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Rosacea

Rosacea · Růžovka (rosacea)

What it is

Facial flushing that becomes fixed redness, bumps and visible vessels.

Symptoms & signs

  • Central facial redness
  • flushing with heat, alcohol or spice
  • papules
  • burning eyes
  • thickened nose in late rhinophyma

🚩 Get help if…

  • see a doctor soon Painful red eye, light sensitivity or blurred vision
  • see a doctor soon Gritty, burning eyes with swollen eyelids
  • see a doctor soon Nose thickening or swelling
  • see a doctor soon Flushing with diarrhoea or wheeze

Where it strikes

Medical treatment

  • Topical ivermectin, metronidazole or azelaic acid
  • brimonidine for redness
  • oral doxycycline
  • isotretinoin
  • laser for vessels
  • minocycline foam (Zilxi) — FDA-approved 2020

Natural & lifestyle

  • Trigger diary (heat, alcohol, spice, sun)
  • SPF 50 daily
  • gentle skincare
  • avoid harsh scrubs

Emerging & experimental

  • Demodex-targeted therapy
  • energy-based devices

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Sulfur washes (with sulfacetamide) — used for decades; small trials mixed evidence
  • Tea-tree oil against Demodex mites — small studies early / small studies
  • Green-tea cream — a small trial early / small studies

ICD codes