Rosacea on nose-mainly

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Shellclio
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Joined: Tue Feb 20, 2018 12:31 pm
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by Shellclio on Mon Sep 07, 2020 7:50 pm

Rosacea on nose-mainly

Last year I developed Rosacea at 60. I feel very angry with my skin as I didn't expect this at my age. I 'think' my older brother has it as well. We are all pale faced Scots/Irish with blue eyes. I read that we are more inclined to get it....but not sure. Anyway....the tip of my nose goes red......sometimes very red.....sometimes looks as though it's disappearing but comes back. Every so often i get horrible pus filled spots on my nose that come up very quickly and I have a few red veins at the side of my nose. Another thing I noticed before this started was a cold nose....at the tip......sometimes in the summer when it isn't too cold. i don't know if this is related. My mother had Reynauds but I don't have any other symptoms (I don't think). I have had 2 creams/gels for the nose....no good. I was on antibiotics for a while.....not sure if they helped as my spots went but they normally go anyway.....antibiotics stopped but the spots are coming back....concentrated at the tip, occasionally the odd one on my chin area. Personally, I don't think it's related to stress...I'm not a stressy person. What's going on? Apparently there is no cure...I'm fed up and embarrassed with the whole thing.

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Dr Sree Krishna
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Joined: Thu May 28, 2020 6:06 pm
Location: London
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by Dr Sree Krishna on Mon Sep 07, 2020 10:38 pm

Re: Rosacea on nose-mainly

Hi Shell,

Thanks for posting. Rosacea can be a very frustrating condition to treat. I think you have two forms of rosacea - the blood vessel type (erythrotelangiectatic) and spot type (papulopustular). Laser treatment (by someone who knows what they're doing) can be effective for the first type while antibiotics or even isotretinoin can be helpful for the second type. You might find this information sheet helpful.

https://www.bad.org.uk/shared/get-file. ... e=document

I'm sure you've looked for triggers already by now (stress and alcohol are common) but if not, it may be useful to work back and see if you can identify some.

Good luck,

Sree
Dr Sreedhar Krishna
Consultant Dermatologist and Honorary Clinical Fellow in Dermatopathology

https://www.talkhealthpartnership.com/c ... ar-krishna

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Dr Vishal Madan
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Joined: Thu Jul 11, 2019 10:45 am
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by Dr Vishal Madan on Tue Sep 15, 2020 2:41 pm

Re: Rosacea on nose-mainly

Dear Shell

Many thanks for your post. Sorry to hear about your kin complaint. I would agree that based on the description the diagnosis is that of papulo-pustular and telangiectatic rosacea. You may benefit from a prolonged course of oral antibiotics and pulsed dye laser treatment.
For resistant cases where oral antibiotics are not effective, one may consider isotretinoin which works well to control the pus spots.

Hope this helps,

Vishal
Dr Vishal Madan
Consultant Dermatologist - MBBS (Hons), MD, FRCP

http://www.talkhealthpartnership.com/on ... _madan.php

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Vanessa Jane Davies
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Joined: Tue Aug 16, 2016 11:41 am
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by Vanessa Jane Davies on Wed Sep 16, 2020 6:38 pm

Re: Rosacea on nose-mainly

Dear Shell,

Once the Rosacea has settled you could consider skin camouflage to hide the redness/flushing. This would involve a skin camouflage assessment followed by a practical colour matching application of highly pigmented creams or liquids. You will receive tuition so that you can apply the colours correctly at home. They are durable, waterproof and exceptionally long lasting although you would need to remove them from the face at the end of the day.

Try the charity Changing Faces for advice and support - they offer NHS skin camouflage appointments or go to our independent clinics which are located across the UK.

Please feel free to contact me directly.
Vanessa Jane Davies MEWI LCGI
Skin Camouflage Consultant
http://www.talkhealthpartnership.com/on ... davies.php

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Dr Anton Alexandroff
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Joined: Tue Sep 18, 2012 9:11 am
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by Dr Anton Alexandroff on Thu Sep 17, 2020 1:33 am

Re: Rosacea on nose-mainly

Dear Shell,

I am so sorry to hear about your skin problem! I agree with suggestions of my colleagues.
Flushing and red face rosacea can be treated with Mirvaso gel and/or laser. Sun protection is also very important.
Spots (inflammatory) rosacea can be be treated with a combination of a prolonged course of antibiotic, such as erythromycin or doxycycline, and anti-inflammatory cream Soolantra. If it is of interest there is more information about Rosacea and available treatments on my website: https://www.alexandroff.org.uk

I hope this is helpful.
With Best Wishes,

Dr Anton Alexandroff FRCP(UK) PhD CCT(Derm) FRSM FAAD
Consultant Dermatologist and Honorary Senior Lecturer
The British Skin Foundation Spokesperson
London, Cambridge, Leicester and Bedford

https://www.alexandroff.org.uk/

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Dr Anton Alexandroff
Consultant Dermatologist, Honorary Senior Lecturer & BSF spokesperson - FRCP, CCT (Derm), PhD, FRSM, FAAD

http://www.talkhealthpartnership.com/on ... ndroff.php

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