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Patient education: Rosacea (The Basics)

Patient education: Rosacea (The Basics)

What is rosacea? — Rosacea is a skin condition that can cause raised bumps or redness on the cheeks, nose, chin, or forehead. It can also affect the eyes. Rosacea is a long-term condition that can get worse over time.

Rosacea happens most often in adults ages 30 to 60.

What are the symptoms of rosacea? — Rosacea usually affects the cheeks, nose, chin, forehead, or eyes. People with rosacea can have different symptoms. Common symptoms include:

Redness on the nose and cheeks that doesn't go away – The color might be bright red, pink, or more violet depending on your skin tone (picture 1 and picture 2).

Blushing easily

Raised bumps with or without pus in them (picture 3) – Bumps from rosacea can sometimes look like acne, but they aren't. The color of the bumps might be red, pink, or more of a purple color depending on your skin tone (picture 4 and picture 5).

Tiny, swollen blood vessels on the skin (called "telangiectasias")

Burning or gritty feeling in the eyes

Swollen, rounded nose that might also look red, pink, or more of a purple color depending on your skin tone (picture 6 and picture 7)

Sometimes, people's symptoms are under control. Other times, symptoms worsen and flare up. There are some things that might make redness on the face worse. Examples include:

Eating hot or spicy foods, or drinking hot drinks

Drinking alcohol

Being too hot or cold

Sunlight

Stress and other strong emotions

How do I know if I have rosacea? — Your doctor or nurse can usually tell if you have it by learning about your symptoms and doing an exam.

How is rosacea treated? — Treatments do not cure rosacea, but they help control symptoms and prevent flare-ups. They involve:

Medicines and other treatments – Medicines can come as gels, creams, or lotions that go on your skin, or as pills that you swallow. You will likely need to take or use medicines for a long time. Special lasers can also help some people with rosacea.

Lifestyle changes – To help control your symptoms and prevent flare-ups, you should:

Avoid things that make your symptoms worse.

Use mild, unscented face cleansers to wash your face.

Wear sunscreen every day.

Avoid using products on your face with alcohol, acid, or other ingredients that could bother your skin.

What if my symptoms are severe or don't get better? — If your symptoms are severe or don't get better with treatment, you will probably need to see a skin specialist (called a dermatologist). The specialist will talk with you about other possible treatments.

What if I want to get pregnant? — If you want to try to get pregnant, talk with your doctor or nurse. Some medicines for rosacea are not safe to take during pregnancy. Your doctor or nurse will make sure that your medicine is safe to take.

Where can I learn more? — More information about rosacea in skin of color is available through the Skin of Color Society at www.skinofcolorsociety.org/patient-dermatology-education/rosacea.

More on this topic

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This topic retrieved from UpToDate on: Feb 02, 2024.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
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