Rosacea

Rosacea - a disease that occurs in the middle and old age (often in women) and is characterized by the appearance on the face of small papulopustular eruptions in the background of diffuse erythema with telangiectasias.

The etiology is unknown. Pathogenesis is associated with seborrhea, vegetative-vascular neurosis. Significant violations of gastric secretion (more often achilles), in women also - ovarian dysfunction. The irritating external factors (sun, wind, frost, work in hot shops) provoke the process.

Clinical picture. Only the skin of the face is affected (more often cheeks and nose). There is, often on a seborrhoeic background, persistent diffuse reddening (erythema) with telangiectasias. The saturation of erythema varies. Subsequently, against its background appear small bright red papules, in the center of which surface pustules are formed. With regression of rashes there is no scar. Subjective feeling of heat, slight itching. The course with frequent exacerbations, indefinitely long, may develop bumpy hypertrophy of the skin of the nose (rhinophyma). It is possible to attach keratitis.

From ordinary acne rosacea differs in the age of patients (over 25 years), localization only on the face, the presence of erythema and telangiectasias, the absence of comedones and scars. With red lupus erythema has clear boundaries, there are no pustules, dense scales appear, at the end cicatricial atrophy develops.

Treatment. Elimination of provoking external factors. Correction of vegetative-vascular dystonia, gastrointestinal and ovarian disorders. Diet with the exception of alcohol, spicy foods, strong tea and coffee. Vitaminotherapy (B2 B6, B12, PP), Delagil, Trichopol. In severe cases, antibiotics, especially tetracycline drugs. Locally - astringent and disinfecting lotions, pastes, cryomassage, electrocoagulation, dermabrasion.