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We ahve all known someone srffering the red-faced, acne-like effects of rosacea. These often cause significant psychological, social and occupational problems if left untreated.

Emotional effects

Accordig to the National Rosacea Society, overn 76% of rosacea patients said their condition had lowered their self-confidence and self-esteem, and 41% reported that it had caused them to avoid public contact or cancel social engagements. Among rosacea patients with severe symptoms, 88 percent said the disorder had adversely affected their professional interactions, and 51 percent said they had even missed work because of their condition.

Rosacea is a common inflammatory disease of the face – particularly affecting the nose, cheeks, chin, and forehead. In its early stages it most often causes red pimples and pus-filled cysts similar to those seen in ordinary teenage acne.

Rosacea is a long-term disorder and usually lasts for at least several years. Typically, flare-ups alternate with periods of less activity. Over a period of time, it gradually “scars” the skin by producing permanent redness of the face, particularly the cheeks and nose. The exact cause of Acne Rosacea is not known, but it is thought to be similar in some respects to teenage acne. It is definitely known not to be contagious. The skin disease may, in rare cases, be associated with an inflammation of the eyelids known as blepharitis. Acne Rosacea is treated by our doctor for patients in our region.

Symptoms & Treatments

While the cause of rosacea is unknown and there is no cure, today medical help is available that can control the signs and symptoms of this potentially life-disruptive disorder. Any one of the following warning signs is a signal to see a dermatologist or other knowledgeable physician for diagnosis and appropriate treatment before the signs and symptoms become increasingly severe:

  • Redness on the cheeks, nose, chin or forehead.
  • Small visible blood vessels on the face.
  • Bumps or pimples on the face.
  • Watery or irritated eyes.

How is Acne Rosacea treated?

  • If Acne Rosacea is fairly severe, our physician may prescribe antibiotics to help control the inflammation. All of these drugs have certain things in common: 1.)They must be taken with great regularity to be of maximum benefit. 2.)Though quite safe and relatively free of side effects, any disturbing symptoms which arise during their use should be reported to us so that we can determine whether they might be due to the medicine. 3.) Any of the antibiotics prescribed should be discontinued immediately if pregnancy occurs.
  • Occasionally, women taking antibiotics may develop vaginal yeast infections. Symptoms of this are itching and vaginal discharge. This is not serious or dangerous and can usually be easily managed without interrupting treatment of the Acne Rosacea. If you experience these symptoms, contact the office for instructions.

Other important considerations with Acne Rosacea:

  • Use the prescribed cleanser to wash your face. Wash very gently with your fingertips once or twice daily. Avoid harsh scrubbing.
  • All oil-containing skin care preparations, especially moisturizing lotions and cleansing creams, may aggravate Acne Rosacea. Products containing grease or oil should not be used as part of your routine of daily skin care. Such products may be used occasionally during the dry, cold, winter months to relieve chapping. A list of preferred cosmetics can be provided to you upon request.
  • There are certain types of cortisone creams which must never be used on the face in anyone being treated for Acne Rosacea. Do not use this type of medication unless it is the one we specifically recommend for you.
  • The National Rosacea Society surveyed its 158,000 newsletter subscribers. Rosacea sufferers who responded to that survey ranked the factors which aggravate their disease in order of importance:

    - Strong direct sunlight.
    - Emotional stress or anxiety.
    - Hot weather, especially hot, humid weather.
    - Highly seasoned, spicy foods.
    - Exercise and exertion.
    - Cold weather, especially exposure of the face to cold wind.
    - Hot baths.
    - Hot beverages in large quantities and abundant use of very hot foods such as soups, hot pizza, etc.
    - Alcoholic beverages in more than minimal quantities.
    - The following foods were listed: eggplant, spinach, avocados, bean pods, chocolate, vanilla, soy sauce, vinegar, citrus fruits, bananas, red plums, tomatoes, raisins and figs. Yeast extracts sometimes caused trouble, though bread was not reported.

Gul A. Zikria, M.D

Receive care from the best specialist in town. Gul A. Zikria, M.D., FACOG, specializes in everything from laparoscopic and infertility treatments, menopause and mood disorders, as well as cosmetic surgery. Let our experts educate you about the pros and cons of estrogen replacement in regards to osteoporosis, heart disease, and risks for cancer development. We are affiliated with most PPOs, HMOs and private insurances. Make an appointment today to learn more about your health.

Gynecologist Dr. Gul Zikira, has helped many Northern California patients enhance their image and improve their self-confidence providing comprehensive women’s health care for over 25 years. Complete Women’s Health Care is a leader in OB/GYN Milpitas and San Jose Cosmetic Surgery.