What is Rosacea?
Never heard of Rosacea? You are not alone. Rosacea is not as well-known as other skin diseases like Eczema or Psoriasis. Still, it is much more common than we think it is. Rosacea (Pronounced “roh-ZAY-Sha”) is a common but poorly understood skin condition that affects a significant portion of the population.
It is a chronic skin problem that primarily affects the central face, characterized by cycles of flare-up and remission. The skin around the cheek, nose, forehead, and chin is commonly affected. Although Rosacea can occur at any age, it commonly affects the middle-aged group population. In general, women are more at risk of getting Rosacea, but it tends to be more severe in men.
Rosacea can vary substantially from one individual to another, and in most cases, some instead of all of the potential signs and symptoms appear. This variability makes it a challenge for doctors to diagnose it. Persistent redness and skin thickening are the main diagnostic signs of Rosacea. Other signs of Rosacea include; facial flushing, bumps and pimples, visible blood vessels, eye irritation, burning and stinging sensation, and skin dryness.
In general, there are four types of Rosacea; namely the Neurovascular Rosacea (characterised by persistent facial redness), the Inflammatory Rosacea (characterised by facial bumps and pimples), Rhinophymatous Rosacea (characterised by nasal skin thinkening) and Occular Rosacea (charactereised by eye irritation).
What Causes Rosacea?
Although the cause of Rosacea remains unknown, experts have now identified major elements of the disease that may lead to significant advances in its treatment.
Facial redness from Rosacea is likely the sign of skin inflammation caused by neuromuscular and immune system dysregulation.
The presence of a microscopic mite called Demodex folliculorum has been considered a potential contributor to Rosacea. Although this mite is usually found on human skin, it is substantially more abundant in the facial skin of Rosacea patients.
What treatments are available?
Because rosacea features vary from one patient to another, treatment must be tailored for each individual person.
A range of oral and topical medications may be used to treat Rosacea. Your doctor may prescribe medication to control the redness, treat any inflammatory-bumps and pimples, and maintain disease remission.
When appropriate, Lasers (such as Pulsed-dye laser, Dual Yellow Laser, or ablative Co2 laser) may be employed to treat persistent redness, remove visible blood vessels, or correct disfigured nose.
A daily routine skin-care regime remains a crucial part of controlling Rosacea. Generally, patients are advised to use a mild, non-abrasive cleanser. Rosacea patients may use non-irritative skin-care products as needed and are advised to protect the skin from sun exposure using broad-spectrum sunscreen. Sunscreens containing zinc or titanium dioxide are preferred. Products that sting, burn, or cause additional skin redness should be avoided. Cosmetics should be kept to a minimum.
In addition to long-term medical therapy, Rosacea patients can improve their chances of maintaining disease remission by identifying and avoiding triggering factors. As trigger factors vary among individual people, identifying these factors is an individual process. It is important to note that what causes a flare-up in one person may not affect another.
Dr. Claire Ong Chiew Yen
MB BCH BAO (Ireland)
Diploma in Aesthetic Medicine (AAAM)
Ko Skin Specialist Centre.
Klinik Dr Ko – Juru Autocity