skin disorders
Rosacea
Treatment of Rosacea
Avoidance of triggers For inflammatory rosacea, antibiotics taken by mouth or applied to the skin orazelaic acidorivermectinapplied to the skin For flushing,brimonidinegel oroxymetazolinecream For telangiectasia, lasers and electrocautery For rhinophyma, dermabrasion, lasers, and/or removal of excess tissue The first treatment of rosacea is avoiding triggers. Treatment is aimed at controlling symptoms because there is no cure for rosacea. Antibiotics that are applied to the skin, such asmetronidazole,benzoyl peroxide,clindamycin,minocycline, anderythromycin, as well asazelaic acidcream may be effective for inflammatory rosacea.Ivermectincream is also effective. Corticosteroids applied to the skin tend to make rosacea worse. Certain antibiotics taken by mouth are given to people who have many pustules or ocular rosacea.Doxycycline,tetracycline,minocycline,azithromycin, orerythromycinis usually used.Isotretinoinmay be effective when taken by mouth but, because of possibly severe side effects, is not used unless other treatments are ineffective. Persistent flushing or redness may be treated withbrimonidinegel oroxymetazolinecream. Treatment of telangiectasia includes laser treatment and electrocautery (an electrical current applied to the skin removes the telangiectasia). Severe rhinophyma is unlikely to improve completely with drugs. Therefore, a person with this disorder may need dermabrasion (a procedure in which the skin surface is rubbed with an abrasive metal instrument to remove the top layer), Using Lasers to Treat Skin Problems , and/or surgery to remove the excess tissue. 