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- Very hot or spicy foods
- Sun exposure
- Extreme temperatures (very hot or very cold)
- Emotional stress or social embarrassment
- Rubbing, scrubbing, or massaging the face
- Irritating cosmetics and other toiletries
- Sex: female
- Age: between 30 and 60 years old
- Fair skin
- Having family members who have rosacea
- Frequent flushing on the face and neck
- Redness and swelling on the face
- Small pink bumps and/or pimples
- Thin red lines showing the small blood vessels of the face
- Redness, burning, dryness, and tearing of the eyes
- An enlarged, bulbous red nose (less common, affecting men more than women)
- Antibiotics applied to the skin
- Other topical treatments such as azelaic acid , sulfa, or tretinoin (Retin-A)
- Antibiotics taken by mouth
- Oral isotretinoin (Accutane)
- In very rare more severe recalcitrant cases, oral methotrexate , dapsone , primaquine, chloroquine, or prednisone
- Clonidine in low doses
- Beta blockers (certain types)
- Electrosurgery—uses a tiny electric needle
- Laser surgery—uses a laser
- Avoid things that may trigger flushing or blushing. This includes certain foods, alcohol, and exposure to the sun.
- Protect your skin from the sun. Use clothing, hats, or sunscreen with a sun protection factor (SPF) of 15 or higher.
- Exercise in a cool environment to avoid overheating.
Avoid anything that irritates your skin:
- Apply topical medications, moisturizers, and cosmetics very gently
- Use cleansers, moisturizers, cosmetics, and other toiletries that are gentle and alcohol-free
American Academy of Dermatology http://www.aad.org/
National Rosacea Society http://www.rosacea.org/
Canadian Dermatology Association http://www.dermatology.ca/
American Academy of Dermatology website. Available at: http://www.aad.org .
National Institute of Arthritis and Musculoskeletal and Skin Disorders website. Available at: http://www.niams.nih.gov/ .
Tanzi EL, Weinberg JM. The ocular manifestations of rosacea. Cutis. 2001;68:112-114. Review.
Crawford GH, Pelle MT, James WD. Rosacea: I. Etiology, pathogenesis, and subtype classification. J Am Acad Dermatol. 2004;51:327-341;quiz 342-344. Review.
Pelle MT, Crawford GH, James WD. Rosacea: II therapy. J Am Acad Dermatol. 2004;51:499-512;quiz 513-514. Review.
- Reviewer: Purvee S. Shah, MD
- Review Date: 09/2012 -
- Update Date: 00/91/2012 -