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Symptoms of Rosacea

  • Rosacea causes erythema (redness) that looks like flushing or blushing of the face or neck. The flushing occurs when blood flow increases the amount of blood flow through small blood vessels and the vessels expand to accommodate this flow. The redness initially may come and go but becomes more permanent as the disease progresses.
  • Telangiectasia (red lines) - Many people also have enlarged blood vessels under the skin, which are noticeable as red lines through the skin, especially when the overall redness fades. 
  •  Facial Burning, Stinging or Itching -flushing attacks can cause uncomfortable physical symptoms, such as facial burning, stinging or itching.
  • Oedema (facial swelling). Sometimes soft facial swelling may last for days when the erythema flares up. Persisting hard facial oedema can also occur.
  • Dome shaped small lumpy red pimples (papules) - The pimples of rosacea, which often occur as the disease progresses, are different from those of acne because blackheads and whiteheads are not present. Some of these pimples contain pus (pustules) and appear as small white bumps. Left untreated larger nodules can develop.
  • Many people develop related problems affecting the eye- ocular rosacea. This can affect over 50% of people and can range from mild to severe. Eye problems are unlikely to develop in people taking antibiotic tablets for rosacea.

Symptoms include:

  • Blepharitis, (inflamed, dry and crusty eyelids), and
  • Conjunctivitis, (Gritty feeling eyes)

More serious problems arise, if left untreated including:

  • Iritis, (painful inflammation of the iris), and 
  •  Keratitis, (ulceration of the cornea).

In a few people, especially older men, the nose becomes enlarged, bumpy, red or purple and swollen (Rhinophyma).

As rosacea affects the face, it can be associated with anxiety and lack of confidence and may lead to psychological problems and depression.