Rosacea is a common inflammatory disease of the face. It occurs after the age of 30 and diminishes after age 60. People of Celtic origin are predisposed. There are 3 components to the disease. Patient’s may just have one component or all 3. The features are pustules like those seen in acne, blushing and flushing and small blood vessels called telangiectasias. The diagnosis of rosacea cannot be made with certainty unless pustules are present the disease may just involve the nose and cause severe disfigurement. There are many eye changes and the ophthalmologist may need to be consulted.


Rosacea. An extensive case with pustules on the forhead, nose and cheeks. All areas are red.

The disease does not have a predictable course. Some patients have the disease for a short period of time and respond quickly to topical medication. Other patients have active disease for years but requires long-term treatment with either topical or oral medication. Rosacea can cause permanent changes in skin and must be controlled. Hot foods aggravate the blushing. Sun exposure may cause a flare.