Rosacea is a common disorder that mainly affects facial skin. It causes redness on the nose, chin, cheeks and forehead. Over time, the redness can become more intense, taking on a ruddy appearance. Blood vessels may become visible.

In some cases, rosacea appears on the chest, ears, neck or scalp. It can affect the eyes, causing them to feel irritated and to appear bloodshot or watery. If rosacea is not treated, red solid bumps and pus-filled pimples can develop. The disorder can cause the nose to take on a bulbous, swollen appearance called rhinophyma.


What causes rosacea?

The cause of rosacea is unknown. Rosacea is more common in people who blush easily. Furthermore, rosacea tends to affect the "blush" areas of the face. Emotional factors (stress, fear, anxiety, embarrassment, etc.) may trigger blushing and aggravate rosacea. A flare-up can be caused by changes in the weather like strong winds or a change in the humidity. Sun exposure generally aggravates rosacea.

A mite sometimes found in hair follicles may play a role in the development of rosacea. The bacteria Heliobacter pylori (that is associated with stomach ulcers) and medications like vasodilators (that cause blood vessels to widen) have also been thought possibly to bring out rosacea.

Signs and symptoms

Signs and symptoms of rosacea include:

  • Red areas on your face

  • Small, red bumps or pustules on your nose, cheeks, forehead and chin (but not the same as whiteheads or blackheads)

  • Red, bulbous nose (rhinophyma)

  • Visible small blood vessels on your nose and cheeks

  • Burning or gritty sensation in your eyes (ocular rosacea)

  • Tendency to flush or blush easily

Rosacea usually appears in phases:

Pre-rosacea. Rosacea may begin as a simple tendency to flush or blush easily, then progress to a persistent redness in the central portion of your face, particularly your nose. This redness results from the dilation of blood vessels close to your skin's surface. This phase may sometimes be referred to as pre-rosacea.

Vascular rosacea. As signs and symptoms worsen, vascular rosacea may develop — small blood vessels on your nose and cheeks swell and become visible (telangiectasia). Your skin may become overly sensitive. Rosacea may also be accompanied by oily skin and dandruff.

Inflammatory rosacea. Small, red bumps or pustules may appear and persist, spreading across your nose, cheeks, forehead and chin. This is sometimes known as inflammatory rosacea.

In severe and rare cases, the oil glands (sebaceous glands) in your nose and sometimes your cheeks become enlarged, resulting in a buildup of tissue on and around your nose (rhinophyma). This complication is much more common in men and develops very slowly over a period of years.

In addition, more than half the people with rosacea experience ocular rosacea — a burning and gritty sensation in the eyes. Rosacea may cause the inner skin of the eyelids to become inflamed or appear scaly, a condition known as conjunctivitis.


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