Rosacea Type 1

By: Vivacare - Dr. Mark Becker

Rosacea-Type-1-rednessThere are four subtypes of rosacea. Rosacea patients may have more than one subtype at the same time.

The subtypes can progress from mild to severe, which makes it important to treat rosacea early in its course.

What is rosacea subtype 1?

Facial redness and flushing are the primary symptoms of rosacea subtype 1. It is sometimes referred to as erythematotelangiectatic rosacea.

Symptoms of rosacea type 1 include:

  • Flushing and persistent redness of the central face (may resemble a sunburn or blush)
  • Small visible blood vessels on the surface of the skin. (telangiectasias)
  • Swelling of the central face
  • Burning and stinging
  • Roughness or scaling

Treatment of Rosacea Subtype 1

Rosacea treatment options for this early stage of rosacea include:

  • Topical medications. In some cases the redness can be effectively treated with a medication applied to the skin that reduces inflammation, such as azelaic acid (Azelex®, Finacea®), and metronidazole (MetroGel®). It can take a few months to see noticeable improvement from the use of a topical medication so it is important to be patient and take the medication each day as prescribed. Long-term use of a topical medication may be recommended to provide long-term control.
  • Oral antibiotics, including doxycycline and minocyline.
  • Electrocautery. Visible blood vessels (telangiectasias) can be destroyed with by  treating the affected skin with a small electric current applied to anesthetized skin. Multiple treatments with electrocautery may be required and redness or swelling may result for 1-2 days.
  • Laser and Light Treatments. A variety of laser and light treatments, including Intense Pulsed Light (IPL) may be recommend to treat the redness, flushing and visible blood vessels of rosacea subtype 1. Most people require 4 to 8 treatment sessions per year for a few years to significantly reduce redness and flushing. At least 2 treatments are needed to diminish visible blood vessels. Once the desired results are seen, patients may not need treatment again for several years, though results vary from person to person.
  • Other medications. Your physician may prescribe other rosacea treatments to help minimize the redness and flushing.
Subtype 1 rosacea

Management of Rosacea Subtype 1 (Facial Redness and Flushing)

The redness and flushing of rosacea is difficult to treat with medications alone making it particularly important for you to follow rosacea skin care tips and other tips for rosacea control.

A variety of rosacea triggers can lead to a worsening of rosacea symptoms.. Some common rosacea triggers include sun exposure, spicy foods, hot baths and emotional stress. A rosacea diary can be very useful for tracking rosacea symptoms over time and identifying possible triggers, so that they can be avoided.

Work with your doctor to establish a skin care regimen that includes the daily use of sunscreens, gentle cleansing, and the use of skin care products that don’t burn or sting. The appearance of flushing, redness and visible blood vessels may also be concealed with cosmetics, and facial discomfort may benefit from appropriate skin care.

Last updated June 6, 2013.

Rosacea image courtesy of the National Rosacea Society.

Treatment images courtesy of Gerald Goldberg, M.D.