Rosacea Prognosis: An Essential Guide

Rosacea is a relatively common disease that affects about 16 million people in the US. It usually appears after age 30 and is more common in women than in men. Children also may have rosacea, but is much rarer.

In this guide we will discuss the following points about rosacea:

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Rosacea is a relatively common disease that affects about 16 million people in the US. It usually develops after age 30 and is more constant in women than in men. Children also may have rosacea but are much rarer. The disease is more frequent in people of English descent, Irish or Scottish. The fact of rosacea is more common in a white people does not mean, however, that it can not occur in individuals with darker skin.

Among the famous people with rosacea, we can mention the US former President Bill Clinton, actress Renee Zellweger and the late Princess Diana.

Rosacea is considered a chronic skin disease, incurable and is characterized by alternating periods of improvement and deterioration. Unlike common acne, most patients with rosacea not improved over the years, however, if left untreated, the disease tends to become more evident. Rosacea typically affects the central area of the face, producing persistent or transient redness in the areas of the forehead, cheeks, and nose.

Rosacea is not considered contagious. There is no evidence that it can be transmitted through contact with the skin or objects used by the patient, such as towels or bedding.


The pathophysiological mechanisms leading to the development of rosacea are not yet fully understood. It is known that illness arises from a combination of several factors, including, abnormalities in the immune system, inflammatory reactions of skin microorganisms, ultraviolet injuries and dysfunction of blood vessels.

The most accepted theory at the moment is that the innate immune system, which is the first line of defense of our complex immune system, it aberrantly acts when exposed to certain external stimuli, such as sunlight, physical or chemical trauma, or germs present on the skin. This abnormal response of the innate immune system causes skin inflammation and swelling of their small superficial blood vessels, leading to redness, warmth and appearance of small vessels on the face (best explain later).

Among the germs that may be related to rosacea, two stand out: the mite Demodex folliculorum and Bacillus olenorius, both usually present in our skin.


There are four major subtypes of rosacea:

  •  Rosacea erythematous-telangiectasia.
  • Rosacea papular-pustular.
  • Rosacea rhinophyma.
  • Ocular rosacea.

 1- Rosacea erythematous-telangiectasia

The erythematous-telangiectasia rosacea usually presents as a persistent redness on the nose and cheeks and recurrent episodes of “flushing” which are heat waves, with intense redness in the face, which may or may not be accompanied by sweat. The presence of small blood vessels visible on the face, usually the cheek, called vascular telangiectasia or vascular spider is also familiar. The dry skin is another feature of this form of rosacea.

 2 Rosacea papular-pustular

The papular-pustular rosacea is characterized by the presence of papules and pustules located preferably in the central face. The lesions can be mistaken for common acne (read: ACNE (blackheads and whiteheads) | Causes and treatment), but they are different because they are nodular and do not contain the particular black or white dots of blackheads and pimples.

3-  Rosacea  rhinophyma

The Rosacea rhinophyma is characterized by hypertrophy and thickening of the skin, making it irregular. It is the most aesthetically troublesome form. The most frequent involvement is the nose, which is called rhinophyma but can also be seen in other parts of the face such as the chin, forehead or cheeks. The vast majority of patients with rosacea rhinophyma are adult men.]

 4- Ocular Rosacea

Ocular involvement occurs in over 50 percent of patients with rosacea. Common manifestations include redness of the eye, stye, burning sensation or foreign body, dry eyes, blurred vision, itchy eyes or changes in lacrimation. Ocular rosacea may precede, follow or occur simultaneously with the skin lesions. Children and adults may be affected.


Several factors have been associated with exacerbation of the symptoms of rosacea, including:

  •  – Exposure to very high or very low temperatures.
  • – Exposure to the sun.
  • – Hot beverages.
  • – Spicy foods.
  • – Alcohol.
  • – Intense physical activity.
  • – Irritation of the skin for makeup, or creams or other topical products.
  • – Stress, anxiety or anger.


Despite there is no cure for rosacea, many treatments can considerably relieve the signs and symptoms. Most often, a combination of drug therapies and lifestyle changes are necessary to control the disease. The manifestations of rosacea can vary considerably from one patient to another, and consequently, the treatment should be adjusted for each case.

The recognition of the triggering and aggravating factors is necessary for treatment. Daily use of sunscreen is required to prevent UV ray stimulate skin inflammation. In patients with papular-pustular rosacea, the correct distinction with acne vulgaris is essential because many drugs used in the treatment of acne can aggravate the lesions of rosacea.

In some situations, however, it ‘s hard to avoid the causes, when it comes to heat, for example. So today we separate some home remedies that can be used to alleviate inflammation and to treat rosacea.


If you have ocular rosacea, the best natural remedy is the cucumber, which put on the eyes, helps ease inflammation and control the sensitivity.

 Aloe vera

The treatment with aloe vera, has regenerative action, antioxidant, moisturizing and healing, causing no side effects on the skin. To prepare, use an aloe vera leaf and a container to store their sap. Cut the sheet and allow the resin to drain the plant. Then, with the help of a knife cutting across the green shell, leaving only the inner content of the sap. Having done so, wash your face and apply the juice of aloe vera on the injury.




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