Other condistions, rosacea

Rosacea used to be called 'acne rosacea' but it is quite different from acne. There are red spots (papules) and sometimes pustules in both conditions, but in rosacea they are dome-shaped rather than pointed and there are no blackheads, whiteheads, deep cysts, or lumps. Rosacea may also result in reddened skin, scaling and swelling of affected areas. Pustules are not pimples. Pimples have a bacterial component to their makeup and are also mainly localized in and around the hair follicles.

Although it may first appear as early as the teen years, rosacea most frequently begins when sufferers enter their 30s, 40s or 50s as a flushing or transient redness on the cheeks or nose, and in some cases the chin or forehead. In this earliest stage, some patients may report stinging or burning sensations, including the feeling of dry or tight skin.

The cause of rosacea is unknown but there are several theories regarding the origin of overactive facial blood vessels and inflammation. There may be a genetic component. Hair follicle mites (Demodex folliculorum) may be involved in at least some cases, as these are found in greater numbers within rosacea papules. An increased incidence of rosacea has been reported in those who carry the stomach bacterium, Helicobacter pylori, but is not known how they may be related.

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