Table of Contents
- Rosacea facts
- What is rosacea? Is rosacea contagious? What does rosacea look like?
- Is rosacea like acne?
- What are causes and risk factors of rosacea?
- What are rosacea symptoms and signs?
- What tests do health-care professionals use to diagnose rosacea?
- How does rosacea affect the nose and the eyes?
- What about using acne medicine for rosacea?
- Does rosacea get worse with age?
- What types of doctors treat rosacea?
- What is the treatment for rosacea?
- What types of medications treat rosacea?
- What types of medications treat rosacea? (Part 2)
- What are other treatments for rosacea?
- What are rosacea triggers? Is there a rosacea diet? What foods are good for rosacea?
- What natural treatments or home remedies can help rosacea?
- What is the prognosis for rosacea?
- How should people with rosacea care for their facial skin?
- How are the telangiectasias (the red lines) treated?
- How is rhinophyma (the W.C. Fields nose) treated?
- What effect may rosacea have on a person's life?
- Where can people get more information about rosacea?
Quick GuideRosacea, Acne, Shingles: Common Adult Skin Diseases
What tests do health-care professionals use to diagnose rosacea?
Rosacea is usually diagnosed based on the typical red or blushed facial skin appearance and symptoms of easy facial blushing and flushing. Rosacea is largely underdiagnosed, and most people with rosacea do not know they have the skin condition. Many people may not associate their intermittent flushing symptoms with a medical condition. The facial redness in rosacea may be transient and come and go very quickly.
Dermatologists are physicians who are specially trained in the diagnosis of rosacea. Generally, no specific tests are required for the diagnosis of rosacea.
In unusual cases, a skin biopsy may be required to help confirm the diagnosis of rosacea. Occasionally, a noninvasive test called a skin scraping may be performed by the dermatologist in the office to help exclude a skin mite infestation by Demodex, which can look just like rosacea (and may be a triggering factor). A skin culture can help exclude other causes of facial skin bumps like staph infections or herpes infections. Blood tests are not generally required but may be used to help exclude less common causes of facial blushing and flushing, including systemic lupus, other autoimmune conditions, and dermatomyositis.
While most cases of rosacea are fairly straightforward, there are some atypical cases that are not as easy to diagnose. Other conditions and rosacea look-alikes include
- acne vulgaris,
- Demodex folliculitis,
- staph infection,
- systemic lupus erythematosus,
- medication reaction (for example, niacin),
- seborrheic dermatitis,
- allergic or contact dermatitis,
- seasonal allergies,
- allergic conjunctivitis,
- perioral dermatitis,
- carcinoid syndrome,
- impetigo, and
- herpes simplex.
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.
7.By M. Sand, D. Sand, C. Thrandorf, V. Paech, P. Altmeyer, F. G. Bechara [CC BY 2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons
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