Rosacea/Brandy Nose-What is rosacea?
Rosacea is a chronic inflammatory skin disease, occurs in the nose occurs mostly in middle-aged.Rosacea, also known as rosacea, red nose and rosacea. Rosacea/Brandy Nose usually external nose skin redness, the tip of the nose is the most significant. This is due to the blood vessels of the remarkable expansion of the results, sometimes through the skin can be seen the expansion of the small blood vessels in dendritic. Local sebaceous glands, nose look red and bright, the further development of the disease, skin thickening, and even grow a small abscess or skin rash, the appearance of rough, kind of similar to the lees, hence the name rosacea.
Rosacea/ Brandy Nose- Overview
Also known as rosacea rosacea rosacea, chronic skin lesions in the nose, the damage is symmetric, found in the nose, cheeks, eyebrows, chin, tip of the nose and nose, acne, skin congestion, uneven surface, like wine residue attached to it derives its name. The disease more common in middle-aged, more male patients, the disease is also heavier.
That rosacea mainly with the hair follicle mite infection. In addition, a recent study by the U.S. National Rosacea Society, rosacea major predisposing factors include: the sun, emotional stress, hot weather, wind, physical exercise, alcohol, hot baths, cold weather pungent food, humidity, indoor heat, skin care products and hot drinks.
Rosacea/ Brandy Nose- the cause of
Rosacea at present, the general medical books that causes rosacea mite infection, Therefore, for mites sexual dermatitis, also known as rosacea so, the treatment of rosacea mainly to simply kill the mites, and topical sulfur ointment, Metronidazole azole ointment, oral metronidazole, tinidazole and acaricidal drugs. Several years of clinical observation confirmed that the very poor efficacy of such therapy for rosacea. From the side that rosacea causes more than just mere mite infection.
Rosacea/Brandy Nose - Symptoms
Rosacea mainly the nose and facial erythema, papules, pustules, falling raw nose superfluous to the main. Since the beginning of the nose is the center of the face central erythema. More obvious especially after eating spicy, hot food or nervous. Early to temporarily reclaim the course of time, accompanied by telangiectasia was filament mesh, shaped like tree branches, with the tip of the nose, the nose of the most obvious. Condition to continue to develop in erythema. To batch acne-like anti-rash, pustules, and may be associated with little exudation on the end of the yellow scab or raw pustules, nose mung bean-sized nodules. Telangiectasia is more obvious, and criss-cross, such as network, the hair follicle population expansion, orange peel-like, but no acne formation. Duration of disease for a long time the nose of the nodules increases, often a number of accumulation was the tumor-like protuberances, surface uneven, forming the nose superfluous, but this situation is rare.
Rosacea is more common in middle-aged women than in men, but male patients with severe illness, skin lesions occur in the center of the face, symmetrical distribution. Common in the nose, cheeks, eyebrows, chin. Their development process is divided into three:
1, erythema of: early transient erythema, especially after eating spicy food or emotional erythema becomes more apparent, falling erythema persistent capillary dendritic expansion.
Papules of: on the basis of erythema, may be papules or pustules, skin lesions and hair follicles are inconsistent.
Nose superfluous period: stage of disease owed by the nose, there may be multiple nodules, convergence, uneven surface, nasal hypertrophy, significantly expanded pores, capillaries, a significant expansion, criss-cross to form the nose superfluous.
Rosacea/Brandy Nose - differential1 rosacea, acne mainly seen in adolescence, the skin lesions in addition to violations of the face, chest, back of the frequent violations of typical blackhead nose often are not violated, facial eczema lesions multiforme, severe itching, capillaries and hair follicles dilation phenomenon, the site also often face other than eczema damage.
3, discoid lupus erythematosus, the central depression to shrink the realm of clear pink or red stain, hair follicle angle plug, the surface often covered with adhesive nail plate-like scaly lesions often has butterfly-shaped distribution.4, seborrheic dermatitis adolescent girls and boys of sebum secretion exuberant, eye, especially the follicle mouth often expanded, easy to squeeze the white linear sebum. After eating hot or cold stimulation, the Ministry of the nose often appear congestive erythema, but temporary. Telangiectasia, papules, pustules.5, perioral dermatitis occurs in young or middle-aged women. Nasolabial fold, cheek, forehead, etc. recurring reddish papules, Qiu herpes, pustular skin around the mouth of the lips around a narrow skin with inviolable. Some people think that perioral dermatitis is not typical of rosacea (rosacea).
Corticosteroids induced telangiectasia seen in long-term use in patients with efficient corticosteroid cream, such as Pi Yan Ping Ointment face, facial telangiectasia, epidermal atrophy, diffuse erythema and hirsutism.
Rosacea/Brandy Nose - treatmentLocal treatment
Patients with mild rosacea can be used Local drug control, a slightly more complex cases, at the beginning can use both oral and topical drug treatment remission, patients can often stop the oral medication use of topical drugs alone. The disease occasionally attack the case of re-use of oral drugs.
Sulfacetamide sodiumSulfacetamide sodium can also be used for the topical treatment of rosacea. However, these drugs should be avoided for patients allergic to sulfa antibiotics. Currently, there are several different types of sulfacetamide sodium lotion.
Clindamycin (clindamycin, chlorine Link ADM)
Although the preparation of of rosacea local clindamycin has not been approved by the (U.S.) Food and Drug Administration for the treatment of rosacea, but the water quality of the gel and lotion treatment of rosacea, and easy to be tolerated by the patient.
Azelaic acid (azelaic acid)Known for the treatment of acne vulgaris (commonly known as "acne" "acne", the cuckoo of acid wine thorn ") can also be used to treat rosacea. Once papular pustular rosacea patients randomized comparative study, scientists compared 20% azaleas of acid topical ointment and 0.75% A nitro, hydroxyl B azole ointment efficacy. After 15 weeks of treatment, the two drugs achieved the same effect, by significantly reducing the patient's face pimples and boils
Rosacea - body treatment
More severe rosacea requires systemic therapy.
Systemic treatment is usually the beginning of the oral antibiotics such as tetracycline (250-500 mg twice daily), doxycycline (50-100 mg twice daily) or minocycline (50-100 mg per 2 times a day). Systemic therapy at the same time, the subsidiary of the local treatment is often at the same time the beginning. When the condition under control, the patient can stop the systemic treatment with antibiotics, but only to maintain the local treatment. Oral antibiotics should be used in the treatment of ocular acne patients.
Serious condition, one or several oral antibiotics ineffective treatment of rosacea patients may sometimes need oral isotretinoin therapy. Because the drug's potentially serious side effects (including teratogenicity), these patients should be treated by dermatologists.
Lung and stomach heat rosacea patients:
Nasal redness, into spicy food irritation or mental excitement intensified visible papules or pustules; or with thirst, constipation, yellow urine. Red tongue, thin yellow tongue coating, floating pulse, slippery. Governing Law clearing the lungs of stomach, accompanied by cooling blood. Main prescription side loquat Qingfeiyin (Wu Qian Yi Zong Jin Jian ") Modified Recipe: loquat leaf, berberine, 9 g, 12 g of Morus alba, Cork, Cortex Moutan, Gardenia, red peony root 15 g, diffusa, dried rehmannia root 30 g, 6 g of raw licorice. Shuijianbi a day. Of stomach compared to Sheng, add 30 grams of gypsum (Xian Jian), 12 g Anemarrhena. Constipation, increased yellow 12-15 g (after), citrus aurantium 12 g. Pustules, plus honeysuckle, forsythia, 15 grams, 12 grams of pangolin.
Blood stasis type of rosacea patients:
The nose color is dark red, purple and brown, skin hypertrophy, nodular uplift, uneven surface. Dark red tongue or the tongue side of a petechia, ecchymosis pulse string astringent. Governing Law: blood circulation. The main square cooling blood SiWu soup (such as Wu Qian Yi Zong Jin Jian "), plus or minus prescription: Angelica, Chuanxiong, safflower, Wulingzhi, Campsis 9 g, red peony root, red sage root 15 g, Radix Scutellariae, Cortex Moutan 12 g, dried rehmannia root, soil Poria 30 grams. A decoction daily
Brandy noseAcupoint therapyThe acupoints side Feishu, stomach Yu, Ojo, the affected area.Methods: The cupping method, or plum blossom needle Tapping and Cupping. The first three points Tapping Needle prick or plum blossom needle to the skin redness, microbleeds degree, and then cupping 15-30 minutes every other day, 10 times as PS: not eat spicy, chicken, fish and other stimuli foods, avoid alcohol. If a daily massage the affected area for 10 minutes, then better. Course of treatment. Cupping the affected area stab using rhubarb, net Glauber's salt, 30 grams of research to fine. Each taking 10 g into a paste with egg coated with the affected area. Japanese painted several times.
The the acupoints side two main points: Ojo, Feishu body cone, Geshu, stomach Yu. The acupoints divided into 2 groups, a Ying Hong, Yin-Tang; two is a prime (bone absurd), yingxiang.Methods: The main point flash fire cupping 15 minutes; acupoints Needle prick bleeding 1-3 drops of two groups of acupoints are used interchangeably.
Acupoints Fang Ying Xiang (double), gu (double), prime (bone absurd). Stomach pain with abdominal, Zusanli.Methods: Ying Xiang gu and acupoints after acupuncture cupping method. First with reducing needling the acupuncture needle, the needle for 15 minutes after the needles, cupping, 15 minutes. Factors (bone absurd), prick bloodletting. Every other day, 10 times as a course of treatment.
Rosacea - NotesFirst have to know that rosacea is not curable, but it can be controlled through treatment. Treatment is very critical point is to try to avoid induced rosacea symptoms appear, usually, but also of great help to patients through improvements in diet, personal problems, the main aspects include the following:1, not eat spicy, alcohol Singery irritants. Chinese medicine practitioners believe that rosacea is due to improper diet, lung and stomach heat to steam, exogenous pathogenic wind, stasis of blood clotting due. Should be avoided to promote facial skin redness food diet, such as pepper, mustard, raw onions, raw garlic, wine, coffee, spicy food; eat greasy food, such as animal oil and fat; fried foods, cakes, etc. to reduce the secretion of sebum. Eat more foods rich in vitamin B6, vitamin B2 and vitamin A class of food and fresh fruits, vegetables. In addition, oral V6, metronidazole, topical skin mites Kang, daily two to three times until the symptoms disappear completely.2 in particular should avoid alcohol, be taken to avoid cold and heat stimulation, to avoid the emotional and mental stress. Especially in mild when to use Oral and topical products, treatment, and general oral administration of vitamin B family, such as vitamin B2, B6, vitamin B complex. Oral tetracycline or metronidazole. Topical "full Kangning Xi" two to three times. Do not scratch the affected area by hand, to prevent infection, I usually use warm water washing, do not use alkaline soap to a clean slate.Keep the stool. Lung and colon table, constipation, lung fire even more vigorously.Should not be in the summer, high temperatures, hot and humid environment for a long life or work.To prohibit the lesion in the nose grab, scratch, peel and squeeze.6, disable the irritating cosmetics.7, each dressing, first wash with warm water, washed with a dry towel dry water stains.
Most scholars believe that the demodex infection is an important factor in the pathogenesis of, but not the only factor. Alcohol, spicy foods, high temperature and cold stimulation, digestive, endocrine barrier, also can trigger the disease. Prevent aspects should first pay attention to diet do not eat irritating too much spicy food, in particular, should avoid alcohol, to be taken to avoid cold and heat stimulation, not emotional, mental stress. Especially in mild when available oral administration or topical treatment, and general oral administration of vitamin B family, such as vitamin B2, and B6, vitamin B complex can also be oral tetracycline or metronidazole. Topical skin mites, Sport or full Kangning Xi..
