Acne Rosacea Akne Rozacea

Rosacea is a common facial eruption, which is characterized by redness, blushing, flushing and abnormal blood vessel growths called telangiectasia's. Rozacea je skupna obraza vzbrsti, ki je značilna pordelost, Crvenjenje, rdečica in nenormalna rast krvnih žil, imenovano Kuperoza's. Acne Rosacea is a disorder of skin pigmentation which presents during the ages of middle age, around 30-50. Akne Rozacea je motnje obarvanosti kože, ki so predstavljene v starosti od srednjih let, okrog 30-50. Acne rosacea is found more commonly in females, however, the involved and extent of disease is much more severe in males. Akne rozacea je ugotovljeno, pogosteje pri ženskah, vendar pa sodelujejo in obsegu bolezni so veliko bolj hudo pri moških. 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). To lahko storite na več skupnih ugotovitev rhinophyma pri moških, medtem ko samice v glavnem imajo erythromatotelangiectatic obliki, ki je sestavljen iz rdečica in obstojne rdečica obraza (glejte spodaj).

ACNE ROSACEA: Signs & Symptom ACNE rožnato: Znaki in simptomov

Facial flushing, the presence of telangiectatic vessels, persistent redness of the face, inflammatory papules and pustules, hypertrophy of the sebaceous glands of the nose. Zardevanje, prisotnost telangiectatic plovil, obstojnih pordelost obraza, vnetna papule in gnojne mehurčke, hipertrofija na lojnice na nosu. Fibrosis of the sebaceous glands may also occur, which is referred to as rhinophyma. Fibrozo na lojnice se lahko pojavi tudi, kar se imenuje 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. Očesnimi spremembami je lahko tudi prisoten, in vključujejo suha koža in draženje oči, vnetje očesnih veznic z blefaritis in za redke, vendar smrtno nevarna keratitis. The disease is chronic and progressive. Bolezen je kronična in progresivna. Some patients clear in their later years, such as in their 60's. Nekateri bolniki, jasno v svojih poznejših letih, kot je v svojih 60's.

Acne Rosacea Skin Rozacea akne koža

The skin of paitents with acne rosacea can have numerous different components. Kožo paitents s rozacea akne so lahko številni različni sestavni deli. These include vascular, acneiform, ocular and phymatous changes. Ti vključujejo vascular, podoben aknam, očesnih in phymatous spremembe.

Vascular Žilne

These include intermittent, with progression to persistent erythema (redness) and facial flushing. Ti vključujejo prekinitvami, s napredovanje do obstojne eritema (pordelost) in zardevanje obraza. Telangiectasias may also be present which are small dilated blood vessels that have become prominently visible. Telangiectasias je lahko prisoten tudi, ki so Dilatiran malih krvnih žil, ki so postale vidne vidno.

Acneiform Podoben aknam

Similar to common acne, acne rosacea may also have lesions found in acne which point to an inflammation component of the diseases. Podobna skupni akne, akne rozacea morda tudi lezije ugotovljene v akne, ki kažejo na vnetje sestavni del bolezni. These include papules, pustules and nodules. Ti vključujejo papule, gnojne mehurčke in gomoljev. There are never comedones present. Obstajajo nikoli comedones prisotni. 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. Comedones če so prisotna, bolnik ima lahko akne, povezanih s spremembami na koži ali se lahko zaradi skupnega akne in ne rozacea akne, če druge rozacea kožne spremembe ni bilo mogoče najti.

Ocular Involvement Očesni Sodelovanje

In acne rosacea, the skin around the eye, as well as the eye may be involved. V rozacea akne, kožo okrog očesa, kakor tudi oči lahko sodelujejo. These include conjunctivitis and keratitis (inflammation) of the eye, and blepharitis, inflammation of the skin and tissue around the eye. Ti vključujejo konjunktivitis in keratitis (vnetje) v oči, in mrežnico, vnetje veke, vnetje kože in tkiva okoli oči.

Phymatous Changes Phymatous Spremembe

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 spremembe vključujejo rhinoyphyma (udeležba na nosu), ki so le občasne, vendar pa hudo, pozno zaplet progresivno širitev nos Unakaženje in ki izhajajo iz širitve Mastan hiperplazijo in poškodbe kože zaradi kroničnega vnetja. Involvement of other portions of the face can also occur, and the disease is not limited to the nose. Vključevanje drugih delih na obrazu se lahko pojavi tudi, in se bolezen ne omeji na nosu.

Onset of acne rosacea Pojava aken rozacea

Occurs between the ages of 30 and 50, and is more common in women by about 3 times. Pojavi v starosti med 30 in 50, in je pogostejša pri ženskah za približno 3-krat. However, the distorting phymatous skin changes are more common in men. Vendar pa izkrivljajo phymatous kožne spremembe so bolj pogosti pri moških. Overall, men also have more severe disease. Na splošno, tudi moški imajo več hudih bolezni.

Exacerbating and triggers of flushing factors Zaostruje in povzročiteljice rdečica dejavniki

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. Te vključujejo sončna svetloba, vroče vreme, alkohol, začinjene hrane, telesni aktivnosti, vroče pijače, kot so čaj, vroče kopeli, hladno vreme, stres, menstruacija, nekaterih živilih, kot so soja in zdravila.

Acne rosacea has been reported to be associated Rozacea akne so poročali, da se pridružijo

With migraine headaches in women, seborrheic dermatitis, and with Helicobacter pylori infection. Z migreno glavoboli pri ženskah, seboroični dermatitis, in s Helicobacter pylori. Family history is also evident in about 1/3 of all patients. Družinska anamneza se kaže tudi v približno 1 / 3 vseh bolnikih.

The severity of the acne rosacea is graded as 1 (mild), 2 (moderate), and 3 (severe). Kako hudi so akne rozacea se razvrstijo kot 1 (blago), 2 (zmeren) in 3 (huda).

Acne Rosacea is subdivided into four subtypes: Akne Rozacea je razdeljena na štiri podtipe:

Erythematotelangiectatic Acne Rosacea Erythematotelangiectatic rozacea akne

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. Ta tip je rozacea akne prekinitvami in nato obstojnih eritema (pordelost), v katerih delujejo centralne obraza, skupaj z rdečico, Kuperoza, draženje kože, pekoč občutek na obrazu, in pogosto rhinophyma. Treated mainly with surgical or laser therapy to ablate prominent dilated vessels in severe types. Zdravljenih v glavnem s kirurško ali lasersko terapijo, da ablate vidno Dilatiran plovil v hudih tipov. There is often an acneiform component such as the presence of papules, pustules and nodules, but never comedones. Velikokrat je podoben aknam komponente, kot so prisotnost papule, gnojne mehurčke in gomoljev, vendar nikoli comedones. If comedones are present, think acne, not acne rosacea. Če comedones so prisotni, mislim akne, akne ne rozacea. Mild types of erythematotelangiectatic acne rosacea are usually treated with topical ointments and creams, such as Metronidazole antibacterial creams. Blage vrste erythematotelangiectatic rozacea akne se ponavadi zdravijo z lokalnimi mazila in kreme, kot so Metronidazol antibakterijske kreme.

Papulopustular Acne Rosacea Papulopustular rozacea akne

This type of acne has persistent erythema of the central face, but with prominent acne features without comedones, such as papules and pustules. Ta tip ima akne trdovratne eritem na osrednji obraz, ampak z vidno akne comedones brez funkcije, kot so papule in gnojne mehurčke.

Phymatous Acne Rosacea Phymatous rozacea akne

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, tudi splošno znano kot rhinophyma kadar zadevajo nosu, ki je občasno pozno zaplet progresivno širitev kože in tkiva, predvsem na nosu. The enlargement of the skin and tissue is believe to be due to sebaceous gland hyperplasia (overgrowth) and chronic abnormal inflammation. L'élargissement de l'kožo in tkiva je verjeti, da se zaradi Mastan hiperplazijo žlez (prekomerno) in kronično vnetje nenormalno.

Ocular Acne Rosacea Očesni rozacea akne

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). Očesnimi spremembami, kot so blefaritis (vnetje kože okoli oči), konjunktivitis (vnetje očesne belega dne) in keratitis (vnetje v keratin, barve, slojem očesu). Usually presents with redness and itchiness in the eye. Navadno predstavlja z rdečino in srbenje v očesu.

Steroid-induced Rosacea Steroid-induced Rozacea

Acne rosacea, that presents similar to the erythematotelangiectatic form, secondary to steroid use, mainly prolonged topical steroid use on the face. Rozacea akne, ki so predstavljene v podobni obliki erythematotelangiectatic, za sekundarno uporabo steroidov, predvsem s podaljšanim aktualnih steroidov uporabo na obrazu. Stoppage of steroids is the mainstay of treatment. O ustavitvi steroidi je temelj zdravljenja.

Acne Rosacea Course and Prognosis Seveda rozacea akne in prognozo

Acne rosacea unfortunately is a chronic and slowly progressive skin disorder which rarely clears. Akne rozacea na žalost je počasi napredujoča in kronične kožne bolezni, ki redko zbistri. Treatments help slow this progression, and commonly stop it. Zdravljenje pomagati počasno napredovanje tega, in pogosto nehaj. Many senior have also been reported to clear their acne rosacea in their 70's. Veliko višji so poročali tudi jasno, da njihovi rozacea akne v svojih 70-ih.

Acne Rosacea can be mistaken for: Akne Rozacea je mogoče zmotno imeti za:

Seborrheic Dermatitis is known to coexist with acne rosacea. Seboroični dermatitis je znano, da sobivajo s rozacea akne.

Systemic Lupus Erythematosus Sistemski eritematozni lupus

Acne Vulgaris Akne vulgaris

Basal Cell Carcinoma Bazalni celični karcinom

Acne Rosacea Treatments and Medicines Akne rozacea zdravljenja in zdravil

Rosacea is very difficult to treat because it is caused by vasodilated vessels largely unresponsive to treatment. Rozacea je zelo težko obravnavati, ker je vasodilated, ki ga povzročajo plovila so v veliki meri odzivajo na zdravljenje. Corticosteroids are effective in reversing this vasodilation, but are contraindicated due to numerous adverse effects (eg atrophy of skin, such as thinning). Kortikosteroidi so učinkoviti pri odpravljanju te vazodilatacijo, vendar so kontraindicirana zaradi številnih neželenih učinkov (npr. atrofije kože, kot so tanjše).

The main treatment is avoidance of substances and circumstances that cause vasodilation of these vessels. Glavna obravnava je izogibanje snovi in okoliščine, ki povzroči vazodilatacijo teh plovil. The mainstay of treatment is to begin with topical therapy, which includes metronidazole. Temelj zdravljenja je, da začnete z lokalnimi zdravljenja, ki vključuje metronidazol.

Topical Treatments and Medicines Aktualnih zdravljenja in zdravil

Topical medications are not as good for vascular aspects of the disease, but moreso for prevention of disease progression. Aktualnih zdravil niso tako dobri, za vidike žilne bolezni, ampak bolj tako za preprečevanje napredovanja bolezni. Treatment is long-term. Zdravljenje je dolgotrajno.

Metronidazole for Rosacea Metronidazol za Rozacea

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. Metronidazol je antibiotik, ki ima protivnetne lastnosti, in s tem zmanjšuje vnetja (rdečina) na področju dokaj učinkovito, in blago odstrani pordelost zaradi vasodilated plovil. Metronidazole decreases papules and pustules, skin changes, around 70% over a 3 month period. Zmanjšuje in Metronidazol gnojne mehurčke papule, kožne spremembe, približno 70% v 3-mesečnem obdobju.

It is given as: Povezovalnik je naveden kot:

Metronidazole 0.75% Metrogel or Metrocream and 1% cream Noritate or Rosasol. Metronidazol 0,75% Metrogel ali Metrocream in 1% krema Noritate ali Rosasol.

Metronidazole acts as an anti-inflammatory, thereby decreasing the formation of papules and pustules. Metronidazol deluje kot anti-inflammatory, tako da se zmanjša nastajanje papule in gnojne mehurčke. This is believed to occur at a total decrease of 70% over a 2 months of consistent use. To je verjel, da se pojavljajo pri skupno zmanjšanje za 70% v 2 mesecih od dosledne uporabe.

Benzoyl Peroxide Benzoil peroksida

Mainly used in common acne. V glavnem uporabljajo v skupni akne. Removes a small layer of skin and thereby removes the stimulus of inflammation. Odstrani majhen plasti kože in tako odpravlja spodbudo za vnetje. For mild acne rosacea. Za blage akne rozacea.

Azelaic acid Azealinska kislina

20 % cream, applied twice daily is also effective 20%, smetana, uporabljena dvakrat na dan je tudi učinkovito

Sulfur Žveplo

Precipitated sulfur at 1-3% concentration can be added to creams or 1% hydrocortisone preparations. Oborimo žvepla pri 1-3% koncentraciji, se lahko doda do krem ali 1% hidrokortizonacetatom pripravkov. This may potentiate steroid-induced acne rosacea however. To lahko potencira steroid-induced pa rozacea akne.

Cosmetic Cover-up Kozmetični Cover-up

Rosacure and Diroseal, agents that are used to cover and mask the redness associated with acne rosacea. Rosacure in Diroseal, zastopniki, ki se uporabljajo za pokritje in zakrije rdečino, povezanih s rozacea akne.

Systemic Antibiotics Sistemska Antibiotiki

The use of systemic antibiotics is not well supported in acne rosacea, in contrast to common acne. Uporaba sistemskih antibiotikov ni dobro podprt v rozacea akne, v nasprotju s skupnim akne.

Tetracycline Tetraciklin

Overall, poorly effective for erythematotelangiectatic rosacea and accompanied redness, but effective for clearing acne papules and pustules, as well as ocular rosacea. Na splošno slabo učinkovita za erythematotelangiectatic rozacea in spremlja rdečina, vendar učinkovit za obračun akne papule in gnojne mehurčke, kot tudi očesni rozacea. Given as 250 mg to 1000 mg daily based on severity of disease. Ker, kot je 250 mg do 1000 mg na dan, ki temeljijo na resnost bolezni. Minocin may also be used at 100 mg. Minocin Uporabijo se lahko tudi na 100 mg.

Erythromycin Eritromicin

Similar to tetracycline, taken as 250 mg to 1000 mg a daily. Podobno tetraciklin, sprejetih kot 250 mg do 1000 mg dnevno.

Clonidine Klonidin

Clonidine, also known as Dixarit, may help relieve flushing. Klonidin, znan tudi kot Dixarit, lahko pripomorejo k razbremenitvi rdečica. Started at 0.05 mg twice a day dose initially. Started at 0,05 mg dvakrat na dan, odmerek na začetku.

Accutane (Isotretinoin) Accutane (izotretinoin)

Its effectiveness in acne rosacea is not well-documented, but seems less than with common acne. Njegova učinkovitost pri rozacea akne ni dobro dokumentiran, vendar se zdi, manj kot s skupnim akne. Overall, a very good medications to decrease acne lesions and redness, as well as some rhinophyma. Na splošno je zelo dobra zdravila za zmanjšanje lezije, akne in rdečina, kot tudi nekaterih rhinophyma. The dosage used in acne rosacea is much less than that used to treat common acne. Odmerek se uporabljajo v rozacea akne je veliko manjša od tiste, ki se uporabljajo za zdravljenje aken skupnega.

Telangiectasia Treatments Kuperoza Obdelave

Laser or Electrodesiccation. Laser ali Electrodesiccation.

Surgery Kirurgijo

Surgical shave reduction, dermabrasion and electrosurgery for rhinophyma. Kirurške britje znižanja, dermabrasion in elektrokirurgijo za rhinophyma. CO2 laser can also be used. CO2 laser je mogoče uporabiti tudi.