Rosacea

Rosacea is a chronic inflammatory disease that most often involves the middle part of the face. The first skin lesions most often appear around the nose and then spread to the cheek, chin and forehead skin, as well as the lateral area of the neck. excessive reactivity of the facial blood vessels underlies the disease, and in the initial stage of the disease the characteristic symptom is facial erythema, caused by the expansion of blood vessels (erythematous period of rosacea). Face redness is paroxysmal and is accompanied by factors that promote hyper responsiveness of blood vessels:

• stress and strong emotions
• sun exposure
• use of sauna
• a diet rich in hot spices, strong coffee and tea
• consumption of alcohol
• the use of certain drugs (glucocorticosteroids used in the form of face ointments, antibiotics, cholesterol-lowering drugs, nicotinic acid, high doses of vitamin B6 and B12)
• herpes infection

The emergence of telangiectasias, dilated blood vessels occurs in the course of rosacea. Therefore, papules and pustules appear in the advanced form of the disease i.e. the papulous – pustular period. In severe cases hypertrophy and fibrosis of the sebaceous glands may occur, as well as the emergence of extensive inflammatory and hypertrophic changes that may even change facial features (hypertrophy period of the disease. This form of rosacea is found primarily in 40-60-year-old males.