Skin in Health and Disease
Home | Products & Services | Modular Nutrition | Medical Information | Alpha Nutrition Program | Logon | Feedback

Alpha Online

Topics from the book
Skin in Health and Disease

By Stephen Gislason MD

Order book from Alpha Online
or Download eBook at Persona Digital

Skin Design
Skin Nutrition
Skin Care Products
Eczema
Hives (Urticaria)
Contact Dermatitis
Psoriasis
Aging Skin
Ultra Violet Radiation
Acne Rosacea
Dermatitis Herpetiformis
Skin Infection
Fungal Infections
Antihistamines

You can order books separately
or as part of a
Skin Rescue Starter Pack

Medical Information: Enter Search Term
and click Google Search
 
  Alpha Online

 
Acne Rosacea, the Red Face

In Canada, it is estimated that 2 million people (about 7% of the population) have the red face of Rosacea. The highest incidence is in white women between the ages of 30 to 50 years.

The red flushing of topical rosacea is confined to the cheeks, nose and central forehead. The skin becomes dry and flaky skin and reacts to most medicines, lotions and creams. Red pimple-like bumps often develop in the affected skin. While Rosacea is common and most sufferers consult their MDs for treatment, there has been little progress in understanding and managing this disorder.

Chronic Rosacea  Skin capillaries dilate with heat, causing flushing, and grow slowly to form permanent reddening  Papules, nodules, and pustules can develop.  Pustules are small (<1mm) and tend to occur on the apex of  papule. Telangiectasias are clusters of capillaries that overgrow and leave the skin permanently red. When  the capillaries grow, they leak fluid and deliver immune cells to the skin.

Significant cosmetic disfigurement may occur in the most severe Rosacea with skin swelling and enlargement. This is more common in men - the red face and bulbous nose of a chronic alcoholic is the classic presentation of the chronic, severe version of the disease. Sebaceous glands enlarge with skin edema that disfigure the nose, forehead, eyelids, ears, and chin. Rhinophyma is an enlarged nose; metophyma is a cushion-like swelling of the forehead, blepharophyma is swelling of the eyelids related to marked sebaceous gland hyperplasia, otophyma a cauliflower-like swelling of the ear lobes and gnathophyma is swelling of the chin.

The Rosacea diagnosis includes a range of inflammatory events in facial skin. The range is so broad that it is reasonable to ask if Rosacea  is too fuzzy a term that can apply to diverse immune-mediated events in the skin with multiple causes. 

The reader can recall our understanding of the skin as a meeting place for many characters in an ecological drama that unfolds every day. There is some evidence that the microbes and little animals who live on the skin participate in the Rosacea drama. It is also reasonable to suggest that sun exposure to the face damages the skin sufficiently that inflammatory events are more frequent and prolonged. Facial flushing is a normal response to heat, embarrassment and to some food and drinks such as coffee, tea, alcohol and hot spices. The sebaceous glands in the affected skin are often involved and may enlarge. Exposure to sun and all forms of heat causes exacerbations.

The oil glands in the skin of the nose and adjacent cheeks are prone to plugging with sebum that dries and stops flowing. The surface sebum turns black. The sebum plugs are good homes for bacteria and fungi and may contribute to skin inflammation.

Seborrhea is a related condition that involves the hair-bearing skin of the scalp and face, all expressions of infection with the  fungus, pityriasis ovale.  Seborrhea can involve the central forehead, skin under the eyebrows and beard and may contribute to or be confused with Rosacea.

Problems can arrive in the skin from the blood stream. When immune cells enter skin, they often take over with an inflammatory response that causes the skin to swell, itch, burn, and turn red. The red face and bulbous nose of chronic Rosacea has been associated with high living and heavy drinking; however, most people with Rosacea are not overindulgent hedonists.

A food connection has also been implicated and standard Rosacea advice has included abstinence from alcohol, coffee, tea, and spices that cause flushing. Delayed pattern food allergy may be a factor. Complete diet revision is advisable if other  symptoms of food allergy are present.

Topical Treatment of Rosacea

Standard treatment involves oral and topical antibiotics - usually daily metronidazole cream or gel 0.75% to 1.0 %. The response to antibiotic treatment is partial at best and seldom cures the condition. Some skin eruptions are sometimes associated with scalp fungal infections and may respond to vigorous treatment of the scalp with Nizoral and/or Selsun shampoos.  The oil glands in the skin of the nose and adjacent cheeks are prone to plugging with sebum that dries and stops flowing.

Seborrhea is a related condition that involves the hair-bearing skin of the scalp and face and has been related to the fungus, pityriasis ovale. Scalp scaling and inflammation can be treated with Nizoral and/or Selsun Blue shampoos.  Seborrhea can involve the central forehead, skin under the eyebrows and beard and may contribute to and be confused with Rosacea. Topical application of antifungal agents ( such as Tinactin)  to facial skin, especially around the nose may be helpful.

Steroids are known to occasionally aggravate Rosacea although why this occurs is not known.  Steroid treatment alone may interfere with infection control in the skin and increased growth of bacteria and/or fungi may exacerbate Rosacea. Combined topical steroid, metronidazole and nizoral may sometimes be successful in controlling an aggressive inflammatory flare of Rosacea.

Protection from the sun is essential for Rosacea management. The nose and cheeks receive maximum sun exposure, compared with other parts of the body. The best sun protection is staying out of direct sun light. Wear a peaked cap or broad-brimmed hat. Sun screens are always used when outdoors. (see discussion of UV protective measures).

All Alpha Nutrition Books, Formulas and Starter Packs are ordered at Alpha Online. Physical shipments by the Post Office to all destinations in Canada, Continental USA, Alaska, Hawaii. Click the Add to Cart button ( left) to order printed books for mail delivery from Alpha Online

eBooks and other digital documents are downloaded from Alpha Online and can be delivered to any destination on the planet.  Click the Download button to order and download PDF files from Alpha Online.

Order Print Book Click Title for More Information Download
     
Alpha Nutrition Program
Aching and Fatigue
Air and Breathing
  Alpha Nutrition Cooking
Alcohol Problems & Solutions
Gluten Problems & Solutions
Managing Diabetes 2
  Eating and Weight Management
Skin in Health and Disease
Feeding Children
  Human Brain in Health and Disease
Managing Food Allergy
  Food & Digestive Disorders
Food Choices
  Heart and Arterial Disease
  Immunology Notes
Managing Inflammatory Arthritis
  Nutrition Notes
Skin in Health and Disease

Alpha Online is a hub for twenty five Medical Information Centers. Each center acts as its own web site with a home page and a list of links to relevant topics. Take advantage of 800 pages of text which describe common medical problems and introduce you to innovative solutions such as Alpha ENF and the Alpha Nutrition Program.

Alpha Nutrition is a trademark and a division of  Environmed Research Inc., founded in 1984 at Vancouver, BC, Canada. Online Since 1995. Experts in Self-Managed Care. Experts in Elemental Nutrient Formulas.  Head Office is  located in Sechelt on the Sunshine Coast, British Columbia.  Send email to alpha@dccnet.com
 

Create an Account | Start an Order | Return to Shopping Cart | Contact Us | Order Help | Logon to my Account