Wednesday, July 08, 2009

SYMPTOMS OF ROSACEA

The symptoms of rosacea can vary substantially from one patient to another, and may include various combinations of rosacea signs and symptoms.

These rosacea symptoms include:

1) Facial rosacea redness or flushing. Facial redness or diffuse redness is one of the most common symptoms of rosacea and frequently appears before other signs and symptoms develop. The flushing factor tends to be cause of comment and embarrassment for the rosacea sufferer. Facial redness or erythema is defined as a lengthy flush of embarrassment or emotion in a social situation that may last for a few minutes to many hours. As the flushing symptom progresses it becomes a more constant redness or blotchy flushed appearance. The redness is generally located on the cheek area but can spread down to the chin, neck or even upper chest. In some cases the forehead may also be involved.

2)Telangiectasis also known as damaged or dilated facial blood vessels or spider veins visible on the surface of the skin. This effect is due to small blood vessels of the face becoming enlarged and emerging closer to the top of the skin to become more visible. Telangiectasia usually appears on the cheek and nose area and is more noticeable as the rosacea flush subsides. These blood vessels take on the appearance of fine red lines coursing through the surface of the facial skin.

3)Rosacea Papules are a small, red solid elevated inflammatory skin lesion without pus. Rosacea papules are considered minor when the size is of a small measles lesion, moderate when about the size of a pencil eraser and severe when the papule is the size of a small currency coin or the tip of the little finger. The top of the papule can be flat, pointed, or rounded. Papules are common lesions in acne. Vascular flushing causes these rosacea bumps. Over time, flushing results in leakage of inflammatory cells out of the blood vessels and into the skin. These inflammatory cells then migrate toward the surface of the skin, resulting in inflammatory papules.

4)Rosacea Pustules which is a dome-shaped, fragile lesion containing pus that typically consists of a mixture of white blood cells, dead skin cells, and bacteria. Facial pustules are small red inflamed, pus-filled, blister-like lesions on the skin surface. Vascular flushing in areas around sebaceous glands causes rosacea pustules. Over time, flushing results in leakage of inflammatory cells out of the blood vessels and into the skin. These inflammatory cells then migrate towards the sebaceous gland or pore, resulting in inflammatory pustules. The redness can come and go, but eventually it may become permanent. Furthermore, the skin tissue can swell and thicken and may be tender and sensitive to the touch. Note: Pustules are NOT pimples. Pimples have a bacterial component to their pathogenesis and are also mainly localized in and around the hair follicles.

5) Rosacea facial swelling. Facial swelling occurs when fluid and proteins leak out of facial blood vessels at abnormal rates. Frequent facial flushing leads to increased movement of water and proteins across abnormal blood vessel walls. Over time, this "spillage" overwhelms the lymphatic system (drainage vessels), and leads to fluid build up in the facial skin.

6) Burning sensations on the skin. Many rosacea patients definition of rosacea as a hot burning sensation on the skin similar to what sunburn might feel like. In the early stages of rosacea this burning sensation may come and go. In the later stages of rosacea, the effect can become more constant. The burning sensation of rosacea may last anywhere from hours to days at a time.

7) Ocular rosacea, often described as a red, irritated, gritty feeling in the eyes, the ocular rosacea eyes may also have a swollen, watery appearance. Studies suggest that eye (ocular) symptoms may occur in over half of rosacea patients, and 12 to 20 percent of ocular rosacea patients reported they developed their eye symptoms before developing any facial rosacea symptoms.

8) Rhinophyma is a form of rosacea that is characterized by chronic redness, inflammation, and increased tissue growth of the nose. Rhinophyma can take on many different forms. In most forms, the nose is chronically red and inflamed. There is also evidence of swelling, and the skin often shows thickened skin with large pores, resembling the peel of an orange (peau d' orange). In some forms, sebaceous gland hypertrophy and hyperplasia (increased growth and number of sebaceous glands) can cause the nose to grow considerably, resulting in a bulbous appearance.

Medical therapy can be tailored to control various signs and symptoms, and may also prevent rosacea from getting worse.

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