Rosacea is a long-term disease that
affects the skin and sometimes the eyes. Its
symptoms include redness, pimples, and, in later
stages, thicker skin. In most cases, rosacea only
affects the face.
Who Gets Rosacea?
About 14 million people in the
United States have rosacea. This disease is most
common in:
Women (especially during menopause)
People with fair skin
Adults between the ages of 30 and
60.
What Does Rosacea Look
Like?
Rosacea has many symptoms, including
the following:
Frequent redness (flushing) of the
face. Most redness is at the center of the face
(forehead, nose, cheeks, and chin). There may also
be a burning feeling and slight swelling.
Small red lines under the skin.
These lines show up when blood vessels under the
skin get larger. This area of the skin may be
somewhat swollen, warm, and red.
Constant redness along with bumps
on the skin. Sometimes the bumps have pus inside
(pimples), but not always. Solid bumps on the skin
may later become painful.
Inflamed eyes/eyelids.
A swollen nose. In some people
(mostly men), the nose becomes red, larger, and
bumpy.
Thicker skin. The skin on the
forehead, chin, cheeks, or other areas can become
thicker because of rosacea.
How Are the Eyes Affected?
Up to 50 percent of people who
have rosacea get eye problems. Eyes can have
redness, dryness, itching, burning, excess tears,
and the feeling of having sand in the eye. The
eyelids may become inflamed and swollen. The eyes
may become sensitive to light, and the person may
have blurred vision or some other kind of vision
problem.
What Causes Rosacea?
Doctors don't know the exact cause
of rosacea. Some doctors think rosacea happens when
blood vessels expand too easily, causing flushing.
People who blush a lot may be more likely to get
rosacea. It is also thought that people inherit the
likelihood of getting the disease.
Though not well-researched, some
people say that one or more of these factors make
their rosacea worse:
Heat (including hot baths)
Heavy exercise
Sunlight
Winds
Very cold temperatures
Hot or spicy foods and drinks
Drinking alcohol
Menopause
Emotional stress
Long-term use of steroids on the
face.
People with rosacea and pimples may
think the pimples are caused by bacteria. But no one
has found a clear link between rosacea and bacteria.
Can Rosacea Be Cured?
There is no cure for rosacea, but it
can be treated and controlled. In time the skin may
look better. A dermatologist (a doctor who works
with diseases of the skin) often treats rosacea.
There are several ways to treat rosacea.
For skin...
Sometimes antibiotics can be put
right on the skin. Other times, oral antibiotics can
be used. The skin bumps may get better quickly, but
redness and flushing are less likely to improve.
Small red lines can be treated with
electrosurgery and laser surgery. For some people,
laser surgery improves the skin without much
scarring or damage.
Patients with a swollen, bumpy nose
can have extra skin tissue taken off to make it
smaller. Usually patients feel this process helps
their appearance.
Some people find that green-tinted
makeup is good for hiding the skin's redness.
What Can People With
Rosacea Do to Help Themselves?
You play a key role in taking care
of your rosacea. Here are a few steps to take:
Keep a written record of when
flareups happen. This can give you clues about what
bothers your skin.
Use a sunscreen every day that
protects against UVA and UVB rays. Make sure it has
a sun-protecting factor (SPF) of 15 or higher.
Use a mild moisturizer if it helps.
Don't put irritating products on the face.
If your eyes have problems, follow
your doctor's treatment plan, and clean your eyelids
as told.
Talk with a doctor if you feel sad
or have other signs of depression. Some people with
rosacea feel bad because of the way their skin
looks.
What Research Is Being
Conducted to Help People With Rosacea?
Research is being done on:
Ways to stop dry eyes and help
other eye problems
Drugs that can help treat rosacea
Ways to reduce scarring after extra
skin on the nose is removed.
For More Information
National Institute of
Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892–3675
Phone: 301–495–4484 or 877–22–NIAMS (226–4267) (free
of charge)
TTY: 301–565–2966
Fax: 301–718–6366
E-mail:
NIAMSInfo@mail.nih.gov
www.niams.nih.gov