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Rosacea
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== Signs and symptoms == [[File:Rasacee couperose zones.svg|thumb|Commonly affected zones<ref>name="JAmAcadDermatol2004-Wilkin">{{cite journal |vauthors = Wilkin J, Dahl M, Detmar M, Drake L, Liang MH, Odom R, Powell F |title = Standard grading system for rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rosacea |journal = J Am Acad Dermatol |year = 2004 |pages = 907β12 |volume = 50 |issue = 6 |pmid = 15153893 |url = http://www.rosacea.org/grading/gradingsystem.pdf |format = PDF reprint |doi = 10.1016/j.jaad.2004.01.048 |url-status = dead |archive-url = https://web.archive.org/web/20070227075925/http://www.rosacea.org/grading/gradingsystem.pdf |archive-date = 27 February 2007 }}</ref>]] Rosacea typically begins with [[erythema|reddening (flushing)]] of the skin in symmetrical patches near the center of the face.<ref name=Buddenkotte2018/> Common signs can depend on age and sex: [[flushing (physiology)|flushing]] and [[erythema|red swollen patches]] are common in the young, [[Telangiectasia|small and visible dilated blood vessels]] in older individuals, and [[rhinophyma|swelling of the nose]] is common in men.<ref name=Buddenkotte2018/> Other signs include lumps on the skin ([[papule]]s or [[pustule]]s) and [[edema|swelling]] of the face.<ref name=Buddenkotte2018/> Many people experience stinging or burning pain and rarely itching.<ref name=Buddenkotte2018/> Skin problems tend to be aggravated by particular trigger factors, that differ for different people. Common triggers are [[ultraviolet]] light, heat, cold, or certain foods or beverages.<ref name=Buddenkotte2018/> === Erythematotelangiectatic rosacea === Erythematotelangiectatic rosacea<ref name="Bolognia">{{cite book |author1 = Rapini, Ronald P. |author2 = Bolognia, Jean L. |author3 = Jorizzo, Joseph L. |title = Dermatology: 2-Volume Set |publisher = Mosby |location = St. Louis |year = 2007 |isbn = 978-1-4160-2999-1 }}</ref> (also known as "vascular rosacea"<ref name="Bolognia" />) is characterized by prominent history of prolonged (over 10 minutes) [[Flushing (physiology)|flushing]] reaction to various [[Stimulus (physiology)|stimuli]], such as [[emotional stress]], hot drinks, alcohol, spicy foods, [[exercise]], cold or hot weather, or hot [[Bathing|baths]] and [[showers]].<ref name="Andrews">James, William; Berger, Timothy; Elston, Dirk (2005). ''Andrews' Diseases of the Skin: Clinical Dermatology''. (10th ed.). Saunders. Page 245. {{ISBN|0-7216-2921-0}}.</ref> === Glandular rosacea === In glandular rosacea, men with thick sebaceous skin predominate, a disease in which the papules are [[edema]]tous, and the [[Pustule|pustules]] are often 0.5 to 1.0 cm in size, with nodulocystic lesions often present.<ref name="Andrews" />
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