Many dermatologist and medical researchers find that it is sometimes hard to diagnose rosacea as often there are other skin conditions that co-exist such as eczema, psoriasis, seborrheic dermatitis, and acne causing redness on the same patient. Most often the treatment for acne for removing the comedones and old skin cells causing blockage of the sebaceous glands will cause a worsening of the rosacea redness and papules. Within this web site, we offer skin care recommendations on healthy basic ways in which you can change habits and in doing so, change the texture, redness and condition of your skin. Treating rosacea need not involve an endless round of laser treatments, oral or topical antibiotics or the worst of all, the use of steroid. It can be as simple as modifying your lifestyle to include positive healthy skin care habits.
Lid scrubs can maintain normal eyelid and adnexal skin flora and cleanliness. Topical lubricants can keep the ocular surface moist and free from frictional and mechanical trauma. Topical antibiotics and antibiotic/steroid combinations can be employed to eradicate local infection and suppress ocular inflammation. If recurrent erosions are present, bandage contact lenses and amniotic membranes may assist healing. Topical dermatologic antibiotic gels such as metronidazole, clindamycin, erythromycin and ivermectin can be prescribed QD or BID to resolve low-level skin infections, and can be used over long periods of time to maintain control during periods of acute aggravation. 15-17 Use of topical vasoconstrictive agents such as azelaic acid 15% gel or brimonidine tartrate % gel, QD or BID, can improve cosmesis and quell symptoms. 3,15,18,19 A three-week course of oral antibiotics such as doxycycline 100mg BID, tetracycline 250mg QID or an azythromicin taper will cure infection through antimicrobial control, while reducing systemic inflammation through MMP, interleukin and tumor necrosis factor-alpha supression. 20
A number of lifestyles factors can cause rosacea to flare up. Some common triggers thought to affect rosacea include hot and cold weather extremes, sun exposure, mental stress, and hot or spicy food and drinks. These triggers vary from person to person, so it is both important and helpful to find out which ones make your rosacea symptoms flare up. Knowing this can help you to better manage your condition because you will be able to avoid things that can potentially aggravate your skin. Keeping track of your symptoms and activities in a journal can help you to identify triggers, which you can discuss with your doctor.