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ROSACEA

Rosacea (commonly known as “Gül Hastalığı”) is a chronic inflammatory skin condition primarily affecting the face, characterized by persistent redness, visible blood vessels (telangiectasias), and acne-like bumps. In advanced cases, it may lead to skin thickening, particularly on the nose (rhinophyma), or ocular symptoms (ocular rosacea). It most commonly occurs in fair-skinned individuals with sensitive skin, typically emerging between ages 30–50.

Key Symptoms:

  1. Facial redness (persistent or flushing).

  2. Telangiectasias: Visible, spider-like blood vessels.

  3. Papules and pustules: Red, acne-like bumps.

  4. Skin sensitivity: Burning or stinging.

  5. Thickened skin: Especially on the nose (rhinophyma).

  6. Ocular involvement: Dryness, redness, or gritty sensation in the eyes.

Common Triggers:

  • Diet: Hot beverages, spicy foods, alcohol.

  • Environmental factors: Sun exposure, extreme temperatures, wind.

  • Lifestyle: Stress, saunas, steam baths.

  • Skincare products: Harsh chemicals, fragrances, or abrasive exfoliants.

Treatment Options:

1. Medical Therapy

  • Topical Treatments:

    • Metronidazole gel: Reduces inflammation and redness.

    • Azelaic acid: Targets bumps and redness.

    • Ivermectin cream: Addresses Demodex mites linked to rosacea.

  • Oral Medications:

    • Antibiotics (e.g., doxycycline): Low-dose anti-inflammatory therapy.

    • Isotretinoin: For severe, resistant cases (monitored closely).

2. Laser & Light Therapies

  • BroadBand Light (BBL): Reduces redness and visible blood vessels.

  • Pulsed Dye Laser (PDL): Targets telangiectasias.

3. Skincare & Prevention

  • Gentle cleansers: Fragrance-free, pH-balanced formulas.

  • Daily sunscreen: Mineral-based (zinc oxide/titanium dioxide) with SPF 30+.

  • Barrier repair: Non-comedogenic moisturizers for sensitive skin.

4. Lifestyle Adjustments

  • Avoid triggers (e.g., spicy foods, extreme heat).

  • Manage stress through mindfulness or therapy.

Why Dermatologist-Guided Care Matters:

  • Rosacea is often misdiagnosed as acne, lupus, or eczema. A skin biopsy or clinical evaluation ensures accuracy.

  • Untreated rosacea may worsen, leading to permanent skin changes (e.g., rhinophyma) or eye damage.

  • Personalized plans combine medical, procedural, and preventive strategies to control flare-ups and improve skin health.