Discover millions of ebooks, audiobooks, and so much more with a free trial

Only $11.99/month after trial. Cancel anytime.

Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Ebook152 pages1 hour

Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

Rating: 4 out of 5 stars

4/5

()

Read preview

About this ebook

This book describes Rosacea (Updated), Diagnosis and Treatment and Related Diseases

Updated Classification and Treatment for Rosacea
Doctors are still trying to determine the causes of the disorder.
Many believed that it may be an auto-immune disease.

Updated Classification of rosacea:
Doctors have traditionally classified rosacea into 4 subtypes:
1. Erythematotelangiectatic rosacea involves flushing, persistent redness, and visible blood vessels or “spider veins” on the face
2. Papulopustular rosacea involves redness, swelling, and acne-like papules or pustules on the face
3. Phymatous rosacea involves thickened skin, enlarged pores, and bumps on the face
4. Ocular rosacea affects the eyes and eyelids, causing symptoms such as dryness, redness, and irritation
In 2017 the National Rosacea Society Expert Committee declared that this classification system does not reflect the latest research on rosacea.
Using more up-to-date research, the committee developed new standards.
The patient may develop persistent redness as the first symptom of rosacea.
Later, the patient may develop papules, pustules, thickened skin, or eye symptoms.
The patient may be diagnosed with rosacea if the patient develops persistent facial redness, thickened facial skin, or 2 or more of these features:
1. Flushing
2. Papules and pustules, often known as pimples
3. Dilated blood vessels, sometimes known as “spider veins”
4. Eye symptoms, such as redness and irritation
If the patient develops new symptoms of rosacea, the patient should let the doctor know.
In some cases, they might advise changes to the treatment plan.

Links to other disorders:
A recent review conducted by the National Rosacea Society Expert Committee found that if the patient has rosacea, the patient may be at higher risk of:
1. High blood pressure
2. High blood cholesterol
3. Coronary artery disease
4. Rheumatoid arthritis
5. Gastrointestinal diseases, such as Celiac disease, Crohns disease, ulcerative colitis, or irritable bowel syndrome
6. Neurological disorders, such as Parkinson’s disease, Alzheimer’s disease, or multiple sclerosis
7. Allergic disorders, such as food allergy or seasonal allergy
8. Certain types of cancer, such as thyroid cancer and basal cell skin cancer
9. More research is needed to confirm these potential links and understand the relationships between rosacea and other medical disorders.
They are also working to identify better treatment strategies.

New medicines approved:
In recent years, the U.S. Food and Drug Administration (FDA) have added to the list of medicines approved to treat rosacea.
Most recently, in 2017, it approved the usage of oxymetazoline hydrochloride cream to treat persistent facial redness caused by rosacea.
The FDA has also approved other treatments for rosacea, such as:
1. Ivermectin
2. Azelaic acid
3. Brimonidine
4. Metronidazole
5. Sulfacetamide/sulphur
Based on a 2018 review, studies indicate that certain antibiotics, beta-blockers, and laser or light therapy may also assist to relieve symptoms of rosacea.
The advised treatment approach will differ depending on the specific symptoms the patient has.
Several experimental treatments for rosacea are being developed and tested.
Secukinumab is a medicine that is used to treat psoriasis, another skin disorder.
Researchers are also studying the possible use of the drug timolol as a treatment for rosacea.
There is also continual research on new approaches to using laser or light therapy to treat rosacea.
Scientists in France and Finland are assessing a new type of laser for treating rosacea.
Doctors in the USA are studying a combined light-sensitive chemicals and light therapy.

TABLE OF CONTENT
Introduction
Chapter 1 Rosacea (Updated)
Chapter 2 Causes
Chapter 3 Symptoms
C

LanguageEnglish
PublisherKenneth Kee
Release dateAug 10, 2019
ISBN9780463282090
Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Read more from Kenneth Kee

Related to Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

Related ebooks

Medical For You

View More

Related articles

Reviews for Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

Rating: 4 out of 5 stars
4/5

1 rating1 review

What did you think?

Tap to rate

Review must be at least 10 words

  • Rating: 4 out of 5 stars
    4/5
    Simple and easy to follow. I am oncology-trained skincare specialist, and am always eager to learn about compromised skin. This was useful, had the key information I was looking for, all combined in 1 place. Thanks for making your blogs available to us under a book format. Highly recommend it.

Book preview

Rosacea (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

Rosacea (Updated),

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Rosacea (Updated), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Rosacea)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Rosacea

Rosacea (from Wikipedia)

What is Rosacea?

Rosacea is a medical chronic inflammatory disorder of the skin that normally produces redness of the cheeks with maculopapular rashes.

It may also cause swelling and skin sores that may look like Acne vulgaris.

Rosacea happens more in women than in men.

It is also more frequent in patients in the middle age.

It is rare in children

Rosacea is a frequent skin disorder that affects an evaluated 16 million Americans, according to the American Academy of Dermatology.

What are the causes for Rosacea?

Causes

Causes may be:

1. Wind irritating the face

2. Hot baths

3. Cold weather

4. Specific skin products

5. Exercise or other factors

Risk Factors of Rosacea

The cause of Rosacea is not known.

The patient may be more likely to have this if he or she is:

1. Age 30-50

2. Fair-skinned

3. A woman (men will often have more severe symptoms)

Pathophysiology

Rosacea affects the swelling of the blood vessels just under the skin.

It may be related with other skin disorders (acne vulgaris, seborrhea) or eye disorders (blepharitis, keratitis).

Other possible causes are:

1. Menopause with flushing of the face due to hormonal

2. Too much sebum produced in the sebaceous glands

3. Stress exacerbates the disorder

4. Alcohol and certain foods (spicy food, food with high histamine such as seafood) can cause flushing

What are the symptoms of Rosacea?

Symptoms

The start is rapid or slow.

They may prolonged for months and be recurrent.

Often they become chronic.

The normal rash of Rosacea is well-defined:

1. Red (rosy cheek)

2. Small blood vessel seen in rashes

3. Hyper-trophic sebaceous glands with ducts that are not blocked

4. Papules may be present

5. Normally on forehead, cheeks, nose, chin or center of face

6. Blushing or flushing easily

7. A lot of spider-like blood vessels (telangiectasia) of the face

8. Red nose (called a bulbous nose)

9. Acne-like skin sores that may ooze or crust

10. Burning or stinging feeling in the face

11. Related dandruff (seborrheic dermatitis of the scalp) and blepharitis (eyelids)

12. Eye lesions may include:

Irritated, bloodshot, watery eyes

a. Tearing of eyes

b. Photophobia

c. Visual disturbances

d. Corneal infections

e. Conjunctivitis

How is diagnosis of Rosacea made?

Diagnosis

The doctor can often diagnose rosacea by doing a physical exam and history although a skin biopsy is sometimes performed to exclude other cutaneous diseases, such as lupus or sarcoidosis.

Differences between Acne vulgaris and Rosecea

Acne vulgaris and rosacea are 2 of the most frequent skin disorders.

They share the appearance of papules and pustules on the face, a situation that can lead to misdiagnosis by those not familiar with the knowledge of the diseases.

Their differences are more numerous and pronounced than their similarities.

1. Patients with acne tend to have oily skin.

The face in Rosecea is red and shiny, but strangely pimple-less.

2. Comedones are frequent in acne.

In more severe cases, patients form cysts and nodules that may heal leaving scars.

Rosacea is also marked for its absence of whiteheads or blackheads.

3. Acne rashes are frequently seen on the chest, back, and upper arms as well as the face.

Rosacea never spreads to the back or the chest.

4. The Rosacea patients are normally older than those with acne.

Rosacea normally begins after the age of 30 years and reaches 40 to 50 years of age.

5. Rosecea patients can see tiny veins running through the face that is seldom

Enjoying the preview?
Page 1 of 1