Rozatsea – permanent defeat of vessels of face skin. It is shown by reddening of skin of cheeks, a nose, forehead and chin, rashes of bright pink color, vascular asterisks, gnoynichka. At late stages development of an irreversible thickening and infiltration of skin of a nose, forehead, lobes of ears, a century, a chin is possible. Leads to deterioration in appearance of skin, the cosmetic defects sometimes expressed, appearance change, psycho-emotional problems. At damage of eyes develops keratit also a cornea ulceration.
The Rozatsea is a chronic disease of skin which is characterized by reddening of skin, existence of pustulous rashes, a thickening terms and violation of an otsloyka of an epithelium. Earlier development of a rozatse was ordered to existence of a demodekoz, but these two diseases are various on the etiology though each of them complicates a current of another. In pathogenesis of development of a rozatse hypersensibility of vessels of skin lies. If there is a genetic predisposition or vessels fragile and fragile, then in response to such irritants as sharp temperature drops, dry and hot air, vessels extend that at the bulk of people is not observed.
Incidence of a rozatse at people with gastritis in the anamnesis is much higher than which have Helicobacter pylori the bacterium causing gastritis is not found. The Rozatsea of the medicinal nature is observed at prolonged use of kortikosteroidny ointments, skin arteries become thinner, become more fragile and sensitive to insignificant differences of temperatures.
Risk factors in development of a rozatse
Incidence of a rozatse is approximately identical at representatives of both floors, but women in the period of a menopause Bol are subject a rozatsea as the hormonal background and properties of vessels changes. Blondes and red-haired with the thin sensitive skin inclined to reddenings enter into risk group on a rozatse. Allergic and contact dermatitis can provoke a rozatse as vessels are often expanded and further their return to a former state is already impossible.
Genetically inhabitants of the northern people are more predisposed to a rozatse, accommodation in the conditions of rezkokontinentalny climate and in the northern countries increases risk of emergence of a rozatse too.
Diseases and violations of endocrine system, a disease of digestive tract and violation of immune system, being especially combined with each other, bring to a rozatse. The pathogenesis of a rozatse is not up to the end studied, but most of dermatologists agree in opinion that stay in hot or cold rooms, wind, the use of excessively burning food, alcohol and spices provoke a rozatse.
The Rozatsea does not belong to piodermiya as at numerous researches of contents and gnoynichok of the specific activator it was not succeeded to reveal; the found gramotritsatelny microflora demonstrates long irrational antibiotic treatment. Patients with the vegeto-vascular dystonia proceeding as angionevroz with defeat of a vascular grid of the person also enter into risk group.
Symptoms of a rozatse
About a debut of a rozatse it is necessary to assume if after contact with cold or hot water, after the use of hot drinks and alcohol or at sharp change of surrounding temperature the person instantly becomes covered by red spots which a long time do not disappear.
The redness is localized in the T-face zone (a forehead, a nose, a chin and cheeks). The first stages of a rozatse at which the main clinical manifestation is reddening of skin often remain unnoticed as no discomfort is caused and easily mask cosmetics.
Rashes on a face at a rozatse begin to develop at permanent expansion of capillaries, inflow of blood causes local temperature increase, as gives the chance to saprofitny microflora actively to breed. The following stage of a rozatse is shown by existence of hillocks and roughnesses on skin which turn into small gnoynichka after a while.
Skin becomes dense, rough to the touch, consolidations at a rozatse the most intensive in the T-zone. In this stage of a rozatse permanent expansion of a vascular grid (teleangioektaziya) appears and therefore the redness and a swelling of skin is observed already without communication with provocative factors.
The Lyupoidny form of a rozatse is characterized by existence of periorbitalny and perioralny rashes in the form of brownish-red papules and small knots, elements are inclined to merge and form an uneven hilly surface. Face skin on not affected areas is, as a rule, not changed and has healthy appearance.
The Rozatsea can accept a lightning current at pregnancy, after the delivery at the corresponding therapy of a rozatse passes completely, but each subsequent pregnancy is accompanied by a recurrence of a rozatse.
If the rozatsea is diagnosed for men, then permanent reddening and consolidation of skin on a nose is noted. The Rozatsea at men very often is complicated by rinofimy. When progressing a rozatse the area around eyes and eyelids is surprised. The discomfort joins during blinking, feeling of gripes, dryness and sand in eyes. At a rozatse at late stages plentiful dacryagogue is noted. In this case diagnose okulyarny a rozatse, but it must be kept in mind that clinical manifestations can advance skin defeats for several years. In certain cases okulyarny the rozatsea becomes complicated rozatseakeratity that leads to sight loss. The itch, burning, feeling of tightening of skin and "goosebumps" are observed practically at all patients from a rozatse.
Diagnostics of a rozatse
Diagnostics of a rozatse does not represent difficulties, usually visual survey of the dermatologist more than there is enough for diagnosis. But in a type of what at a rozatse becomes more active and a recurrence of a demodekoz, often is most probable, having found , begins to treat not a rozatse, but a disease complication. Such treatment only aggravates a condition of a sick rozatse, and the disease progresses further.
If the rozatsea is complicated by existence and vesicles with purulent contents, then carry out bacteriological crops for a skin microflora research.
Treatment of a rozatse
Initial stages of a rozatse which are characterized by reddenings of skin quickly enough give in to therapy. And the rozatsea, complicated rinofimy and teleangioektaziya, demands long-term treatment. As patients ask for medical care in that phase when there are purulent rashes, first of all ointments and gels with an antibiotic are appointed. If the local antibitotikoterapiya does not make due impact, then at such forms of a rozatse expediently general drug treatment of a rozatse antibiotics.
There are no exact schemes and methods of treatment of a rozatse, and therefore in certain cases the good therapeutic effect is rendered by lotions with metronidazole and infusion of officinal herbs. The good result is yielded by laser treatment of a rozatse. Treatment in house conditions by means of iodinated medicines leads to development of a konglobatny form of a rozatse which is characterized by abstsediruyushchy spherical knots and existence of purulent fistulas. At emergence of such complications surgical excision of fabrics with installation of a drainage for outflow of purulent contents is shown.
Uncomplicated forms of a rozatse give in to therapy rather quickly, but sometimes treatment drags on up to several months and more. After inflammatory manifestations of a rozatse are eliminated, it is necessary to remove a cause of illness – an expanded vascular grid. Photocoagulation and local cryotherapy are the only reliable method for elimination of expanded vessels on a face at a rozatse. The effect of procedures becomes noticeable in several days, after closing of a part of vessels. Patients from a rozatse note that reddenings become less, complexion improves, the itch disappears and skin looks clinically healthy. After a full course of procedures it is recommended to apply creams with the high protective filter from ultraviolet.
Prevention of a rozatse
As the rozatsea is a chronic disease, after elimination of an excessive capillary grid, after a while it will appear again. Therefore prevention of a rozatse consists in periodic visit of an office of the cosmetologist for elimination of again appeared hypertrophied vessels. But, if between procedures to avoid overheating and overcoolings of skin, as seldom as possible to happen under the open sun, to correct a diet and to use cosmetics which contains the extract of a horse-chestnut and other substances strengthening a vascular wall then it will be required to repeat procedures not more often than time in 2-3 years.