6th January 2009 11:00 PM
This is Rosacea, right? And it's horrific!
I've had some redness in my cheeks and around my eyebrows / hairline since I was a teenager, but for the most part it's been unnoticable. I'm now 36. In recent years, my skin has been really healthy. A couple of months ago, however, I was particularly stressed and the weather started getting cold, and I was inside a lot with the heating on - generally bad conditions for my skin. I started getting major redness on my cheeks, and then on my forehead (which I'd never really had before). I used cortisone creams to no avail, and tried a sunbed which just aggravated the situation. I now know that both these treatments are bad news for rosacea! Sunlight has always kept my skin looking good in the past, but now it's my enemy, apparently. Sunlight has also helped me deal with fungal conditions, which have been a problem before - in fact I thought the redness on my face was fungal, at first.
Anyway, my local doc said he thought it was rosacea, and that's something that I'd been told years ago that I may have, but now as you can see in the photos, it's become a problem. Is it rosacea? Any tips on what my next move is - creams etc? I'm embarrassed to socialise right now. I've just come back from a holiday in Egypt (more sun!) - and it seemed like maybe the sun helped me a little, cosmetically, or at least gave me a generally redder complexion which helped camouflage the redness of what seems to be rosacea.
But anyway, now I'm back in cold miserable England. My face is peeling like crazy, so I have to scrub it to get the dead skin off and that makes the redness flare up. Right now I'm using Clinique M lotion all over my face, which is a very light moisturiser, then I use Allergenics cream on the peeling / red areas. I'm also using aloe gel. None of this stuff is helping though.
Any advice very welcome. I can't believe I have to face this crap at this point in my life!
Oh, btw, I saw Tony Chu many years ago, and tried to see him privately last year, but I think they've changed the rules now and only local people can see him? Can anyone confirm? I'm in South London, so technically not in his area.
Thanks in advance,
(A rather depressed) Rob
6th January 2009 11:35 PM
Im just turned 23 and it all came on to me overnight, prior to 3 months ago i had never had a rash or such as in my life, soo i ca hapen anytme in life i think , BUT at least we can get laser treatments by right people that will work and reduce or eliminate it for a while and regular tratments to maintain it, soo for me and other peopl at start i think its just building pieces back up, till ou get back t where you where or just about and learning tochange things that dosnt annoy it, same as most skin conditions/problems and once you knw signs in future, it will be easier to get a grip on then when it first kicks off...
Think its prob wrong to ask for a medical thought on net because its not a real picture tbh,
But i would say mild rosacea and some dry skin, but quite abit seb eczema on their too, could be a case of treating the seb and the rosacea will calm down alot after that ad whats lefr, seek laser treatment and remove the pesky vessels, redness etc...
But i would say more seb derm thn rosacea, but probs both, but like me you needto get a proper diagnoses, cause i cant help myself lol
6th January 2009 11:38 PM
This is Rosacea, right? And it's horrific!
Its NOT horrific...lol, its mild
7th January 2009 12:05 AM
Hi Uncle Bob,
Thank you for sharing your pictures. Your pic's aren't horrific - honest.
Though I'm not a Dr., it does look like you have Rosacea and/or Seborrhea Dermatitis (SD). Do you find your skin greasy/itchy/peely/scaley-like? This could be SD. Regarding Rosacea, do you flush and notice your cheeks get red? You are right the cortisone can worsen skin conditions if used for longer than short periods (like a week or two) so it's good you stopped using it. For SD, cleansers like Born to Be Mild or a mild salicylic cleanser can help. Or prescription cleansers - like a sulfa cleanser could work too (if you're not allergic to sulfa or sulphur). Did your Dr. offer some suggestions or prescriptions for you to take? Prescription oral ketoconazole (or other oral antifungals) or "cycline" antibiotics like tetracycline, doxycline, or minocycline may help reduce the inflammation. Topical prescriptions like Metroge/Metrolotion/Finacea could help both situations. Just putting some ideas out there for you to inquire/check. Here is a link that also has some information.
Thanks again for sharing. I'm sure you will find a few things that will help reduce the inflammation some. It's all about finding the right combination and giving it time. Rosacea isn't curable but controllable.
7th January 2009 12:44 AM
You poor thing, that flushing is painful, as all of us here know. There's lots of information here that can help you. I don't know much about seb derm, but my flushing has been helped by laser treatments, red light, an anti inflammatory diet that's low in glycemic index, and prescription drugs like Clonidine. This can get better! Good luck to you.
7th January 2009 02:13 AM
diagnosis reserved for physicians
You are one brave dude to post your photos since most rosaceans are very shy about it. You mention that you saw Dr. Chu a while back. What did he diagnose you with then?
I suggest you read Chapter 2, Rosacea Mimics, pages 9 thru 12 at this url:
You really need to get an accurate diagnosis from a physician since a red face could be who knows what and you need the right treatment so that you don't make it worse. Diagnosis over the internet is not the way to go.
7th January 2009 06:00 AM
to me the pictures seem very much like seb derm.
I think maybe the best thing to do is to try treatments for that (you can get a prescription for ketocanozole - i know i spelt that wrong!) and if it helps, you know what it is. Unfortunately, a lot of diagnosis is based on trail and error - trust me, same happened with me! A lot of conditions look like each other.
7th January 2009 07:59 AM
To me it looks very much like seb derm. I had a bad flair a while back and if you look in my photos you will see something very similar. It is very cold in the UK at the moment and your face looks very dry. I find that whilst a mosituriser helps the dryness it agravates the seb derm. Have you tried taking an antihistamine like benedryl (sp??)?
I see Dr Chu privately and I live in Dorset. You need to get referred through your doctor or derm even as a private patient.
I personally wouldnt use clinique. I would perhaps try something like eucerin or even pure jojoba oil (health food shop).
7th January 2009 12:11 PM
Thank you so much everyone for your advice and support - I've followed all the links and they've been very helpful. I understand that I need to see a derm, but I shall try some of the suggestions here in the meantime.
I'll be seeing my doc tomorrow, and I'll ask for a referral letter, so that I can then see Dr Chu. It seems I can become one of Dr Chu's private patients, but there's a 4 month waiting list, so I'll just have to try my best to combat this thing before then.
Having looked at the possibility of SD, it does indeed seem to ring true. I don't really suffer from the flushing thing too much - perhaps there's a little rosacea on my cheeks but elsewhere on my face it seems more like the scalp condition I've had for years, which I guess is SD. I get blotches and lesions on my scalp (when I had hair they were far worse), and on my chest and sometimes on my sideburns - the blotches on the side of my face may be the same thing. It seems SD can be treated with UV light, which explains why tanning has helped me a little - although it's made the rosacea worse, so I'll probably try some tanning with selective areas of sunblock and see how that goes. There were times while I was on holiday over xmas (lying in the sun a lot) that my skin troubles were hardly noticable. But now I'm back in England, my skin seems worse than ever. Maybe I need the sun, or maybe it was hurting me while providing temporary relief - I wish I knew.
Incidentally, 10 years ago, when I was seeing Dr Chu about more general acne troubles, I think he diagnosed mild rosacea (but I can't remember, as I was more worried about my acne). I do remember him asking me about flushing, and I remember not really being able to relate to that as a problem. He wanted to put me on some kind of meds - permanently - which would have stopped my heart pumping so much blood to my face and therefore prevented flushing. At the time, I thought that sounded very heavy-handed, so I didn't go along with his advice. He also had me on minocyclin for several years, and I personally belive that may have caused my ulcerative colitis (yeah, I'm blessed with that too!) - UC has been linked with yeast overgrowth / lack of intestinal flora. I was taking these antibiotics for maybe 3-5 years without taking any probiotics and then suddenly I developed UC. Still, at the end of the day, Dr Chu knows his stuff, and I want a reliable diagnosis, so that's why I'll be going back to him.
As far as diet goes, I am on a low glycemic diet - or at least I was! I was ill a couple of weeks ago with a severe chest infection, and since then I've been eating a lot of fruit and honey. And a little chocolate. Yeah, come to think of it, I need to get back to my strict diet, because that definitely helped my fungal-related probs and UC - I'm sure it will help my facial redness too.
PS - is there a particular product in the Eucerin range that I should check out? I will buy some jojoba oil today.
7th January 2009 12:23 PM
I just tried this one. I found that it tended to cause my spots to return but I do think it is worth giving a go (just do a small test area for a day or two). Again my skin loved the jojoba for a day or two but got clogged a little by about day four. Neither of these products cost the earth and hopefully would be better than the clinique.
I have never had much joy with the hydrocortisone cream on my rashes. I do beter with a antihistamine tablet and years ago I did try an antifungal cream (others find sulphur based washes good for seb derm).
Dr Chu was probably talking about propanolol or maybe clonidine. However if it is seb derm and you get it under control then the flushing should diminish.