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Acne and rosacea are different in medical perspective but both are chronic disease and affects the skin of your face. The symptoms of acne rosacea will differ from one person to other, but there are some common symptoms listed below.
Certain foods are known to trigger acne formation; hence it is advised to avoid taking these foods.
Rosacea is characterized by erythema of the central face that has persisted for months or more.
The sub-types of rosacea were defined provisionally by the National Rosacea Society (NRS) Expert Committee in 2002 and include erythematotelangiectatic, papulopustular, phymatous, and ocular sub-types.1 These represent the most common groupings of rosacea signs and symptoms.
Although the prevalence of rosacea is unknown, it is considered common in Caucasian populations.
Because of prominent clinical variation among the rosacea sub-types, it has been hypothesized that etiologic and pathophysiologic differences may exist among them. Dermal matrix degeneration and endothelial damage have been demonstrated histologically in rosacea specimens.
It has long been debated whether oral and topical antimicrobial agents for rosacea exert their effects by anti-inflammatory or antimicrobial mechanisms.
Erythematotelangiectatic rosacea (ETR) is characterized by persistent facial erythema and flushing along with telangiectases, central face edema, burning and stinging, roughness or scaling, or any combination of these signs and symptoms (Fig. Phymatous rosacea is characterized by patulous follicular orifices, thickened skin, nodularities, and irregular surface contours in convex areas . Ocular rosacea may develop before cutaneous symptoms in up to 20 percent of affected individuals. Systemic diseases that must be differentiated from rosacea include polycythemia vera, connective tissue disorders (lupus erythematosus, dermatomyositis), carcinoid syndrome, mastocytosis, and neurologic causes of flushing. Cutaneous conditions that may mimic rosacea include topical steroid-induced acneiform eruption (formerly steroid-induced rosacea), acne vulgaris, perioral dermatitis, inflammatory keratosis pilaris, and chronic photodamage.
Rosacea fulminans, also known as pyoderma faciale and rosacea conglobata, occurs mainly in women in their 20s.2,32,33 It is characterized by the sudden onset of confluent papules, pustules, nodules, and draining sinuses on the chin, cheeks, and forehead within a background of diffuse facial erythema.
Before implementing therapy, rosacea trigger factors specific to each individual must be identified . Off-label topical formulations used for rosacea include benzoyl peroxide, clindamycin, erythromycin, calcineurin inhibitors, and topical retinoids. Topical management of rosacea is possible and generally preferable, especially when considering issues of antimicrobial resistance and the risks associated with long-term use of oral antibiotics.
Vascular lasers and intense pulsed light (IPL) therapy are useful alternatives to oral rosacea therapies; they may be used adjunctively with topical and oral rosacea regimens for faster and more complete symptom resolution. The success and tolerability of laser therapy for rosacea have been improved by modified pulse duration parameters and by advances in epidermal cooling mechanisms.
To effectively treat rosacea, practitioners must recognize the clinical spectrum of rosacea phenotypes and what lies outside that spectrum.
I sintomi della rosacea sono diversi, ma la cura, anche a base di rimedi naturali, puo attenuare il problema.

Per l’acne rosacea, purtroppo, non esiste una cura, ma questa puo essere trattata e tenuta sotto controllo per migliorare l’aspetto della pelle.
Though the onset of pimples and lesions on the face is during adolescence still many people will have continued skin disorder causing acne development even after middle age.
When dirt and debris get accumulated on the pores with oil it leads to pimples or bumps called acne.
For some people acne is cured completely and for others it leaves a scar and flare ups are always there.
One thing we know for sure is the condition consists of flushing, which turns into red coloration from the dilation of the capillaries and can lead to small pimples that resemble acne (Acne Rosacea). Rosacea usually begins from a temporary flushing of the face, for example after drinking alcohol. Practitioners and the public can easily identify the prototypical red face of rosacea; however, confusion arises when photodamage, perioral dermatitis, post-adolescent acne, and topical steroid overuse present in a similar guise. In contrast, the NRS classification maintains that progression of rosacea in stages (from one sub-type to another) does not occur, but that sub-types may overlap in the same individual. Although the vast majority of cases occur in fair-skinned individuals, persons of African and Asian descent may also develop rosacea.
Such differences may involve facial vascular reactivity, dermal connective tissue structure or composition, matrix composition, pilosebaceous structure, microbial colonization, or a combination of factors that alter the cutaneous response to rosacea trigger factors. Solar elastosis is a common background on which rosacea histologic features are superimposed. In particular, acne vulgaris  and rosacea may co-exist, although rosacea most often begins and reaches its peak incidence in the decades after acne declines.
Rosacea fulminans has proved controversial in its classification and was not included as a rosacea sub-type or variant by the NRS Expert Committee. 80) differs from rosacea in its facial distribution, signs, symptoms, and patient demographic. However, unlike rosacea, actinic damage affects the periphery of the face and neck, the upper chest, and the posterior auricular skin. Food and Drug Administration for rosacea include 15 percent azelaic acid gel, 0.75 percent and 1 percent metronidazole (available in cream, gel, and lotion vehicles), and 10 percent sodium sulfacetamide with 5 percent sulfur (available in cleanser, cream, suspension, and lotion vehicles). Because of their potential for irritation and concerns regarding promotion of angiogenesis, retinoids are often avoided for rosacea. Furthermore, because rosacea is photoaggravated in many affected individuals, photosensitizing oral agents must be used with caution in this population.
Tetracyclines achieve faster reduction of papules, pustules, and erythema when compared with isotretinoin, and since the 1950s, rosacea has been treated and maintained with both antimicrobial and sub-antimicrobial dosages of the tetracyclines.49,50 Relapses occur in approximately one-fourth of patients after 1 month off tetracycline, and in over one-half of patients at 6 months off therapy. L’acne rosacea e una malattia infiammatoria cronica che colpisce la pelle e, a volte, anche gli occhi.
Anche in questi casi sembra esserci una componente ereditaria, cosi come pare che questa forma di acne sia piu frequente nelle persone dalla carnagione chiara e che arrossiscono spesso.
In questi casi si consiglia di rivolgersi a un dermatologo che, in base al tipo di acne rosacea, puo decidere se: prescrivere degli antibiotici per uso topico o per via orale o trattare le piccole linee rosse con l’elettrochirurgia o la chirurgia laser.

Plenty of topical creams are available for managing acne and rosacea but it always recur on many people. It has been reported that some people with rosacea also produce less than adequate stomach acid.
Recent theory has shifted conceptually from staged progression of rosacea signs and symptoms to a new classification that defines four sub-types with variable severity and potential overlap. Primary features of rosacea, which may be observed but are not required for the diagnosis, include flushing, papules, pustules, and telangiectases. A provisional grading system was also incorporated by the NRS Expert Committee to standardize the clinical assessment of rosacea. Rosacea is unmasked or induced by chronic, repeated trigger exposure, in particular by triggers of flushing that may include hot or cold temperature, sunlight, wind, hot drinks, exercise, spicy food, alcohol, emotions, cosmetics, topical irritants, menopausal flushing, and medications that promote flushing.10 Both neural and humoral mechanisms produce flush reactions that are visibly limited to the face. In a minority, skin and eye symptoms present simultaneously.24 Ophthalmic rosacea severity does not coincide with cutaneous rosacea severity. The primary differentiating feature between acne vulgaris and rosacea is the presence of open and closed comedones in acne alone.
Hyperpigmentation and hypopigmentation are additional feature of sun damage not observed in rosacea.
Secondo alcuni medici, infatti, l’acne rosacea si sviluppa quando i vasi sanguigni si dilatano con troppa facilita.
Rosacea severity assessments must additionally include consideration of the psychological, social, and occupational impacts of this disorder and individual responsiveness to treatment. Furthermore, benzoyl peroxide is quite effective for papules and pustules in rosacea patients who tolerate this drug. Other signs and symptoms of rosacea are not required to make a diagnosis of granulomatous rosacea.
Phymatous rosacea is characterized by prominent elastosis, fibrosis, dermal inflammation, sebaceous hyperplasia, and hypertrophy of sebaceous follicles.14,26 Epithelialized tunnels undermine the hyperplastic tissue and are filled with inflammatory debris. Chin involvement is both mental and submental in rosacea, while in chronic photodamage there is submental sparing. Generally, two to four laser treatments are required to achieve best outcomes for rosacea; purpuric treatment settings may eradicate telangiectasia more quickly. Treatment is with a long-term course of antibiotics, but rosacea tends to recur for up to 10 years before disappearing completely. Erythema in peripheral locations (the scalp, ears, lateral face, neck, and chest) can be observed in rosacea but is also a common feature of physiologic flushing and chronic sun damage, and therefore must be interpreted carefully.
In ogni caso, a differenza di altre forme, questo tipo di acne spesso non e di origine batterica, quindi andra trattata diversamente con terapie specifiche. Vascular lasers and IPL may also impact rosacea by inducing fibroblasts to increase dermal collagen production, perhaps achieving some degree of dermal remodeling and rejuvenation.

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Category: Home Remedies For Acne Overnight / 17.01.2015

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