Rosacea

  • Medical Author:
    Gary W. Cole, MD, FAAD

    Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

Photodynamic Therapy & Rosacea

In dermatology, PDT with the photosensitizer Levulan Kerastick (20% delta-aminolevulinic acid HCl) is used for the treatment of very early, thin skin cancers called actinic keratoses (AK). The initial approval was specifically for the treatment of actinic keratosis of the face and scalp with a combination of an application of the photosensitizer followed by a timed exposure to a special blue light source. PDT is also used for acne, rosacea, skin cancer, sun damage, cosmetic skin improvement, oily skin, enlarged sebaceous glands, wrinkles, rejuvenation (anti-aging), warts, hidradenitis suppurativa, psoriasis, and many other skin conditions.

Picture of Rosacea

Quick GuideRosacea, Acne, Shingles: Common Adult Skin Diseases

Rosacea, Acne, Shingles: Common Adult Skin Diseases

Rosacea facts

  • Rosacea is a common, chronic, incurable, adult acne-like skin condition that is easily controllable and medically manageable.
  • Rosacea commonly affects the central third of the face, especially the nose, and has periodic ups and downs (flares and remissions).
  • Rosacea symptoms and signs include
    • redness of the face (easy facial blushing or flushing),
    • tiny red pimples and fine red lines (telangiectasias) on the facial skin,
    • rhinophyma (an enlarged, bulbous red nose, like W.C. Fields), and
    • eye problems, such as swollen, red eyelids, conjunctivitis, and rosacea keratitis.
  • Rosacea may be mistaken for rosy cheeks, sunburn, or quite often, acne.
  • Rosacea triggers include alcohol, hot or spicy foods, emotional stress, and heat.
  • Rosacea can be a very bothersome and embarrassing condition.
  • Untreated rosacea tends to worsen over time.
  • Prompt recognition and proper treatment permit people with rosacea to enjoy life. Continue Reading
Reviewed on 5/2/2016
References
REFERENCES:

Del Rosso, James Q. "Advances in Understanding and Managing Rosacea: Part 1 & 2: Connecting the Dots Between Pathophysiological Mechanisms and Common Clinical Features of Rosacea With Emphasis on Vascular Changes and Facial Erythema." J Clin Aesthet Dermatol. 5.3 Mar. 2012.

Margalit, Anatte, et al. "The Role of Altered Cutaneous Immune Responses in the Induction and Persistence of Rosacea." Journal of Dermatological Science 82 (2016): 3-8.

Two, Aimee M., and James Q. Del Rosso. "Kallikrein 5-Medicated Inflammation in Rosacea." The Journal of Clinical Aesthetic Dermatology 7.1 Jan. 2014: 20-25.

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