Along with couperosis, there is another skin pathology that has
similar symptoms and causes. It’s about rosacea –
vascular lesion of the skin of the face. In former times, rosacea is not
positioned as a serious disease. She was called a disease
“painful blush” and believed that the disease is
cosmetic defect due to excessive consumption
of alcohol. But even nowadays, the mechanisms of
and the development of this affliction.
Content
- Causes and mechanisms of rosacea
- Rosacea Symptoms
- Diagnosis of Rosacea
- Rosacea Treatment
- Rosacea Prevention
Contents
Causes and mechanisms of rosacea
Rosacea is a chronic skin disease that manifests itself
sustained redness of the skin of the cheeks, nose, forehead, which is manifested in
as a rash of bright pink color, spider veins,
pustules and atrophy of the skin.
Even today, to say with full confidence about the causes and
mechanisms of rosacea, unfortunately, impossible.
There are two assumptions: on the one hand, it is believed that in
the basis of the disease is the high sensitivity of blood vessels to
various physical effects of the environment (cold, heat,
dry air, or sudden changes in temperature), and on the other hand,
It is believed that the disease is hereditary. I.e
fragility and fragility of the vessels is a genetic
predisposition, since the majority of people have no
reactions to similar stimuli.
It has been suggested that the disease causes a tick under
Demodex (Demodex folliculorum), which parasites on
facial skin and sebaceous glands of hair follicles. Also
It was believed that this tick causes demodicosis disease, which
promotes the occurrence of rosacea. However, modern research
found that the demodex is on the skin and in absolutely healthy
people and treat it is not necessary.
There is also an assumption that the occurrence of rosacea has
close connection with diseases of the gastrointestinal tract. Appearance
Acne is caused by the bacterium Helicobacter pylori, which carries
responsible for the development of gastritis and gastric ulcer.
Thus, rosacea is more susceptible to people with
gastritis and peptic ulcer disease than those in which this bacterium is not
detected.
It is believed that cause the appearance of rosacea
also can medications. And this is partly true. So,
corticosteroid ointments that can cause steroid rosacea
can not be applied to the face.
Thus, rosacea often develops in the following cases:
- in women during menopause, puberty or
pregnancy, because during this period hormonal changes,
which affects the state of the vessels; - in people with very fair skin, “Celtic” phenotype. No wonder
the English called rosacea – “the curse of the Celts”; - in people with sensitive skin and brittle vessels;
- in persons suffering from chronic allergic and
contact dermatitis; - with disorders in the endocrine system;
- in persons suffering from vascular dystonia, with lesions
vascular mesh of the face; - in persons with diseases of the gastrointestinal tract;
- when drinking alcohol, hot or spicy foods;
- with a sharp change in temperature on the street, in rooms, in saunas and
baths.
Rosacea is found in history in both sexes, but
women suffer from this disease more often. Northern peoples
living in a sharply continental climate, with
genetic point of view are more prone to the appearance
rosacea than people living in warm countries.
Rosacea Symptoms
Rosacea symptoms can be divided into several stages:
- Early stage.
- The development of the disease.
- Chronic stage.
Early symptoms of rosacea, which are presumably
appear after contact with cold or hot water, after
drinking very hot drinks and alcohol when abruptly changing
temperature indicators, the face is instantly covered with red
spots that do not fade for a while. But it should be noted
that they still disappear. Therefore, this fact does not always cause
patients are anxious, as it is not associated with discomfort
and is positioned as a temporary phenomenon.
At this stage, the redness is localized on the forehead, nose, cheeks and
chin, completely affecting the T-zone. Most often, patients do not
go to the doctor, and all their actions are reduced to masking the defect
cosmetics.
With further development of the disease appears persistent
dilation of capillaries that contributes to local enhancement
temperature and allows the local microflora to actively multiply. On
At this stage, bumps are formed, bumps in the skin, which then
transformed into purulent elements. The skin gets rough
the view becomes dense, swelling appears on it, and
dilation of the vessels (telangiectasia) is already observed continuously,
without provoking factors.
The chronic stage of the disease is manifested by the occurrence
periorbital and perioral rashes in the form of bright red
nodes and papules that tend to merge and form extensive
conglomerates. On the affected areas, the skin becomes nodular, with
irregularities and depressions.
With further progression of the disease, eyelids and
skin around the eyes. The blinking process causes a certain
discomfort: itching, burning, pain and dryness in the eyes,
constriction of the skin around the eyes, the appearance of “goosebumps”, as well as abundant
lacrimation. This form of the disease is called ocular
Rosacea. However, it happens that the clinical symptoms of a lesion
eye several years ahead of skin lesions. Sometimes ocular
rosacea provokes the appearance of rosacea keratitis, which leads to loss of
view.
Rosacea can develop rapidly during pregnancy, but
after childbirth, with the implementation of appropriate therapy, without a trace
passes But with every next pregnancy there is a risk
recurrence of the disease.
In men, rosacea is localized predominantly on the nose, with
roughness and compaction of the skin and complicated by rhinophyma (disease
skin of the nose, which is characterized by its compaction, roughness and
disfigurement of the nose).
Rosacea Diagnosis
An experienced specialist diagnoses the disease by clinical
manifestations. But there are some skin diseases that
require differential diagnosis. For this exercise
study of the microflora of the skin of the face and the state of the vessels. Sometimes
There is a need for biochemical analysis of blood.
If purulent elements are observed on the face, their contents
examined by bacteriological culture.
Rosacea Treatment
Rosacea is treated in two ways:
- Local
- General
Topical treatment includes the use of therapeutic ointments and
creams with ichthyol, naphthalan or metronidazole. Herbal
applications in the form of compresses and lotions from medicinal herbs
(yarrow, celandine, chamomile and sage) have
anti-inflammatory effect and reduce skin redness. but
it does not cure the disease completely, but rather wears a temporary
character. It should be noted that there is no magic tool in
as an ointment or cream that would save the patient from this forever
ailment. Therefore, rosacea treatment is a complex process with
complex regimens.
Very often for the treatment of various forms of rosacea use
antibiotics, but they do not always help. For this reason, do not
self-medicate and prescribe antibiotics
on their own. Such a decision should be made only by a doctor, relying
on a clinical picture and having collected the anamnesis. Antibiotics are usually
prescribed when the skin appears purulent rash,
which suggests bacterial invasion. If local treatment
antibiotics did not lead to success, then prescribed antibiotics inside
in the form of general medical treatment.
For a long time, rosacea treatment was performed according to
old knowledge of the disease and using old treatment regimens that
did not contribute to the recovery of the patient.
Rosacea is treated with courses ranging from a few weeks to
several months. Do not forget that Rosacea is
chronic disease that is difficult to treat because
the mechanisms that run it are not precisely established.
The initial stages of rosacea are very well treated, therefore
at the first symptoms of the disease you should immediately consult a doctor,
and do not run the disease. And complex forms, burdened by complications in
rhinophyma and telangiectasia require a long and persistent
treatment.
Laser therapy has a good therapeutic effect.
Rosacea.
In advanced stages, with independent incompetent treatment
develops conglobate form of rosacea, which is characterized by
abscesses and the presence of purulent fistulas. In this case, it is recommended
surgical treatment with purulent removal and installation
drainage to drain the contents of the fistula.
If purulent fistulas are eliminated and the treatment is positive
therapeutic response, it is necessary to eliminate the immediate
the cause of the disease is spider veins. To remove vascular
grids use cryotherapy and photocoagulation. Procedure data
are the only reliable methods for removing extended
vessels on the face. After complete cure must be used in
any weather sunscreen with a high protection factor.
The traditional effect also has a good effect.
electrocoagulation, which affects the skin weak
electric impulse, cryodestruction (destruction of the capillary
grids with liquid nitrogen), dermabrasion and some forms of peels.
Rosacea Prevention
Prevention of the disease is manifested in protecting the skin from
physical effects of the environment: from ultraviolet radiation
hot air, strong frost and wind. Worth refraining from
taking hot drinks, spicy and spicy foods and alcohol. Should
apply special medical and decorative cosmetics for
sensitive skin containing horse chestnut, which is not
not only irritating the skin, but also able to protect it from exposure
undesirable factors.
Since rosacea is a chronic disease, it is necessary
systematic visit to the beautician for quick elimination
individual elements in the form of hypertrophied vessels. With
compliance with all recommendations of the doctor, the disease can retreat, and
preventive visits to the beautician can be reduced to 2-3 times in
year.
