Rosacea is a chronic dermatitis that usually presents in the form of outbreaks with a reddened appearance. It usually manifests itself on the convexities and central areas of the face such as the nose and cheekbones. In order to learn a little more about this skin problem and the latest advances in its treatment, we have consulted Dr. Pablo Umbert.
Rosacea usually starts with the so-called flushing, a reddening of the face that can be transitory or permanent, caused by triggering factors such as temperature changes, excitement, alcohol intake or certain foods. A second phase is the appearance of spider veins, edema, papules or pustules and, finally, the third phase is granulomatous, an inflammation of the blood vessels that can affect blood flow to different tissues and organs producing, for example, a thickened nose.
Causes and prevention of rosacea
Research into rosacea and its causes is advancing with magnitude in just a few months. This type of chronic dermatitis is due to various factors such as: an inflammatory process of neurovascular dysregulation, sebum from the sebaceous glands and hormonal and genetic fluctuations.
We can only avoid the triggers of rosacea and treat it early to prevent its progression with greater intensity.
What’s new in the treatment of rosacea?
New developments in the treatment of rosacea are abundant thanks to the increased knowledge of this pathophysiology. The application of new topical molecules such as the antiparasitic ivermectin, retinoids, anti-inflammatories, antioxidants or the adrenergic receptor brimonidine, which acts on the smooth muscle fibers of the capillaries, can help in the elimination of this skin problem. Another type of treatment is lasers chosen according to the diameter of the capillary.
The individualized master formulation will vary for each patient in direct relation to the non-cardioselective beta-blocker oral treatments. The improvement and cure of some cases will depend on correct treatment and close monitoring of the patient.