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Rosacea is a common skin condition that causes redness or a rosy flush to the face, typically over the nose, cheeks, chin and forehead. Rosacea can appear from mild to severe, but most often presents with redness, inflammation and swelling, and superficial dilated capillaries (generally on the nose and cheeks). In some cases rosacea can appear with tiny red bumps and blemishes (papules and pustules), often mistaken for acne.
Other potential factors of rosacea could include: stress, unstable blood vessels, demodex mites, genetics, H.pylori bacteria in the stomach, SIBO, and altered immune response.
Rosacea is categorized into three types, each with their own presentation and symptoms. In some cases, rosacea may progress into more aggressive stages if left untreated.
This is the most common form of rosacea with the most mild symptoms. Symptoms include: redness, flushing, and possibly some visible capillaries. Skin may be overall sensitive and experience dry or roughness. With this type, symptoms may not always be present.
This form is often mistaken for inflammatory acne, as the symptoms include redness, swelling and acne-like breakouts (pustules) that may come and go.
This is much less common, but often what we think of when we hear the condition. This type of rosacea results in thickening of the skin with a bumpy, uneven texture, along with symptoms of mild and moderate cases. The nose is commonly affected by phymatous rosacea and the thickening of tissue creates a bulbous and enlarged nose, a phenomenon known as rhinophyma.
The first sign of rosacea may be redness or flushing that comes and goes. Rosacea is a chronic skin condition that can progress over time, but often those with “sensitive skin” may be experiencing early signs of rosacea. It is common for the skin to feel sensitive and easily irritated by simple day-to-day things like cleansing or exfoliating, reacting to cosmetics, or noticing skin is flushed and hot to the touch after certain foods or exercise.