Rosacea is a chronic inflammatory skin condition. There are different types of rosacea, which vary by cause, level of severity, and treatment.
The physical symptoms that characterize rosacea include blushing or flushing of the face and sometimes the neck and chest, skin sensitivity, dryness, and pimples.
Read on to learn all about the different types of rosacea, including their symptoms, causes, and how to treat and prevent rosacea.
What is rosacea?
Rosacea is the result of inflammation and irritation of the blood vessels and the pilosebaceous units of the face. It has several triggers ranging from sensitivity to topical skin applications, alcohol and food consumption, emotional responses, and more.
Rosacea is common, affecting around 1–20% of the population.
Erythematotelangiectatic rosacea is the most common subtype of rosacea. It involves persistent redness of the center of the face. The small blood vessels beneath the skin’s surface become enlarged and visible.
People with erythematotelangiectatic rosacea may also experience a burning sensation and skin sensitivity. It
Symptoms of erythematotelangiectatic rosacea include:
- redness or discoloration of the center of the face
- occasional flushing of the ears, neck, and chest
- visible blood vessels
- flare-ups that usually disappear later but can become permanent
- burning or stinging
Health professionals may also recommend that people
Other topical and physical modality treatments for erythematotelangiectatic rosacea include:
Papulopustular rosacea, which often occurs alongside erythematotelangiectatic rosacea, is associated with pus-filled pimples and swollen red bumps on the face. It may also affect the scalp, neck, and chest. People commonly mistake it for acne. These blemishes can take a long time to go away.
Symptoms of papulopustular rosacea include:
- papules or pustules on the forehead, cheeks, and chin
- swollen red bumps that take a long time to disappear
- small visible blood vessels
- raised, scaly red patches of skin
As with erythematotelangiectatic rosacea, doctors will usually encourage people with papulopustular rosacea to use photoprotection with sunscreen, regularly cleanse, avoid food and alcohol triggers, and avoid stress and temperature changes.
Other papulopustular rosacea treatments include:
A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
Phymatous rosacea most commonly occurs on the nose. It may also affect the forehead, chin, ears, and eyelids.
Previously, scientists associated this type of rosacea with heavy alcohol use, but recent research
Phymatous rosacea symptoms include:
- enlarged pores
- thickening of the skin
- irregular surface nodularities, particularly on the nose
- increased volume of sebaceous glands (oil-producing glands in hair follicles)
The treatment for phymatous rosacea depends on whether the individual’s condition is inflamed or noninflamed.
For inflamed phymatous rosacea, experts recommend oral doxycycline, oral isotretinoin, or both.
For noninflamed phyma or fibrotic phyma,
With this type of rosacea, inflammation and irritation center on the eye area. It can range from mild irritation to severe disruption of the surface of the eye and inflammation of the cornea, or inflammatory keratitis.
People with ocular rosacea may also experience bouts of conjunctivitis and blepharitis. Many people with ocular rosacea describe the eyes as feeling “gritty.” It can also affect the general area around the eye, with eyelid inflammation and scaly or thick eyelids, as well as corneal ulcers or scars.
While ocular rosacea can become a serious condition in some extreme cases, it is rarely sight threatening. However, it can threaten a person’s sight in serious cases of inflammatory keratitis. Anyone who experiences inflammation of their cornea should seek urgent medical treatment.
Ocular rosacea symptoms include:
- burning, stinging, and itching of the eyes
- light sensitivity
- foreign body or “gritty” sensation in the eyes
- inflammation of the cornea
- blurry vision
- eye area dryness
- scaly, dry, or thick eyelids
- conjunctivitis (pink eye)
Aside from the typical lifestyle alterations that can help control rosacea flare-ups, ocular rosacea treatments
- gentle cleansers
- warm compresses
- topical steroid creams
- tetracycline antibiotics
- cyclosporine ophthalmic emulsion
- omega-3 fatty acid supplementation
- IPL treatment
Additionally, experts recommend avoiding the use of eye makeup during flares.
The exact cause of rosacea is unknown and will vary from person to person. Both genetic and environmental factors contribute to rosacea. Some of the factors that influence rosacea include:
- sun exposure
- changes to the small blood vessels of the face, such as blood vessels that dilate too easily
- abnormal immune responses or abnormal inflammatory responses
- microbial exposure, particularly to Demodex mites
- sensitivities to food, such as spicy food
- alcohol consumption
- cigarette smoking
- heat exposure
If someone suspects that they are experiencing one or more of these rosacea subtypes, they should seek treatment from a medical professional.
While it is a common condition and can have very mild symptoms in some cases, rosacea can worsen over time without treatment. In some cases, redness or thickening of the skin can become permanent.
To help prevent rosacea flare-ups,
People with rosacea can also try to avoid their personal known triggers. For some, this might be limiting or abstaining from alcohol, reducing stress, or avoiding spicy foods. To better understand their triggers, people can also opt to receive an allergy test from a healthcare professional.
Rosacea is a common chronic inflammatory skin condition with four subtypes: erythematotelangiectatic, papulopustular, phymatous, and ocular.
Although there is no cure for rosacea, there are many available treatments and methods of prevention that can alleviate symptoms. These will vary depending on the type of rosacea that someone is experiencing.
A person can speak to a healthcare professional for any concerns regarding rosacea.