Cuperosis (rosacea acne)

• Food: association with gastrointestinal tract disorders (constipation, gastritis, colitis). Digestive disorders, especially those that cause the circulation of substances with a vasodilating effect (it is also important to forget the negative influence of digestive stimulants, alcohol, spices). People who are diagnosed with rosacea should not make excess of B12, marinade, chocolate, avocado, tomatoes, hot drinks, spicy sausages, red pepper, black pepper, white pepper, vinegar, boia, wine, liqueur, beer, cheese . • Infectious factors: mites - Demodex foliculorum, flora developed in the pilo-sebaceous follicle with lipolytic role (destroys fat) and irritant action on the skin with secondary vasodilatation and formation of papulo-pustules. The infection with the etiopathogenesis of rosacea is demonstrated by the beneficial effect of antibiotic treatment. • Climate: Generally hot-cold extremes can affect the vascular endometrium.

• Vascular: Deficiency of facial cutaneous venous circulation regulation with vasomotor instability of the facial vessels and increased vasodilation capacity at various factors. • Psychologists: occurs more often in depressed, neurotic, agitated, irritable people. • Pharmacological factors: histamine, serotonin, in the production of erythema (redness), some of which are released from food or beverages (wines). Rosacea is characterized by the presence of a succession of stages, as follows: • Transient erythema (redness) affecting the central areas of the face, produced by non-specific stimuli - food, alcohol, spice, heat, wind. • Persistent and telangiectatic erythematosus.

On a persistently erythematous background, venereal telangiectasis occurs. Papules, pustules and papulo-nodules are the lesions that appear on the red skin and telangiectatic (cuperose). Missing (white / black). • Large inflammatory nodules, especially nose, chin. Nose appears rhinophiric - large nose, bosel (irregular contour), red due to hypertrophy (increase in volume) of sebaceous glands.

• Touching the connective tissue is an important sign for diagnosis. The palpebral conjunctiva (which covers the posterior eyelid) and bulbare (which cover the sclera of the eye) are congested, the telangiectasis being especially evident on the conjunctiva bulbara. Corneal lesions may also be observed in the form of diffuse keratitis (rosacea keratitis). • Facial Elephantiasis - Large, inflammatory nodules, especially located in the cheeks, nose and seldom on the forehead, chin. The teguments are seborrheic, swollen, with wide open pores due to the presence of inflammation and hyperplasia (increase in volume) of the sebaceous glands.

These changes eventually lead to rhinophobia - the nose is hypertrophied (large) and red, with multiple irregularities and telangiectasia (small veins) on its surface. There are two clinical forms: one with normal skin and hypertrophy (Vidal hypertrophic acne) and another with eritrosis (redness) and telangiectasis associated with glandular hypertrophy (rhinophyma itself). Particular forms of rosacea Acid granulomatous is characterized by the appearance of a diffused erythema of the nasal, frontal and cheek region, sometimes with extension to the cervical area, the ear pavilion. Against the erythematous (red) background, papulo-nodular lesions, infiltrated. It may appear secondary to inadequate topical treatments (very strong dermatocorticoids).

Ophthalmic rosacea - manifestations of irritation, iridocyclitis, sclero-corneal ulcerations. Rosacea rosacea - Papules (small bumps) have a yellow appearance like \. Differential diagnosis • Erythema pudi, hot flashes, post-medication erythema • Dermatomyositis, chronic alcoholism • Hereditary telangiectasis, scleroderma, pregnancy telangiectasia • Polymorphic acne, perioral dermatitis. Evolution The evolution of cupozeism is chronic, prolonged, often with progressive aggravation. Since there is no treatment to cure cuperosis, the medication administered only serves to manage the disease and to reduce the symptoms, often unsightly and inconvenient.

People who suffer from rosacea are advised to avoid exposure to sun and wind, fast, copious meals and alcoholic beverages. As a systemic (oral) treatment they are administered that act as anti-inflammatory, broad-spectrum antiinfectives, retinoids (derivatives) especially in rhinophytus for the reduction of erythema and inflammatory, antihypertensive lesions with constrictor effect on venous circulation. Locally we recommend the application of antibiotic mixtures or gels, gel or mix anti-infectives, antimycotic creams, sulfur or ichtiol lotions, creams with SPF\u003e 10. is treated by cryotherapy, laser therapy, electrocoagulation. Rhinophyma is attributed lately to the infection with Klebsiella rhinoscleromatis, an agent that responds to antibiotic treatment in prolonged cures up to one year.

In severe cases of rhinophobia, the nursing surgery of the nose (usually preceded by a few weeks of retinoids, to reduce its size). .