skin

Rosacea

    Rosacea is a chronic facial redness mainly affecting middle aged patients. The disease usually starts with transient central facial redness, then may later complicated with more persistent redness and acneform eruptions. Some patients may develop into later stage which may result in skin hyperkeratosis. A proportion of the cases may also have eye involvement which may cause eyes redness, itch or pain.The cause is not fully revealed but it is related to genetic factors, environmental factos that caused the vascular instability and inflammation.

    Treatment involved topical agents for mild cases. Newer topical agents may bring down the redness transiently with vasoconstriction which is helpful in patients' social life. Some patients may benefit from a course of oral antibiotics or isotretinoin. Persistent telangiectasia may also be treated with vascular laser which is specific for blood vessels.

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