Four Main Types

Arnold R. Oppenheim, MD answers: Are there different types of Rosacea?

I'd like to know how to determine they rosacea type i have


Arnold R. Oppenheim, MD
5 months ago

There are four main types of Rosacea.

 The most common type, and in many ways the most difficult to treat, is the erythmo-telangiectatic type. This is marked by cnetral erythema (redness) and telangiectasias ( permanently dilated "broken" blood vessels. This is more common in women and less responsive to treatment. Trigger factors flare this type and often it began incidiously in youth in a tendency to blush easily.

    The second type is the papulo-pustular type. This form of Roscaea has more to do with enlarged pores, over developed sebaceous glands, grease and oil, central papules and pustlues. Fortunately, antibiotics and occasionally Accutane can remedy this variety quite easily. Men prone in men it can lead to the thrid classification of Rosacea: Rhinophyma.

   In Rhinophyma the rosacea victim's nose becomes bubous and distored. Such famous people as JP Morgan, WC Fields, President Bill Cllinton, and late Senator Claude Pepper had this. It is due to wildly hypertrophied sebaceous glands, edema, and erythem. It can be treated medically with Accutane and surgically with laser and electrodessication.

   Finally, the fourth type is ocular rosacea. Symptoms can be subtle at first but consist of a gritty feeling of the eyes and frequent bouts of the eyes turning red and inflamed. This can be treated with an antibiotic and lid scrubbers.

 

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