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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 has not been given an explanation 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 seems that acne rosacea has been reported in more women than men, with the preponderance of the condition 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. Although many assumptions have been made on the preponderance of acne rosacea with fair-skinned people, the theory is not supported by clinical evidence.
The acne lesions specific to the disease usually appear in the nose area, on the cheeks and chin, but the central forehead doesn't get spared either. The skin is usually very oily too, yet there are some major differences between acne rosacea and acne vulgaris. In traditional acne forms, comedones are widely spread, 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 because of the risk to cause an atrophy or permanent vaso-dilation of the tissues. Most doctors will therefore go for the systemic treatment instead of the topical one.
Sometimes the damage caused by acne rosacea needs surgical treatment, but only an expert can decide on such a course of action. Electrocautery and the tunable dye laser procedure represent the two main alternatives under the circumstances, but one could also choose excision, skin grafting, dermabrasion ands so on. Do not postpone the treatment of acne rosacea because the more time passes, the more difficult will be to cure it.