acne
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Both a skin and eye disorder, acne rosacea is a type of acne characterized by the appearance of pustules and vascular manifestations on the affected tissues. So far, the cause that triggers acne rosacea is not fully explained although it is known that sun exposure will increase the risk of disease development. The face and the chest are the most affected body parts both by the flushing and the pustules outbreak, and the disease tends to get worse after spicy food, hot drinks and alcohol.
It appears that acne rosacea affects more women than men, with the preponderance of the condition in the middle-aged group. Thus, the majority of patients are people between 30 and 60, with the mention that in the case of black complexions the identification is more difficult and often delayed. Although many assumptions have been made on the preponderance of acne rosacea with fair-skinned people, the theory is not supported by clinical evidence.
The acne lesions specific to the disease are most often distributed in the nose area, on the cheeks and chin, but the central forehead doesn't get spared either. The skin is usually very oily too, yet there are some major differences between acne rosacea and acne vulgaris. In traditional acne forms, comedones are widely spread, whereas with rosacea they only appear in the flush areas. Moreover, acne rosacea is characterized by hypertrophy which is not found with acne vulgaris.
Unlike regular acne forms, acne rosacea is a chronic disease that evolves in time, sometimes extending over years. Most often, topical corticosteroids are applied to reduce the intensity of the symptoms and to improve the overall condition, but they cannot be prescribed for long-term therapy due to the tissue atrophy risk or the danger to cause permanent vaso-dilation. Most dermatologists will therefore go for the systemic treatment instead of the topical one.
Sometimes the damage caused by acne rosacea needs surgical treatment, but only an expert can decide on such a course of action. Electrocautery and the tunable dye laser procedure represent the two main options under the circumstances, but skin grafting, dermabrasion and other forms of excision are also possible. The treatment of acne rosacea should not be ignored or postponed even if the condition shows an improvement over some periods of time.
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