Rosacea Signs and Symptoms
Rosacea is a chronic inflammatory skin condition affecting the face. The skin appears abnormally red, or flushed. Although Rosacea may develop at any age, it usually occurs in people after age 30 as a flushing or redness on the cheeks, nose, chin or forehead that may come and go, but it can begin as early as age 20. Although this condition can affect women more than men, men can have the more severe symptoms.
Rosacea has four phases, each with its own set of symptoms. There is no evidence that Rosacea must evolve from one phase to the next, however, any single phase can become increasingly severe, making early diagnosis and treatment important.
In the beginning, Rosacea seems as though the person has a tendency to blush easily, or imply has a red, uneven, complexion. The redness first shows across the nose and cheeks and may be dry and patchy. In this phase, the flushing (blushing) subsides once the flare-up is over, however, gradually, the redness from the flushing becomes more persistent.
Phase II – Vascular Rosacea
Over time, the flushing tends to become more pronounced and more persistent. In Phase II, the frequent flushing causes the blood vessels near the surface of the skin to look puffy and to feel warm. As the blood vessels dilate, they become more visible and can be easily seen through the skin as small red lines or ‘spider veins’. Doctors call this symptom Telangiectasia.
In addition to the more prominent appearance of tiny red blood vessels, the skin also becomes more sensitive and many will experience a slight burning or stinging sensation, especially when using cosmetics or skincare products. The skin also begins to thicken as the oil glands enlarge, making the skin more oily.
Phase III – Inflammatory Rosacea
In addition to the persistent redness in the central portion of the face (particularly the nose) small, red bumps or pustules (bumps containing pus – like pimples) usually appear in this phase. These bumps and pustules can spread across the nose, cheeks, forehead and chin. Nodules under the skin may appear and will become painful. This phase is often misdiagnosed as acne, but the two conditions are different and require different treatments
Phase IV – Late Rosacea
This is the most advanced phase of Rosacea in which all the earlier symptoms are present, they are simply more severe and intense.
In Phase IV, the skin begins to thicken. In severe cases, the oil glands around the nose, and even sometimes the cheeks, become enlarged resulting in a build-up of tissue on and around the nose. This complication develops slowly, over a period of years, and is more likely to occur in men. Eventually the nose becomes red, enlarged and bulbous. This particular aspect of inflammatory Rosacea is called Rhinophyma.
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- Seeing Red! Treating Dilated Facial Veins (healthyskinsolutions.com)
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- Covering the Signs of Rosacea (healthyskinsolutions.com)
- Living with Rosacea (healthyskinsolutions.com)
- The Face of Rosacea (healthyskinsolutions.com)