Acne rosacea

Acne rosacea (or copper rose) is a chronic inflammatory disease of the skin, which is characterized by a reddening of the skin on the face and causes skin injuries and swelling.

It affects facial areas that are usually prone to redness, so:

  • Nose
  • Cheeks
  • Chin
  • Forehead.

People with rosacea show:

Acne rosacea does not cause blackheads or pimples like acne vulgaris or juvenilis.
The following are particularly affected:

  • adults with a fair complexion,
  • Women in menopause.

Symptoms of rosacea


Symptoms of rosacea

Symptoms of rosacea on the skin of the face

1. Frequent redness on the face. This is often the first symptom and can be the only one for months and years.
2. Erythema of some areas of the face. This symptom may resemble a sunburn.
3. Small red spots in the skin relief (papules) and small cysts (pustules) on the face.
The spots and cysts resemble acne. In some cases, they can come and go, but they can also persist for a long time if the rosacea is not treated.
4. Telangiectasias on the face. They are small blood vessels that are visible under the skin and can be very dominant on the face.
5. A thickening of the skin can be verified in some cases. The best-known example is a so-called rhinophyma (a large and spongy nose). This symptom is rare.

Symptoms of ophthalmic rosacea

Symptoms of the eyes (also called ophthalmic rosacea) appear in about half of the cases, usually mild and they can occur before the skin symptoms.
These include:
1. A foreign body sensation in the eye.
2. Burning in the eyes or itching.
3. Dry eyes.
4. Photophobia or photosensitivity.
5. Problems with the eyelids, such as cysts, stye or blepharitis (inflammation of the eyelids).
6. Inflammation and ulceration of the cornea (the front part of the eye) are rare but serious complications that can affect vision. If eye pain or loss of vision occurs, an ophthalmologist must be consulted as soon as possible.

As a rule, rosacea does not cause pain or itching on the skin. However, in some cases, there may be a burning sensation on the skin. As a rule, the patient with rosacea does not feel sick and serious complications are rare.
People with rosacea are often accused of being alcoholics because of their red face.

Causes of acne rosacea

Causes of acne rosacea

The cause of rosacea is unknown, it could:

  • Genetic
  • be of an environmental nature.

Triggering factors Some factors
can be triggering or aggravate rosacea by disrupting superficial skin circulation. Such factors can be:

1. Hot food and drinks
2. Spicy foods
3. Alcohol
4. Extreme temperatures
5. Sunlight
6. Stress, anger or shame
7. Physical exertion
8. Hot baths or sauna visits
9. Chlorine in the swimming pools 10. Mites found in hair follicles (Demodex folliculorum)

11. Cortisone
12. Blood vessel-dilating drugs, including some high-pressure medications 13. Irritating detergents and cosmetic products such as peelings

14. Foods with additives such as:

  • Glutamates (E621, 622)
  • sodium and potassium nitrite (E249, 250, 251, 252),
  • Sulfites, especially potassium metabisulphite (E224)

Diagnosis and testing of acne rosacea

Usually, the doctor can diagnose rosacea:

  • by physical examination,
  • based on the medical history.

Therapy for rosacea

Therapy for rosacea Even if there is no definitive cure for rosacea
, therapies can reduce the severity and symptoms.
Therapy varies depending on the severity of the disease.

Drugs Drugs
for rosacea are:

Antibiotic therapy. The antibiotics used in rosacea also have anti-inflammatory effects. They are available in the form of:

  • cream, gel or ointment applied to the affected areas of the skin,
  • Tablets that are taken.

In general, antibiotic tablets are effective after a short time, but can lead
to later side effects The antibiotics most commonly prescribed for acne rosacea are:
1. metronidazole (Rozex ®), 2. minocycline hydrochloride (Minocin),

3. azithromyicin ® (Zithromax ®).

Medication for acne

Medication for acne

Retinoids: isotretinoin If antibiotics do not work, the doctor may prescribe isotretinoin
(roaccutane®, isotret®, etc.).
This effective drug is mainly used for severe cystic acne, but it can also help to eliminate the skin lesions in rosacea, for example in the case of rhinophyma.
The drug should not be used during pregnancy, as it can cause serious harm to the child.
The duration of treatment depends on the type and severity of the symptoms, but improvement is usually seen within a month or two.
Since the symptoms may recur after discontinuation of treatment, treatment over a longer period of time is recommended.

Azelaic acid cream with azelaic acid
(Skinoren®) has an antimicrobial effect on the skin and reduces rosacea by inhibiting the growth of skin bacteria.
A known side effect of this cream is a stinging sensation that you feel during treatment.

Some patients take medication without knowing the consequences, cortisone, for example, can make rosacea worse.

Treatment with intense pulsed light (IPL) and laser

Symptoms such as redness and visible blood vessels (telangiectasias) can be successfully improved by:

  • vascular laser treatment,
  • Therapy with pulsed light (IPL).

The specialist who takes care of this disease is the dermatologist.
Two to six sessions are necessary.

How does this treatment work?

  • The laser device and the pulsed light device send a narrow beam of light to the visible blood vessels of the skin.
  • The heat of the laser narrows the red and dilated veins, which are no longer visible.
    Side effect is a small part of scarring in the surrounding tissues.
  • Various studies show that light helps to reshape the matrix of the skin, so that there is better support for the blood vessels.
  • Laser treatment can be painful, but the majority of people treated do not require anesthesia.

The side effects of laser therapy are usually minor, these are:
1. bruising, 2. scab formation on the skin, 3. swelling and redness of the skin,

4. blistering (in rare cases),
5. infections (in very rare cases).
These side effects usually last only a few days and are rarely permanent. Infection requires treatment with antibiotics.


You can mask permanent red spots on the skin by using specially designed camouflage products.

Creams, gels and other locally active herbal remedies

Creams, gels and other locally active herbal remedies

Chrysanthellum indicum creams of golden chamomile contain extracts of Chrysanthellum indicum
to 1% and help with acne rosacea by strengthening the capillaries.
With twice daily use, improvements are observed.
It takes 12 weeks of persistent use to see success.
They have mild side effects, including an allergic reaction, but the benefits far outweigh the risks.
If this cream is used while avoiding the risk factors, the differences before and after treatment are considerable.

Cream with green tea
Helpful in the treatment is a cream of green tea.
This cream contains 2% polyphenone E. Results become clear after about 4 weeks.

Niacinamide A cream based on niacinamide
contains a vitamin from the B complex (vitamin B3, also known as PP factor, pellagra preventing factor).
This local treatment of acne rosacea improves the moisture content of the skin and limits inflammation.
When applied twice a day, this cream strengthens the skin barriers.
This cream is also available as a gel 4%.

Licorice is a plant used to treat acne rosacea.
The extracts from the root of licorice can cause a significant improvement in mild rosacea if they are used regularly for 4-8 weeks.

The Virginia witch hazel (Hamamelis virginiana) is helpful in widening (ectasias) of the capillaries, which typically occur in rosacea.
Witch hazel extract works:

  • antiinflammatory
  • astringent
  • liberating.

It is applied to the face every night before going to bed.

Natural remedies for acne rosacea

Natural remedies for acne rosacea

Apple cider vinegar Apple cider vinegar
is an oral home remedy for acne rosacea. It is effective in one of the causes of acne rosacea, namely indigestion.
This vinegar stimulates the digestive enzymes in the body and ensures a bacterial balance in the digestive tract.
Apple cider vinegar is available in liquid form, it is also available in tablet form.

facial washes with oatmeal relieve redness, which is the most unpleasant symptom of acne rosacea.
This home remedy from grandmother’s time acts like a cleansing agent, is additionally nourishing and peeling for the skin.
When used regularly, it improves symptoms.
The biggest advantage of a face wash with oatmeal is the possibility of doing it at home by mixing:

  • two tablespoons of oatmeal,
  • Lemon juice
  • Honey.

Other Natural Remedies for Acne Rosacea

Other Natural Remedies for Acne Rosacea

For the treatment of acne rosacea useful local remedies are:

  • Aloe vera,
  • Burdock
  • Camomile
  • Betaine
  • red clover,
  • Haws
  • Selenium
  • Zinc.

Many natural products contain these soothing substances.

Tincture of burdock root
A face mask with the tincture of burdock root helps to purify the blood and thus reduces the symptoms of acne rosacea.

Herbal tea
Effective herbs are:

  • green tea
  • Camomile.

These plants have anti-inflammatory properties and contribute to a reduction in rhinophyma.
It is recommended to replace coffee with these drinks.
Herbal teas should not be drunk hot, so as not to aggravate the redness.

Evening primrose oil Evening primrose oil
has a skin-protecting effect.
Acne patients should take one to two teaspoons (2-6 g) of evening primrose oil daily for at least a month. This remedy is well suited for the treatment of mild acne rosacea.

The skin must be cared for continuously to avoid recurrence of acne rosacea.
Even if there is no immediate success, skin care must be continued regularly for a few weeks, sometimes months.

Diet and nutrition for acne rosacea

Diet and nutrition for acne rosacea

Eating foods containing vitamin B is considered a simple home remedy for acne rosacea.

Rosacea patients often suffer from indigestion, especially after hard-to-digest and high-fat foods.
This indicates a deficit of the pancreatic enzyme lipase.
Indigestion and acne can be improved by taking a pancreatic enzyme as a supplement.

Conventional medicine recommends a diet rich in vitamin C and bioflavonoids, which are contained, for example, in citrus fruits.

According to natural medicine, rashes and redness are caused by the accumulation of toxins in the organism.
The body usually eliminates the toxins via:

  • Defecation
  • Urine
  • Exhalation.

If the amount of waste exceeds a certain tolerance threshold, they accumulate in the organs and cause disease.

Doctors often say of diseases that they are hereditary or idiopathic (of unknown cause) nature; but in this century there is a phenomenon that cannot be explained in this way:

  • increased occurrence of disturbances,
  • increased number of patients.

A lot has changed in recent decades:

  • Lifestyle
  • Nutrition
  • Pollution.

People think only of the pleasure of eating and look for particularly tasty and spicy foods, but nature has actually intended that man feeds on raw and unprocessed foods.
Natural remedies or medications will not help if the patient continues to eat an unhealthy diet.
There are different diets that have cured or improved diseases and are based exclusively on natural foods:

  1. Stone Age diet (Paleo diet) – based on the diet of Stone Age man, who lived from hunting and collected fruits and vegetables.
  2. Vegan diet with at least 50% raw food content – this diet is based on plants, carbohydrates and fiber. Animal proteins are completely excluded (milk, eggs, meat and fish).
  3. Blood group diet – here the proteins are the main players, because according to this nutritional theory, the functioning of the body depends on proteins. The immune system can react negatively and cause disease when certain foods are added. The reactions depend mainly on the blood group: a food can be harmful to members of a certain blood group and harmless to all others.

Important for good health is the renunciation of:

  • processed and preserved food,
  • cereals, especially cereals containing gluten (pasta, bread, pizza, etc.),
  • Fried
  • milk and dairy products,
  • Sweet
  • fatty sauces such as mayonnaise
  • fermented foods (cheese, wine, beer, etc.),
  • spicy food,
  • carbonated drinks,
  • alcoholic beverages
  • stimulating agents, such as coffee, tea and chocolate.

Prognosis for patients with acne rosacea

Prognosis for patients with acne rosacea

Even if there is definitely no cure, rosacea can be reduced to a minimum with a balanced diet, therapeutic treatment and the avoidance of risk factors.

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