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.
Dr. Alai is an actively practicing medical and surgical dermatologist in south Orange County, California. She has been a professor of dermatology and family medicine at the University of California, Irvine since 2000. She is U.S. board-certified in dermatology, a 10-year-certified fellow of the American Academy of Dermatology, and Fellow of the American Society of Mohs Surgery.
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.
Rosacea (roz-ay-sha) is a very common red, acne-like benign skin condition
that affects many people worldwide. As of 2010, rosacea is estimated to affect
at least 16 million people in the United States alone and approximately 45
million worldwide. Most people with rosacea are Caucasian and have fair skin.
The main symptoms of rosacea include red or pink patches, visible tiny broken
blood vessels, small red bumps, sometimes containing pus, red cysts, and
pink or irritated eyes. Most
people with the disease may not even know they have rosacea or that it is a
diagnosable and treatable condition. Many people who have rosacea may just
assume they blush or flush easily or are just very sun sensitive.
Rosacea is considered a chronic (long-term), noncurable skin condition with
periodic ups and downs. As opposed to traditional or teenage acne, most adult
patients do not "outgrow" rosacea. Rosacea characteristically involves the
central region of the face, causing persistent redness or transient flushing
over the areas of the face and nose that normally blush -- mainly the forehead,
the chin, and the lower half of the nose. It is most commonly seen in people with
light skin and particularly in those of English, Irish, and Scottish
backgrounds. Some famous people with rosacea include the former U.S. President Bill
Clinton and W.C. Fields. Rosacea is not directly related to alcohol intake.
Rosacea is not considered contagious or infectious. There is no evidence that rosacea can be spread by contact with the skin, sharing towels, or through inhalation.
What does rosacea look like?
The redness in rosacea, often aggravated by flushing, may cause small blood vessels in the face to enlarge (dilate) and become more visible through the skin, appearing like tiny red lines (called telangiectasias). Continual or repeated episodes of flushing and blushing may promote inflammation, causing small red bumps that often resemble teenage acne. In fact, rosacea can frequently be mistaken for common acne. Rosacea is also referred to as acne 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.