Red Flags and Warnings Signs for Rosacea

If you’re over 30, have fair skin and blush easily, you may be at risk for developing rosacea, a chronic disorder that affects facial skin and is subject to a cycle of flare-ups and remissions. Rosacea is characterized by redness on the cheeks, nose, chin, forehead, or other areas. Left untreated, the condition worsens, with increased redness and visible blood vessels appearing under the skin. Pimples can develop, and the nose may grow swollen from excess tissue. This latter condition, known as rhinophyma, afflicted the comedian W.C. Fields, known for a bulbous nose and ruddy complexion. Some sufferers report irritated, watery or bloodshot eyes.

Rosacea’s Red Flags

A rash or sunburn that won’t go away, acne that isn’t responding to treatment, or itchy, irritated eyes, are red flags that may be warning signs for rosacea.

Rosacea has four subtypes. SUBTYPE 1 is characterized by redness in the center of the face; swollen, sensitive skin; dry or scaly skin; spider veins; and a tendency to blush easily. SUBTYPE 2 features intermittent acne-like breakouts; oily skin; sensitivity and burning; and spider veins. SUBTYPE 3, less common, features thickening of the skin, especially the nose; a bumpy texture; oily skin; enlarged pores; and visible broken blood vessels. SUBTYPE 4 affects the eyes, and is marked by watery, bloodshot eyes; a gritty feeling; burning or stinging; dry, itchy eyes, and increased light sensitivity. Sometimes cysts form on the eyelids and the vision may be impaired.

Treatments

If you think you have rosacea, consult a dermatologist. Your doctor may suggest one or more of the following treatments:

• A prescription medicine applied to the skin
• Emollient cream
• Daily application of sunscreen to reduce flare-ups
• Antibiotics, in either topical or pill form
• Lasers and other light-based therapies
• Dermabrasion or electrical treatments for subtype 3 rosacea
• An eyewash and prescription eye medicine for subtype 4 rosacea