Rosacea is a chronic inflammatory disease affecting the central portion of the face, causing facial flushing (redness), papules and pustules, and dilated blood vessels (telangectasias). It is thought to be a genetic condition, with the age of onset typically around ages 30-50. Rosacea is more common in lighter skinned individuals of Celtic descent, and in southern Mediterranean populations.
Affected individuals will notice episodes of reddening or flushing of the face, often caused by eating spicy food, drinking alcohol, or exposure to sun and/or heat. Papules and pustules, or “Adult Acne” may be the factor causing individuals to seek medical care. In Rosacea, overproduction of oil glands contributes to lesions, and over time may lead to Rhinophyma (enlargement of nose due to sebaceous gland) or gnathophyma (enlargement of chin).
Irritation of the eyes, termed ocular Rosacea, may also occur later in the disease process. Treatment of Rosacea includes systemic medications, topical medications, and laser treatments including IPL and ND Yag for reduction of erythema and telangectasias.