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Acne rosacea

Despite what its name indicates, acne rosacea is not an adolescent illness. On the contrary, it affects mainly women between the ages of 40 and 50 years old. This dermatological illness manifests itself first and foremost through erythrosis (red patches) on the forehead, cheeks, nose, and chin. It then progresses to rosacea (the blood vessels are dilated) then to follicular papulopustules: a sort of red pimple which appears on the skin of the face. The treatment may call for antibiotics, sometimes antibiotics or emollient creams depending on the stage of the rosacea and rules for avoiding factors that contribute to the further growth (sun, spicy food, alcohol, hot drinks...) of rosacea must be kept in mind.


A skin condition of the face whose triggers are not easily explained, acne rosacea is more commonly known as rosacea. It mostly affects those with fair skin, blue eyes and light hair, especially women between 40 and 50 years, but the most acute forms are identified in men. Its psychological impact is not negligible, as rosacea is often associated with excessive alcohol consumption, which is not always the case. Treatment prevents it from spreading, especially since its trends are unpredictable. Forms of acne rosacea are:
  • initial vascular phenomena as sudden bursts of facial redness;
  • a papulopustular acne-like phase;
  • a phase of rhinophyma with an enlarged red nose.


The first signs of acne rosacea come as an outbreak of redness accompanied by a warm or a burning sensation, affecting the face and disappearing within a few minutes. In its permanent form, pustules appear on a backdrop of red skin. In the rare case of rhinophyma, which primarily affects men over 50 years old, there is a deformation of particular tissues of the nose, which can significantly increase its volume.


The diagnosis of rosacea is difficult, as the disease can be confused by its shape with other conditions such as regular acne or seborrheic dermatitis. In addition, the symptoms experienced by patients differ, which makes it even more difficult to make a diagnosis. That said, if there is a misdiagnosis, the treatment might be inadequate. In this case, the rosacea does not go away, but rather worsens.


Depending on the type of rosacea, treatment revolves around:
  • anti-inflammatory drugs;
  • antibiotics;
  • emollient creams.

Acne rosacea requires a suitable treatment for each of its forms (cyclins, metronidazole, isotretinoin, azelaic acid), and compliance with health and dietary rules. Laser and electrocautery can provide good results on the visible forms of rosacea and reduce relapses.


Sun exposure should be avoided during the hottest hours, between 11 a.m. and 4 p.m., and one must protect himself to exposure with a high SPF cream. The following should also be avoided:
  • spicy foods;
  • alcoholic beverages;
  • coffee and other hot beverages;
  • hot baths and saunas;
  • cosmetics containing alcohol.

Photo credits : Roberto Biasini - 123RF

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