Acne Rosacea Acne Rosacea

Rosacea is a common facial eruption, which is characterized by redness, blushing, flushing and abnormal blood vessel growths called telangiectasia's. Rosacea je čest lica erupcija, koje karakterizira crvenilo, crvenjenje, flushing i abnormalne krvne žile growths zove telangiectasia-a. Acne Rosacea is a disorder of skin pigmentation which presents during the ages of middle age, around 30-50. Acne Rosacea je poremećaj pigmentacija kože koja predstavlja tijekom godine, srednji vijek, oko 30-50. Acne rosacea is found more commonly in females, however, the involved and extent of disease is much more severe in males. Acne rosacea je pronađeno više uobičajeno u ženki, međutim, uključene i mjere bolest je puno teže u muškaraca. This may be do to the more common finding of rhinophyma in males, while females mainly have the erythromatotelangiectatic form, which consists of flushing and persistent facial redness (please see below). Ovaj svibanj učiniti kako bi se što više zajedničkog pronalaženje rhinophyma u muškaraca, dok su ženke uglavnom imaju erythromatotelangiectatic obrazac, koji se sastoji od flushing uporni i crvenilo lica (pogledajte dolje).

ACNE ROSACEA: Signs & Symptom ACNE ROSACEA: Znakovi i simptomi

Facial flushing, the presence of telangiectatic vessels, persistent redness of the face, inflammatory papules and pustules, hypertrophy of the sebaceous glands of the nose. Facial flushing, prisutnost telangiectatic plovila, uporni crvenilo u lice, upalne papules i pustules, hipertrofija je mastan žlijezde na nos. Fibrosis of the sebaceous glands may also occur, which is referred to as rhinophyma. Fibroza i mastan žlijezde svibanj pojaviti se, koji se spominju kao rhinophyma. Ocular changes may also be present, and include dryness and irritation of the eyes, with blepharitis and conjunctivitis to rare, but life-threatening keratitis. Okular promjene svibanj također biti prisutne, a uključuju suhoća i iritacija od očiju, s blepharitis i konjunktivitis u rijetkim, ali život opasne keratitis. The disease is chronic and progressive. U bolesti je kroničan i progresivno. Some patients clear in their later years, such as in their 60's. Neki pacijenti imaju jasan u svojim kasnijim godinama, kao što je u svojoj 60 godina.

Acne Rosacea Skin Acne Rosacea kože

The skin of paitents with acne rosacea can have numerous different components. U koži paitents s acne rosacea može imati brojne različite komponente. These include vascular, acneiform, ocular and phymatous changes. To uključuje vaskularne, acneiform, očni i phymatous promjene.

Vascular Vaskularna

These include intermittent, with progression to persistent erythema (redness) and facial flushing. To su nepredvidiva, uz napredovanje uporan eritem (crvenilo) i lica flushing. Telangiectasias may also be present which are small dilated blood vessels that have become prominently visible. Telangiectasias svibanj također biti prisutne koji su mali dilatirane krvne žile koje su postale vidljive vidljivo.

Acneiform

Similar to common acne, acne rosacea may also have lesions found in acne which point to an inflammation component of the diseases. Slično kao i zajednički acne, acne rosacea svibanj imati lezije nalaze u acne koji upućuju na upalu komponenta bolesti. These include papules, pustules and nodules. To uključuje papules, pustules i nodules. There are never comedones present. Postoje nikada comedones prisutan. If comedones are present, the patient may have associated acne or the skin changes may be due to common acne and not acne rosacea if other rosacea skin changes are not found. Ako comedones su prisutni, pacijenta svibanj imati pridružene acne ili kože promjene svibanj se zbog zajedničkog acne, a ne acne rosacea ako drugim rosacea skin promjene nisu pronađena.

Ocular Involvement Okular Uključenost

In acne rosacea, the skin around the eye, as well as the eye may be involved. U acne rosacea, kože oko očiju, kao i oko svibanj biti uključeni. These include conjunctivitis and keratitis (inflammation) of the eye, and blepharitis, inflammation of the skin and tissue around the eye. To su konjunktivitis i keratitis (upala) od oka, i blepharitis, upala od kože i tkiva oko očiju.

Phymatous Changes Phymatous promjene

Phymatous changes include rhinoyphyma (involvement of the nose), which are uncommon, but severe, late stage complication of progressive enlargement of nose disfiguration and enlargement resulting from sebaceous hyperplasia and skin damage through chronic inflammation. Phymatous izmjene uključuju rhinoyphyma (sudjelovanje na nos), koji su neuobičajeno, ali žestoko, kasnih komplikacija u fazi progresivno proširenje nos nakaznost i proširenje proizlazi iz mastan hiperplazija i oštećenja kože kroz kroničnih upala. Involvement of other portions of the face can also occur, and the disease is not limited to the nose. Uključenost drugih dijelova lica također može pojaviti, a bolest nije ograničena na nos.

Onset of acne rosacea Napadaj od acne rosacea

Occurs between the ages of 30 and 50, and is more common in women by about 3 times. Pojavljuje u dobi između 30 i 50, te je u više zajedničkih žene oko 3 puta. However, the distorting phymatous skin changes are more common in men. Međutim, distorting phymatous kože su promjene u uobičajeni ljudi. Overall, men also have more severe disease. Ukupno gledano, ljudi imaju i strože bolesti.

Exacerbating and triggers of flushing factors Exacerbating i trigera za flushing faktori

These include sunlight, hot weather, alcohol, spicy foods, exercise, hot beverages such as tea, hot baths, cold weather, stress, menstruation, certain foods such as soya and medications. To uključuje suncu, vruće vrijeme, alkohol, začinjen namirnice, vježba, vruće napitke poput čaja, vruće kupke, hladno vrijeme, stres, menstruacija, određenih namirnica poput soje i lijekove.

Acne rosacea has been reported to be associated Acne rosacea je izvijestio da bude povezan

With migraine headaches in women, seborrheic dermatitis, and with Helicobacter pylori infection. Sa glavobolje migrena u žena, seborrheic dermatitis, i s Helicobacter pylori infekcije. Family history is also evident in about 1/3 of all patients. Obiteljska povijest također je očit u oko 1 / 3 svih pacijenata.

The severity of the acne rosacea is graded as 1 (mild), 2 (moderate), and 3 (severe). U ozbiljnosti i acne rosacea se polaže kao 1 (blaga), 2 (umjereno), i 3 (žestoko).

Acne Rosacea is subdivided into four subtypes: Acne Rosacea je dijeliti u četiri subtypes:

Erythematotelangiectatic Acne Rosacea Erythematotelangiectatic Acne Rosacea

This type of acne rosacea has intermittent and then persistent erythema (redness) of the central face, accompanied with flushing, telangiectasia, irritated skin, burning of the face, and often rhinophyma. Ovaj tip acne rosacea je nepredvidiva, a zatim uporni eritem (crvenilo) u centar lice, uz flushing, telangiectasia, razdražen kože, spaljivanje u lice, i često rhinophyma. Treated mainly with surgical or laser therapy to ablate prominent dilated vessels in severe types. Liječenih uglavnom sa kirurški ili laserske terapije do istaknutih ablate dilatirane plovila u teškim vrste. There is often an acneiform component such as the presence of papules, pustules and nodules, but never comedones. Tu je često ovaj acneiform komponente kao što su prisutnost papules, pustules i nodules, ali nikada comedones. If comedones are present, think acne, not acne rosacea. Ako comedones su prisutni, mislim acne, ne acne rosacea. Mild types of erythematotelangiectatic acne rosacea are usually treated with topical ointments and creams, such as Metronidazole antibacterial creams. Blaga vrsta erythematotelangiectatic acne rosacea su obično tretirani s aktuelno ointments i kreme, poput Metronidazole antibakterijski kreme.

Papulopustular Acne Rosacea Papulopustular Acne Rosacea

This type of acne has persistent erythema of the central face, but with prominent acne features without comedones, such as papules and pustules. Ovaj tip je uporan acne eritem na centar lice, ali s istaknutom acne bez comedones značajke, kao što su papules i pustules.

Phymatous Acne Rosacea Phymatous Acne Rosacea

Phymatous, also commonly known as rhinophyma when involving the nose, is an uncommon late stage complication of progressive enlargement of the skin and tissue, mainly of the nose. Phymatous, također poznat kao obično rhinophyma kada uključujući nos, je neuobičajeno kasno pozornici komplikacija i progresivno proširenje kože i tkiva, uglavnom na nos. The enlargement of the skin and tissue is believe to be due to sebaceous gland hyperplasia (overgrowth) and chronic abnormal inflammation. Proširenja od kože i tkiva je vjerovati da se zbog mastan hiperplazija žlijezda (rastinje) i kroničnih upala abnormalno.

Ocular Acne Rosacea Okular Acne Rosacea

Ocular changes such as blepharitis (inflammation of skin around the eye), conjunctivitis (inflammation of white of the eye) and keratitis (inflammation of the keratin, coloured, layer of the eye). Okular promjene kao što su blepharitis (upala kože oko očiju), konjunktivitis (upala bijele od oka) i keratitis (upala od keratin, u boji, sloj oka). Usually presents with redness and itchiness in the eye. Obično se prikazuje sa crvenilo i itchiness u oku.

Steroid-induced Rosacea Steroidni-inducirana Rosacea

Acne rosacea, that presents similar to the erythematotelangiectatic form, secondary to steroid use, mainly prolonged topical steroid use on the face. Acne rosacea, koja predstavlja sličan na erythematotelangiectatic obliku, sekundarna da steroidni koristiti, uglavnom dugotrajno aktuelno steroidni koristiti na licu. Stoppage of steroids is the mainstay of treatment. Obustava od steroidi je glavna liječenja.

Acne Rosacea Course and Prognosis Acne Rosacea naravno i prognoza

Acne rosacea unfortunately is a chronic and slowly progressive skin disorder which rarely clears. Acne rosacea nažalost je kronični i polako progresivan poremećaj kože koji rijetko briše. Treatments help slow this progression, and commonly stop it. Tretmani pomažu usporiti napredovanje ove, a obično ga zaustaviti. Many senior have also been reported to clear their acne rosacea in their 70's. Mnogi stariji su izvijestili da biste izbrisali njihove acne rosacea u svojim 70's.

Acne Rosacea can be mistaken for: Acne Rosacea mogu biti u zabludi za:

Seborrheic Dermatitis is known to coexist with acne rosacea. Seborrheic dermatitis je poznat opstojati zajedno s acne rosacea.

Systemic Lupus Erythematosus Sistemski eritemski lupus

Acne Vulgaris Acne vulgaris

Basal Cell Carcinoma Bazalna cell karcinom

Acne Rosacea Treatments and Medicines Acne Rosacea tretmani i lijekovi

Rosacea is very difficult to treat because it is caused by vasodilated vessels largely unresponsive to treatment. Rosacea je vrlo teško liječiti jer je uzrokovan vasodilated plovila uglavnom ne reagira na liječenje. Corticosteroids are effective in reversing this vasodilation, but are contraindicated due to numerous adverse effects (eg atrophy of skin, such as thinning). Corticosteroids su na snazi u ovoj vasodilation unazad, ali su contraindicated obzirom na brojne nuspojave (npr. atrofija kože, kao što su proreda).

The main treatment is avoidance of substances and circumstances that cause vasodilation of these vessels. Glavni liječenje je izbjegavanje tvari i okolnosti koje uzrokuju vasodilation tih plovila. The mainstay of treatment is to begin with topical therapy, which includes metronidazole. U glavno liječenja je početi s aktuelno terapija, koja uključuje metronidazole.

Topical Treatments and Medicines Aktuelno tretmani i lijekovi

Topical medications are not as good for vascular aspects of the disease, but moreso for prevention of disease progression. Aktuelno lijekovi nisu dobri za vaskularne aspektima bolesti, ali više za prevenciju bolesti napredovanje. Treatment is long-term. Liječenje je dugoročno.

Metronidazole for Rosacea Metronidazole za Rosacea

Metronidazole is an antibiotic that has anti-inflammatory properties, and thereby decreasing the inflammation (redness) in the area fairly effectively, and mildly removes the redness due to vasodilated vessels. Metronidazole decreases papules and pustules, skin changes, around 70% over a 3 month period. Metronidazole smanjuje papules i pustules, kožnih promjena, oko 70% više od 3 mjeseca razdoblju.

It is given as: To je dano kao:

Metronidazole 0.75% Metrogel or Metrocream and 1% cream Noritate or Rosasol. Metronidazole 0,75% Metrogel ili Metrocream i 1% krema Noritate ili Rosasol.

Metronidazole acts as an anti-inflammatory, thereby decreasing the formation of papules and pustules. Metronidazole djeluje kao anti-upalni i time smanjuje formiranje papules i pustules. This is believed to occur at a total decrease of 70% over a 2 months of consistent use. To je vjerovao da se dogodi na ukupno smanjenje od 70% tijekom 2 mjeseca u skladu koristiti.

Benzoyl Peroxide Benzoyl peroksid

Mainly used in common acne. Uglavnom se koristi u zajedničkim acne. Removes a small layer of skin and thereby removes the stimulus of inflammation. Uklanja mali sloj kože i tako uklanja poticaj od upale. For mild acne rosacea. Za blage acne rosacea.

Azelaic acid Azelaic kiselina

20 % cream, applied twice daily is also effective 20% vrhnje, primjenjuju dva puta dnevno je na snazi

Sulfur Sumporov

Precipitated sulfur at 1-3% concentration can be added to creams or 1% hydrocortisone preparations. Precipitated sumpor na 1-3% koncentracija mogu biti dodan u kremama ili 1% hydrocortisone pripreme. This may potentiate steroid-induced acne rosacea however. Ovaj svibanj moćnim steroidni-inducirana acne rosacea no.

Cosmetic Cover-up Kozmetički zataškavanje

Rosacure and Diroseal, agents that are used to cover and mask the redness associated with acne rosacea. Rosacure i Diroseal, sredstva koja se koriste kako bi se obuhvatile i maska za crvenilo povezane s acne rosacea.

Systemic Antibiotics Sustavan antibiotici

The use of systemic antibiotics is not well supported in acne rosacea, in contrast to common acne. Korištenje sistemski antibiotici nije dobro podržan u acne rosacea, za razliku od uobičajenih acne.

Tetracycline

Overall, poorly effective for erythematotelangiectatic rosacea and accompanied redness, but effective for clearing acne papules and pustules, as well as ocular rosacea. Sveukupno, slabo učinkovite za erythematotelangiectatic rosacea i popraćena crvenilo, a na snazi za kliring acne papules i pustules, kao i očni rosacea. Given as 250 mg to 1000 mg daily based on severity of disease. S obzirom kako je 250 mg 1000 mg dnevno temelji na ozbiljnost bolesti. Minocin may also be used at 100 mg. Minocin svibanj također se koristi na 100 mg.

Erythromycin Eritromicin

Similar to tetracycline, taken as 250 mg to 1000 mg a daily. Slične tetracycline da, uzeti kao 250 mg do 1000 mg dnevno.

Clonidine

Clonidine, also known as Dixarit, may help relieve flushing. Clonidine, također poznat kao Dixarit, svibanj pomoć osloboditi flushing. Started at 0.05 mg twice a day dose initially. Rada na 0.05 mg dva puta dnevno doza u početku.

Accutane (Isotretinoin) Accutane (Isotretinoin)

Its effectiveness in acne rosacea is not well-documented, but seems less than with common acne. Njena učinkovitost u acne rosacea nije dobro dokumentirana, ali izgleda manje nego kod uobičajenih acne. Overall, a very good medications to decrease acne lesions and redness, as well as some rhinophyma. Sveukupno, vrlo dobar lijekova za smanjenje acne lezije i crvenilo, kao i neke rhinophyma. The dosage used in acne rosacea is much less than that used to treat common acne. U dozi koristi u acne rosacea je mnogo manje nego da se zajednički postupati acne.

Telangiectasia Treatments Telangiectasia tretmani

Laser or Electrodesiccation. Laserski ili Electrodesiccation.

Surgery Kirurgija

Surgical shave reduction, dermabrasion and electrosurgery for rhinophyma. Kirurški brijanje smanjenje, dermabrasion i electrosurgery za rhinophyma. CO2 laser can also be used. CO2 laser se može koristiti.