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What are the 4 types of Rosacea and How to Treat Them

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Rosacea is a widespread, chronic, inflammatory skin disease that few people understand, even those who have been diagnosed with it. Many individuals, even those who have rosacea, believe that the disorder only produces blushing or facial redness. Rosacea is a complicated skin disorder that can cause a variety of symptoms that worsen if not treated effectively. As a result, persons with rosacea should consult with a dermatologist to develop a daily skincare routine that addresses both the immediate and long-term effects of the condition.

While most people connect rosacea with recurrent blushing, this is merely one symptom of a form of rosacea. In reality, inflammatory skin disease encompasses a far more complicated set of symptoms, which are frequently misdiagnosed due to their resemblance to other skin illnesses such as sunburn, acne, eczema, and allergic skin responses. Even well-trained medical practitioners might make mistakes while diagnosing rosacea. Its symptoms are similar to those of many other chronic skin illnesses, however, the therapies for these conditions may aggravate rosacea’s symptoms.

rosacea's symptoms

As a result, if you feel you have rosacea, it’s critical to obtain the right medical advice and an exact diagnosis from a dermatologist. We frequently meet patients who are suffering from severe rosacea flare-ups that have been aggravated by ineffective therapies for the wrong illness. Because rosacea is so frequently misunderstood, raising understanding and awareness of rosacea types and symptoms is critical.

Know The Type of Rosacea You Have:

There are four varieties of rosacea, however, unlike other skin illnesses that affect only one or two types, patients with rosacea may have symptoms from many types of rosacea, frequently at the same time. To provide a suitable treatment plan, we must thoroughly evaluate a patient’s skin, discuss their medical history, and ensure that we are delivering the best solutions for the individual’s needs. All of this begins with determining which form or types of rosacea are impacting the individual’s complexion. This skin disease is classified into four types:

  • Papulopustular (Acne) Rosacea
  • Phymatous Rosacea
  • Ocular Rosacea
  • Erythematotelangiectatic Rosacea

Each of these varieties is more likely to affect the face, head, and neck. Rosacea can affect other sections of the body in uncommon (and typically more severe) occurrences. While the exact etiology of rosacea has not been discovered yet, inflammation is the major source of the skin ailment, and many dermatologic experts believe that the distinct varieties develop as a result of increasing and unregulated inflammation.

Erythematotelangiectatic Rosacea

  1. Erythematotelangiectatic Rosacea:

Most people are familiar with Erythematotelangiectatic rosacea, abbreviated as ETR. It produces face flushing and redness, which most commonly affects the cheeks, nose, and forehead. However, if rosacea is not well handled, patients may see redness on their scalp, neck, and chin. In the early stages, you may only experience redness or noticeably dilated blood vessels on occasion. However, if not treated properly, this disease can worsen, resulting in more frequent flare-ups that stay for longer, cover a larger area over your skin, and do not clear up at all. While blood vessels and redness are the most common symptoms of this type of rosacea, patients may also report warmth in the afflicted regions, as well as tingling, stinging, or swelling. In certain circumstances, patients find that their skin has become very flaky and dry.

  1. Papulopustular (Acne) Rosacea:

Also known as acne rosacea, this variety produces inflammation and facial redness, along with apparent spidery veins, which are very common for the patients of rosacea. Papulopustular rosacea, on the other hand, is accompanied by acne-like outbreaks. While acne can generate a variety of pimples (blackheads, whiteheads, cysts, pustules, papules, and so on), papulopustular rosacea is most commonly associated with very big, painful blemishes known as papules and pustules that grow deep into the skin. These pustules and papules can be very painful. These blemishes, like other varieties of rosacea, appear predominantly in the middle of the face, but pimples may also appear on the scalp and neck.

In severe, untreated instances, the chest and shoulders may be affected as well. Unlike acne, which often appears during adolescence, papulopustular rosacea is more frequent in adults, particularly middle-aged people. Aside from the visible pimples, people with papulopustular rosacea may find that their skin is extremely sensitive, and the afflicted region may burn or sting. As a result, people may have very oily or dry areas of skin. Dry patches of skin can grow thick and scaly, transforming into hard, rough spots known as plaques.

  1. Phymatous Rosacea:

Individuals with Phymatous rosacea, like those with papulopustular rosacea, will suffer skin thickening that may begin as tiny regions with plaques. The skin might grow rough and protrude with time. This texture is described by some as resembling scar tissue. Individuals suffering from Phymatous rosacea may develop a condition known as rhinophyma. The term “rhino” is used in medicine to describe illnesses that affect the nose, therefore it’s no surprise that the most prevalent side effect of rhinophyma is a bulging nose.

This variety develops when thickened skin around the nose keeps piling up to give the nose a very inflated and bulbous look. This illness affects males far more than women, and it is nearly invariably the outcome of poorly controlled or untreated rosacea. In addition to skin accumulation, this kind of rosacea causes redness and visible blood vessels, as seen in other varieties of rosacea. Furthermore, Phymatous rosacea can cause the pores to appear significantly enlarged. While this is one of the more severe kinds of rosacea, it is also one of the less prevalent forms of this skin ailment.

  1. Ocular Rosacea:

Ocular rosacea affects the eyes. It produces redness and inflammation inside the eyes as well as on the eyelids and skin surrounding the eyes, just like other types of rosacea. Individuals may have bloodshot eyes, swelling around the eye, or styes-like lumps on the eyelids. Watery, burning, and itchy eyes are symptoms of ocular rosacea. People describe the experience as being akin to having dirt or dust in their eyes. They also feel overall dryness and increased eye sensitivity, as well as impaired vision and photosensitivity in certain situations (discomfort or difficulty focusing eyes in bright light).

This is one of the most commonly misdiagnosed kinds of rosacea because many medical practitioners fail to see the connection between a skin illness like rosacea and eye problems. The following symptoms suggest that an individual is suffering from ocular rosacea rather than other prevalent eye conditions:

  • Blood vessels are visible on the eyelids and surrounding the eyes
  • Cysts around the eyes
  • The skin surrounding the eyes may be red, itchy, or swollen.
  • Symptoms related to different types of rosacea

Causes and Triggers:

When it comes to the underlying cause of rosacea, there is no explanation for why people get this condition. Instead, it appears that persons who acquire this chronic skin disorder do so as a result of a combination of genetic predisposition and environmental exposure to certain irritants. Those who are more likely to acquire rosacea include those who:

  • Have light (fair) skin (especially if they also have light hair and eyes)
  • Blood vessel formation and function are abnormal (usually indicated by the increased visibility of blood vessels)
  • Are between the ages of 30 and 50
  • Are women (though men often have more severe symptoms)
  • Have one or more parents or other close relatives who suffer from the disease
  • Have Helicobacter pylori (bacteria often found in the intestines)
  • Have an excess of cathelicidin (a protective protein found in the skin)

In addition to these frequent risk factors, rosacea sufferers should be mindful of environmental elements (triggers) that might affect their overall ability to maintain good skin. Anything that causes your blood vessels to dilate increases your chance of a flare-up, although everyone reacts differently to these potentially triggering circumstances. Some of the most prevalent triggers are:

  • Spicy foods
  • Hot drinks
  • Sunlight exposure
  • Temperatures or meteorological conditions that are extremely hot or cold (humidity, dryness, wind, etc.)
  • Taking hot baths or showers, or visiting saunas
  • Exercising or other activities that cause excessive sweating and a rise in body temperature
  • Extreme emotional reaction (anger, stress, anxiety, etc.)
  • Alcohol
  • Some drugs and therapies for chronic illnesses (including many corticosteroids and blood pressure medications)
  • Medical diseases that are acute and untreated, particularly when fever is a sign
  • Allergic reactions (food and environmental)
  • Inflammatory diseases, hormone imbalances, and other long-term and systemic health issues

Rosacea Treatment before and after

Rosacea Treatment:

Each variety of rosacea has its own set of symptoms as well as treatment choices. Whatever sort of rosacea symptoms you have, you should work with a trained dermatologist to determine your triggers (the items, irritants, and situations that produce a rosacea flareup). By identifying and avoiding the triggers for your rosacea flare-ups, you will be better prepared to deal with any symptoms that do develop.

Whether you’ve been diagnosed with rosacea in the past or fear you may have it, we hope you’ll contact us to book a consultation with one of our experienced dermatologists. We are pleased to book an appointment for you to see us at our dermatology offices, and you can begin the process right now by filling out our easy scheduling request form. Once we receive your request, a member of our staff will contact you shortly to check your information and confirm all of the specifics of your visit. We hope to talk with you for your consultation!

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