introduction

Skin changes on the nose are one of the first symptoms of rosacea.

The rosacea or rosacea ("copper rose"), earlier also Acne rosacea called, is a chronic inflammatory skin disease.

The first symptoms, such as reddening of the nose in stressful situations, often appear between the ages of 30 and 40, but the disease usually becomes manifest from the age of 50.

Spotty, sometimes scaly redness or swelling of the facial skin, especially around the nose, are typical.

In men in particular, growths of the nose appear in the course of what is known as bulbous, cauliflower or pound nose (lat. Rhinophyma) are designated.

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causes

The origin of rosacea is still today largely unknown.

One is currently being discussed Formation due to several factors, such as dysfunction of the vascular supply of the face, inflammation and disorders of the Immune system. There is also a connection too Helicobacter pylori (a bacteriumwhich Stomach ulcers cause) and Hair follicle mites possible.

Women and men are about the same frequency affected.

therapy

Will the rosacea recognized and treated at an early stage, can often be a favorable course and a major change in the skin can be avoided. A complete cure is still not possible today.

The three levels of therapy include both medical therapy, Relaxation procedure and if possible that Avoidance of trigger factors.

Medication

Ointments containing antibiotics relieve the symptoms of rosacea.

In mild to moderate stages the disease is often one external treatment sufficient. Stand for this Antibiotics-containing ointments (for example with Metronidazole) or ointments with Azelaic acid to disposal. Above all, antibiotics seem to have an anti-inflammatory effect.

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The oral administration of antibiotics, that is in the form of tablets only in severe cases the disease, as it is always associated with side effects. So is one Change in the balance of the intestinal flora not unusual what with Indigestion can go hand in hand.

Isotretinoin represents a further option to support antibiotic therapy. This natural insecticide shows good effect against hair follicle mites, however, comes with some side effects. Mainly irritation of the skin, mucous membrane and conjunctiva, as well as a headache and liver dysfunction are common. Easy depressions are also possible.
Because of its potentially damaging effects on the unborn child, the Exclusion of pregnancy absolutely necessary before use.

In December 2013, the approval of Brimonidine in the form of a gel for use in rosacea.

Furthermore, the Eradication of Helicobacter pylori through a typical combination of 3 drugs to improve rosacea.

Medication containing cortisone are, however, unsuitable as they lead to a Worsening of symptoms to lead.

Alternative therapy options

To support drug therapy, a number of alternative therapies and relaxing activities recommended.

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Which includes adequate sleep, Nature walks and music that is subjectively perceived as relaxing. yoga, autogenic training and Lymphatic drainage In the form of gentle massage movements on the forehead, cheek and nose are also often found helpful.

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Some patients also report the positive effects of the Application of healing clay as a face maskwhich is justified with an antibacterial and anti-inflammatory effect.

Also one healthy and balanced diet matters. General dietary recommendations such as reducing meat and sugar consumption, a low-fat diet, adequate intake of fiber and the copious consumption of fruits and vegetables also apply here.

Operative treatment

A permanent elimination the superficially dilated blood vessels is also possible in some cases. Here these sealed by laser treatmentwhereupon they recede and are no longer visible.

The Rhinophyma (Bulbous nose) can through the regular surgical removal or be treated with a CO2 laser.

Care tips

Adequate sun protection is essential for rosacea patients.

A regular cleaning the affected skin areas is important.

This should with lukewarm water and can only be carried out using mild detergents. Drying the face should be careful be done, for example by gently dabbing.

We also advise against using highly greasy or perfumed care products. Strong sun exposure should avoided become. If this is not possible, at least the Sunscreens with a sun protection factor> 20 compulsory. The application lighter make-ups has no negative effect on rosacea, but has a very positive effect on the patient's quality of life.

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Trigger factorswhich cause reddening of the face and should be very individual also avoided become.

These include

  • Coffee, tea and alcohol enjoyment
  • spicy dishes
  • extensive sunbathing.

These factors can be a Worsening of symptoms and should be avoided or at least reduced.

Trigger one first occurrence can finally too stress and physical exertion be.

Since rosacea can spread to the eyes and lead to permanent damage here, a regular ophthalmological control recommended.


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