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Rosacea/Acne Rosacea
Published in Charles Theisler, Adjuvant Medical Care, 2023
Rosacea is a chronic inflammatory skin condition that causes redness and visible blood vessels on the cheeks, nose, chin, and forehead. It is more common among fair-skinned people and its cause is unknown. Small facial arteries under the skin tend to stay dilated, causing a tendency to blush or flush easily. Near the nose, cheeks, and eyes, over time, inflammatory papulopustular eruptions with red bumps and facial pustules (acne-like eruptions) develop. Skin becomes more coarse and thin threadlike red lines (telangiectasis) can develop. Rosacea is distinct from acne, but can be mistaken for acne or eczema.
General Thermography
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
Rosacea is a chronic cutaneous inflammatory condition that affects mostly the skin of the nose and cheeks, resulting in redness, pimples, swelling, and small and superficial dilated blood vessels. The etiology and pathogenesis of rosacea are not fully understood, though neurovascular dysregulation appears to play a role. Indeed, the thermal appearance of this condition is similar to that of facial parasympathetic vasodilation – a warming of the central face and nose.80 Whether parasympathetic vasodilation conditions of the face are predictive or causative of rosacea and rhinophyma remains to be studied.
Adnexal Diseases
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Hasan Aksoy, Jordan V. Wang, Ayşe Serap Karadağ
Final comment: This is an inflammatory syndrome affecting the midface with or without eye involvement. Management of rosacea aims to prevent symptoms, improve cosmesis, and maintain remission and involves patient education, appropriate skincare, avoidance of sunlight, and topical/oral anti-inflammatory medications, as well as interventions.
A decade retrospective study of light/laser devices in treating nasal rosacea
Published in Journal of Dermatological Treatment, 2020
Yanping Zhang, Shibin Jiang, Yansong Lu, Wu Yan, Hongwei Yan, Yuanyuan Xu, Tianhua Xu, Yuanhong Li, Long Geng, Xinghua Gao, Hongduo Chen
Before treatment, the makeup of each patient was removed and cleaned with a neutral cleanser. Immediately after light/laser treatment, an ice pack was used for at least 30 min to cool the skin surface. The fundamental skin care products including a mild moisturizer and a broad-spectrum sunscreen (sun protection factor, SPF ≥ 30, protection of ultraviolet A, PA++/+++) were applied during the whole period. Triggering factors for rosacea such as spicy foods, emotion fluctuation, overheated environment, intense and direct sun exposure, or others were required to avoid. Specifically for FCO2 laser, before treatment, an anesthetic compound lidocaine cream (Tsinghua Unisplendour Corporation Limited, Beijing, China) was topically applied under occlusion for 1 h. In addition, after treatment, an antibiotic ointment fusidic acid (LEO Pharma, Barcelona, Spain) and a recombinant human epidermal growth factor gel (Pavay Gene Pharmaceutical Co., Ltd., Guilin, China) were topically applied four times a day for 1 week, respectively, and a corticosteroid cream mometasone furoate (Schering-Plough, NJ, Shanghai, China) was topically applied twice a day for 3 days.
A case of fractional microneedling radiofrequency induced rosacea
Published in Journal of Cosmetic and Laser Therapy, 2019
Zehra Aşiran Serdar, Ezgi Aktaş Karabay
A 61-year-old woman was referred to our clinic with the complaints of wrinkles. On dermatological examination, she had some age-related findings on her face including; wrinkles, fine lines, laxity (Figure 1). After discussing the treatment options with the patient, we decided to apply FMR treatment. She received 3 sessions of FMR treatment with four-week-intervals. In each session, topical anesthesia with lidocaine and prilocaine combination was applied 20 min before the treatment. After cleansing the skin, the FMR treatment was performed (Scarlet S, Viol Co. Ltd, South Korea). After the first 2 sessions, no side effects were seen. 5 days after the third treatment the patient developed severe erythema and multiple papulopustular lesions with the sensation of burning developed on her face, predominantly on the malar regions, edema was also noticed on the face (Figure 2). Two years prior she had the diagnosis of rosacea which resolved with medical treatment, and at the current time was not on any treatment. Based on the clinical findings, diagnosis of rosacea was made. Topical metronidazole combined with neodymium-doped yttrium aluminum garnet (Nd: YAG) laser treatment was started and rosacea lesions showed slight improvement. The patient is still receiving treatment of rosacea.
Assessment of Tear Functions in Patients with Acne Rosacea without Meibomian Gland Dysfunction
Published in Ocular Immunology and Inflammation, 2019
Dilay Ozek, Özlem Evren Kemer, Ferda Artüz
This study was conducted between 2014 and 2017 period and included 32 adult patients with acne rosacea in addition to 45 patients for control group. Diagnosis of rosacea was based on the clinical criteria stated by the Expert National Rosacea Society Committee.9 A complete ophthalmological evaluation was done in patients diagnosed as rosacea. The patient was considered as normal when there were patent meibomian gland orifices without the evidence of keratinization nor plugging with turbid or thickened secretions without dilated blood vessels on the eyelid margin. All cases were screened for the signs and symptoms of ocular rosacea, completed ocular surface disease index (OSDI) questionnaire, and underwent other ophthalmologic examinations including tear function tests. Tear functions were evaluated with OSDI questionnaire and measurements of tear osmolarity by using TearLab, Schirmer I tests without anesthesia and fluorescein TBUT. Meibomian gland expressibility was assessed by applying digital pressure to the lid margin and meibum grade 0 (clear meibum readily expressed) patients were taken into study.