Rosacea: when the skin keeps flushing
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Rosacea: when the skin keeps flushing

Article by Dr. Katja Schindler · Dermatologie

Rosacea is often confused with acne. How to recognise it, what triggers it and what helps.

Persistent redness of the face is rarely „sensitive skin“. Rosacea is often behind it – a chronic but very treatable condition.

Typical signs

At first, redness appears on the cheeks, nose, chin and forehead that comes and goes. Later it persists, dilated capillaries become visible, and inflammatory papules and pustules may be added. The eyes can also be involved – with burning and a feeling of dryness.

The difference from acne

Rosacea lacks the blackheads that are typical of acne. In addition, rosacea usually begins in middle age. This distinction is important, because some acne therapies make rosacea worse.

Common triggers

It helps to keep a simple diary over a few weeks – personal triggers vary greatly.

Treatment

Anti-inflammatory active ingredients are used topically, and in pronounced forms tablets in addition. Dilated capillaries and persistent redness respond well to laser or light therapy. The basis is always gentle, consistent care and daily sun protection.

Realistic expectations

Rosacea is chronic. The goal is to bring it into a calm state and keep it there – which usually works well.

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