cystic acne

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Acne rosacea is a disease with dermal and ophthalmic manifestations that combines the symptoms specific to rosacea with the pustules of acne. So far, the nature and exact causes of acne rosacea is not fully explained although it is generally admitted that the disease is favored by sun exposure. The face and the chest are the most affected body parts both by the flushing and the pustules outbreak, and the disease tends to get worse after spicy food, hot drinks and alcohol.

It appears that acne rosacea has been reported in more women than men, with a higher occurrence of the disease in the middle-aged group. Thus, the majority of patients are people between 30 and 60, but here we ought to add that black skin is more difficult to diagnose. Yet, there is not enough clinical evidence to support the idea that acne rosacea affects fair-skinned people most of the times.

The acne blemishes specific to the disease usually appear in the nose area, on the cheeks and chin, but the central part of the forehead is also commonly affected. Although the oily appearance of the skin makes acne rosacea resemble acne vulgaris, differences do exist. In traditional acne forms, comedones have no limitation of extent, whereas with rosacea they don’t even appear in the flush areas. Moreover, acne rosacea is characterized by hypertrophy which is not found with acne vulgaris.

Since acne rosacea is a chronic disease its evolution usually expands over several years marked by critical episodes characterized by inflammation. Most often, topical corticosteroids are applied to reduce the intensity of the symptoms and to improve the overall condition, but they cannot be prescribed for long-term therapy due to the tissue atrophy risk or the danger to cause permanent vaso-dilation. Most dermatologists will therefore choose to recommend the systemic treatment instead of the topical one.

Depending on the skin changes caused by acne rosacea, surgical intervention could become necessary but only after running medical tests and at the special recommendation of a dermatologist. Electrocautery and the tunable dye laser procedure represent the two main solutions under the circumstances, but skin grafting, dermabrasion and other forms of excision are also possible. Do not postpone the treatment of acne rosacea because the more time passes, the more difficult will be to cure it.

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