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This article is from the Rosacea Disorder FAQ, by David Pascoe pascoedj+usenet@spamcop.net with numerous contributions by others.
As rosacea is a neurovascular disorder it affects the flushing zone.
Is is common that Rosacea does not present with blackheads that are
seen with Acne Vulgaris. Also the age of onset, and the location of
redness is a clue. Rosacea is commonly an adult disease, and is generally
restricted to the nose, cheeks, chin and forehead. It can coexist with
acne vulgaris.
Some rosacea sufferers have a significant acne component in their symptoms
so it can be easily confused with acne vulgaris. The papules and pustules
of rosacea tend to be less follicular in origin.
Rosacea will probably have an underlying redness that is related to
flushing and thus looks different to acne vulgaris. Acne sufferers
normally do not have the accompanying redness.
Rosacea usually begins with flushing, leading to persistent redness.
As both conditions are inflammatory, the treatment for rosacea and acne
vulgaris can be somewhat similar, but some of the acne vulgaris regimes
are too harsh for rosacea affected skin and can severely aggravate the
condition.
Rosacea sufferers are cautioned against using common acne treatments such
as alpha hydroxy acids (glycolic and lactic acids), topical retinoids
(such as tretinoin, Retin-A Micro, Avita, Differin), benzoyl peroxide,
topical azelaic acid, triclosan, acne peels, chemical peels. Additionally
the caution extends to topical exfoliants, toners, astringents and alcohol
containing products.
 
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