rosacea is still not there, but in 87% of the patients manage to control acne (according to the National Rosacea Society, U.S., examined more than 1,000 patients).
What not to do - engage in self-detection "subcutaneous mite", especially in the absence of rash. All funds "from demodex" or "treatment demodicosis and "generously supplied Russian Chinese and other manufacturers, have never been tested by dermatologists and have not been properly tested in Rosacea and acne, unknown to their effect on the demodex and its consequences. Efficacy and safety of these drugs has not been established, and any beneficial effect has not been proved.
Treatment of Rosacea
Treatment of Rosacea can be local or general. Local treatment includes the use of various ointments and creams (old formulations ihtiola, naftalan or metronidazole), traditionally used cold lotions (from the infusion of yarrow, celandine and other herbs). While, as ointments and creams contain any preservatives, that is inhibited germs on skin of face - cause pustules and inflammation, lotions have anti-inflammatory effect and reduces the effect of the red. Rely on the existence of a miracle cream that will help to quickly get rid of Rosacea is not necessary - in most cases are only complicated regimens.
For a long time, for lack of a truly effective means against Rosacea and the absence of reliable knowledge dermatologists have used a variety of prescription and formulations. Many of them are in circulation and still used by patients in self-treatment, but they do not help always far.
For the treatment of the main forms of Rosacea often use antibiotics, but the complexity of the selection and treatment of security issues determine their use on prescription. There are "more serious" treatments resorted to in difficult cases.
Treatment may range from several weeks to several months: Rosacea - a chronic disease that will not work immediately. Recently, for the treatment of Rosacea and eliminate the blood vessels in the later stages and used methods such as electrocoagulation (impact a weak electric current), cryosurgery (liquid nitrogen effects) used dermabrasion and special types of lasers. In the treatment of Rosacea successfully used some form of peelings. The use of many techniques is under study, and experiment with doctors advise.
Modern dermatology uses combined methods of treatment of Rosacea, selecting individual funds on the testimony and depending on the form and stage of disease. In our clinic we treat Rosacea and dermatologists and cosmetologists, allowing on the one hand to control the disease, and on the other - to remove the symptoms and restore the skin on the affected area.
Prevention Rosacea
To protect against Rosacea dermatologists recommend not irritate the skin and protect, not pereobluchat it in the sun, stay cool and do not supercool. Avoid hot drinks, spices, alcohol. Use cosmetics and care that do not contain alcohol and irritants. Avoid contact with hair sprays on your face.
Rosacea (another name - Rosacea, wrong - "Rosacea") - a chronic skin disease, the main features of which are redness of skin and formation of tubercles, pustules and other eruptions on the face. About half the cases of ocular Rosacea accompanied.
More information about the program Rosacea (" demodicosis ") ...
Our approaches to the treatment of other types of pimples and acne
Causes of Rosacea and demodex. What is demodicosis?
The exact cause of Rosacea is still unknown. It is assumed that the cause of Rosacea is hypersensitivity vessels of the face to various influences. Patients with Rosacea skin surface arteries dilate in response to stimuli that healthy people usually do not cause any reaction.
Previously it was thought that the main cause of Rosacea is a microscopic mite - demodex (Demodex folliculorum), dwells on the facial skin in the sebaceous glands of the hair follicles. Assumed that "subcutaneous mite" is of particular disease - demodekoz that provokes Rosacea. It is now known that Demodex can be detected and perfectly healthy people. Most scientists attached Demodex secondary importance in the development of Rosacea. Detection of Demodex may not be the cause but the consequence of skin changes. The existence of such diseases as demodicosis, a person has long disputed, but some doctors still continue to struggle with the mite, especially considering that treat infection, and forget about other causes rashes.
Another theory linking Rosacea with gastritis, explains the development of Rosacea under the influence of bacteria are blamed for gastritis - Helicobacter pylori.
Some medications can trigger the appearance of Rosacea (Rosacea dosage), including - corticosteroid ointment, which can not be applied to the face (steroid Rosacea).
Who is more often Rosacea? Risk Factors
Rosacea most often affects women okolomenopauzalnom period, and generally ill people of both sexes aged 30-50 years. It is believed that genetically northern people are more prone to the appearance of Rosacea. Thus, if you have fair skin, blond or red hair and blue eyes, you are more prone to the appearance of Rosacea.
Risk factors for Rosacea considered
diseases of the gastrointestinal tract (most often gastritis)
disorders of the endocrine system (ovarian insufficiency, menopausal syndrome, diabetes, and others)
impaired immunity, although this issue is treated uniquely.
It is believed that the exacerbation of Rosacea can cause being in hot or cold environments, the wind, the use of hot meals and drinks, alcohol, spicy and savory, prolonged sun exposure, emotional outbursts. The last factor is not universally accepted by researchers.
Signs and symptoms of Rosacea
The main signs of Rosacea are:
Persistent facial redness. Most often redness captures center of the face (forehead, nose, chin and cheeks). Redness can spread to the chest and back.
Rashes on the face. At the beginning on a background of redness develop small pink bumps (papules), which will eventually turn into pustules (pustules, pimples, blackheads).
Seal skin redness in the area. Often occurs at a late stage of the disease.
Vasodilatation and vascular manifestation of red mesh (teleengiektazii).
Rhinophyma. Persistent redness and thickening of the skin on the nose. More common in men.
Eye damage. Occurs in about half of cases. Manifested by redness, dryness, sharp pain, a sensation of a foreign body or sand in the eyes, lacrimation.
Possible the sensation of itching, burning, skin tightening.
There are complex and classification algorithms to identify forms and stages, depending on the symptoms of Rosacea, to establish the severity of the disease. Rosacea does not pass itself, but its manifestations can appear and then disappear for a while.
About the beginning of Rosacea should consider if you have easy or very often red face, you notice severe reddening using hot drinks, spicy foods and alcohol, or during very cold or very hot weather, and if you suddenly become highly responsive to spray Hair, soap or cosmetics for face. Remember that these symptoms do not indicate imaginary demodicosis, and the debut of a chronic progressive disease, which need time to stop.
How to diagnose Rosacea? Why look for Demodex?
In most cases, the doctor may make a diagnosis of Rosacea have appearance of the patient. In some forms of the disease may require a study of the microflora of the face, the condition of vessels. To distinguish Rosacea with similar skin diseases in women perform some blood tests.
Find mite - Demodex on the face itself can not serve as a basis for the diagnosis of Rosacea and demodicosis. Do not look for "subcutaneous mite" for any changes on the face - in most cases it would be neprichem.
What Rosacea?
Rosacea can progress and move to a more severe stage, difficult to treat: such as strong expansion vessels (telangiectasia) and rhinophyma. Therefore, the appearance of Rosacea - a reason for immediate treatment by a dermatologist.
Timely diagnosis can not only save you from the current manifestations of Rosacea, but also to prevent disease progression. Panacea for Rosacea is still not there, but in 87% of the patients manage to control acne (according to the National Rosacea Society, U.S., examined more than 1,000 patients).
What not to do - engage in self-detection "subcutaneous mite", especially in the absence of rash. All funds "from demodex" or "treatment demodicosis and "generously supplied Russian Chinese and other manufacturers, have never been tested by dermatologists and have not been properly tested in Rosacea and acne, unknown to their effect on the demodex and its consequences. Efficacy and safety of these drugs has not been established, and any beneficial effect has not been proved.
Treatment of Rosacea
Treatment of Rosacea can be local or general. Local treatment includes the use of various ointments and creams (old formulations ihtiola, naftalan or metronidazole), traditionally used cold lotions (from the infusion of yarrow, celandine and other herbs). While, as ointments and creams contain any preservatives, that is inhibited germs on skin of face - cause pustules and inflammation, lotions have anti-inflammatory effect and reduces the effect of the red. Rely on the existence of a miracle cream that will help to quickly get rid of Rosacea is not necessary - in most cases are only complicated regimens.
For a long time, for lack of a truly effective means against Rosacea and the absence of reliable knowledge dermatologists have used a variety of prescription and formulations. Many of them are in circulation and still used by patients in self-treatment, but they do not help always far.
For the treatment of the main forms of Rosacea often use antibiotics, but the complexity of the selection and treatment of security issues determine their use on prescription. There are "more serious" treatments resorted to in difficult cases.
Treatment may range from several weeks to several months: Rosacea - a chronic disease that will not work immediately. Recently, for the treatment of Rosacea and eliminate the blood vessels in the later stages and used methods such as electrocoagulation (impact a weak electric current), cryosurgery (liquid nitrogen effects) used dermabrasion and special types of lasers. In the treatment of Rosacea successfully used some form of peelings. The use of many techniques is under study, and experiment with doctors advise.
Modern dermatology uses combined methods of treatment of Rosacea, selecting individual funds on the testimony and depending on the form and stage of disease. In our clinic we treat Rosacea and dermatologists and cosmetologists, allowing on the one hand to control the disease, and on the other - to remove the symptoms and restore the skin on the affected area.
Prevention Rosacea
To protect against Rosacea dermatologists recommend not irritate the skin and protect, not pereobluchat it in the sun, stay cool and do not supercool. Avoid hot drinks, spices, alcohol. Use cosmetics and care that do not contain alcohol and irritants. Avoid contact with hair sprays on your face.
