Dr. David Nielson, MD
Rosacea Treatment Specialist
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Rosacea Symptoms and Causes

 

 

 

 

 

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Primary Rosacea symptoms include:

Secondary Rosacea symptoms include:

  • Plaques
  • Eye irritation
  • Swelling
  • Dry appearance
  • Burning, stinging pain
  • Signs beyond the face
  • Skin thickening

While the cause of rosacea is unknown and there is no cure, our Rosacea Treatment Institute offers exciting new hope through state-of-the-art treatments tailored to each rosacea symptom! 

Nine Major Symptoms of Rosacea

Frequent Facial Flushing 
Facial flushing is the classic symptom of rosacea. In all simplicity, flushing is the result of increased blood flow through dilated facial blood vessels. During a flush, a rosacea sufferer’s face can turn various shades of red depending on the amount of blood flowing through the skin. A sufferer may experience a fire-red face during intense flushes, a mildly-red face during moderate flushes, or a barely noticeable pinkish-hue during mild flushes. Depending on the stage of rosacea, a facial flush can be transient (lasting only for seconds), or long-standing (lasting for days, weeks or months).

Facial Redness
Facial redness is one of the most common symptoms of rosacea. This is caused by hundreds of tiny dilated blood vessels near the surface of the facial skin.

Facial Telangiectasia (tel-an-jek-tasia)
These are tiny broken blood vessels that are permanently fixed in the dilated state. These blood vessels take on the appearance of fine red lines coursing through the surface of the facial skin.

Ocular Rosacea
More than half the rosacea sufferers that present with facial symptoms also have ocular rosacea. Ocular rosacea is primarily vascular in origin, but secondary causes may exacerbate the condition. Symptoms include inflammation of the eye surface, inflammation of the eye lids, scales or crusting on eye lids and eye lashes, blockage of the meibomian glands (blepharitis), dry eye syndrome, excessive tearing and blood shot eyes.

Facial Skin Hyper-Reactivity
Facial skin hyper-reactivity is caused by sensitive, inflamed blood vessels near the surface of the skin. These blood vessels dilate very easily to topical triggers and physical insults.

Lumpy-Bumpy Facial Skin
Uneven skin texture, or lumpy-bumpy facial skin is caused by dilated blood vessels, localized swelling, mild fibrosis, and leakage of inflammatory cells into the superficial layers of the skin.

Facial Papules
Facial papules are small, red bumps about the size of a pinhead. These bumps are caused by vascular flushing. Over time, flushing results in leakage of inflammatory cells out of the blood vessels and into the dermal skin.

Facial Pustules
Facial pustules are small red bumps with pus. These bumps are caused by vascular flushing in areas around sebaceous glands. Over time, flushing results in leakage of inflammatory cells out of the blood vessels and into the dermal skin. These inflammatory cells then migrate towards the sebaceous gland or pore, resulting in inflammatory pustules.

Facial Burning Sensations
Facial burning sensations are caused by activation of sensory pain nerves in the facial skin. These pain fibers are primarily triggered by the heat associated with increased blood flow. These nerve endings can also be activated by inflammatory substances that leak through blood vessels. After chronic activation, pain nerve fibers may become sensitized to other triggers such as skincare products and environmental insults (i.e., sun, wind, heat, and cold). Facial burning sensations can become severe in some sufferers, causing debilitation.

Causes (Triggers) of Rosacea
Common Triggers include:

Warm environment                       Crying
Hot foods                                        Chewing
Hot drinks                                       Smiling
Spicy foods                                    Facial pain
Embarrassment                            Heat
Anger                                              Sun
Stress                                              Wind
Exercise                                         Skincare
Mental concentration                  Alcohol

 

For more information call 210-494-7972 or email:  rosacea@rosaceainstitutetexas.com
 

 

210-494-7972  Phone     1202 E  Sonterra Blvd,  Suite 101     San Antonio       Texas     78258
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