Rosacea

Rosacea is a bucket term that encompasses a group of closely related skin conditions that are characterized by facial redness, papules, and pustules resembling acne, and broken blood vessels. Rosacea usually affects fair skinned white adults. Symptoms may wax and wane in intensity. What is known about rosacea is that there seems to be an altered function of the top layer of skin, with altered permeability.

 

Dr. Michelle Parsons treats many patients with various forms of rosacea. Dr. Parsons will evaluate your skin and determine an appropriate skin care regimen for you. Treatment recommendations may also include intense pulsed light treatments or laser treatments.

TYPES OF ROSACEA

 

Papulopustular Rosacea

Characterized by central facial redness and inflammatory papules and pustules.

Erythematotelangiectatic Rosacea

Characterized by facial redness and broken capillaries without inflammatory lesions.

Phymatous Rosacea

Affects the nose, affects more men than women.

Ocular Rosacea

Involves the eyes, symptoms may include a sense of eye grittiness, dryness, itching. blurred vision and sensitivity to light. Although there was insufficient evidence to support the efficacy of topical metronidazole for ocular rosacea, there was some evidence of a consistent improvement in all outcomes with ciclosporin 0·05% ophthalmic emulsion and that it was more effective than artificial tears in the treatment of ocular rosacea.

Treatments for Rosacea

  • Topical Metronidazole

  • Topical Azelaic Acid gel 15% – Azelaic acid is naturally occurring in many foods, such as barley, wheat, and rye. Recommended application is twice daily. A single daily dose of azelaic acid appears to be as effective as the twice-daily dose and is also likely to result in improved compliance.

  • Sulfur (Sodium Sulfacetamide 10%/sulfur 5%) Topical

  • Oral Doxycycline – There is evidence that the 40-mg dose is at least as effective as the 100-mg dose, has a correspondingly lower risk of adverse effects, and that, albeit these events may be mild to moderate, more were reported with the 100-mg dose of doxycycline than the 40-mg dose.

  • Intense Pulsed Light Therapy – reduces redness and decreases the size of dilated facial capillaries.

  • A gentle cleanser and moisturizer are recommended to reduce the symptoms of rosacea and to increase the tolerability of the above topical therapies.

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