Rosacea

Acne rosacea skin care to improve barrier function

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 larger in appearance, inflammatory and may contain pus. Acne inflammation may 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 as opposed to acne patients who frequently complain of cutaneous oils.

Rosacea causes and treatment approach

The cause of rosacea is unknown but there are several theories regarding the origin of overactive facial blood vessels, inflammation and neural. 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. Treatment options for rosacea, quite distinct from treatment modalities for acne vulgaris, vary from non-pharmacological options to pharmacological ones based on severity and extent of the disease.

Evidence-based rosacea skin care

Disruption of the skin barrier is known as one of the fundamental culprits in pathogenesis of rosacea, which robustly suggest use of rosacea skin care, specifically formulated for this chronic condition to enhance barrier function by mitigating inflammatory component, kallikrein 5 mediated, of rosacea as well as diminishing contact with environmental irritants. A skin care routine, aimed to temper inflammation and vasodialation, of cleansing, moisturizing and sun protection is advocated by medical research.