Vascular rosacea

Vascular rosacea is a subtype of rosacea, a common skin condition characterized by redness, flushing, and visible blood vessels on the face. It is caused by the dilation of blood vessels in the skin, leading to a flushed appearance and the development of small, red, spider-like veins. This subtype of rosacea is often accompanied by other symptoms such as burning or stinging sensations, dryness, and itching. Vascular rosacea is typically diagnosed by a dermatologist based on the appearance of the skin and symptoms. It is often treated with topical medications such as metronidazole and azelaic acid, which can help reduce inflammation and improve the appearance of the skin. In some cases, oral medications may also be prescribed.

People with vascular rosacea should avoid triggers that can cause flare-ups, such as alcohol, spicy foods, and hot temperatures. They should also use gentle skincare products and avoid harsh scrubs or exfoliants, which can irritate the skin. Sunscreen is also important to protect the skin from further damage and discoloration.


The exact cause of vascular rosacea is not fully understood, but there are several factors that are believed to contribute to its development.

  1. Genetics: Some people may be more prone to developing vascular rosacea due to genetic predisposition.
  2. Hormonal changes: Hormonal fluctuations in the body, such as those that occur during menopause, may trigger the development of vascular rosacea.
  3. Environmental factors: Exposure to certain environmental factors, such as sun exposure, wind, and cold temperatures, can cause blood vessels to dilate and become more visible.
  4. Certain medications: Certain medications, such as blood pressure drugs and vasodilators, can cause blood vessels to dilate and become more visible.
  5. Inflammation: Inflammation in the skin may cause blood vessels to dilate and become more visible.
  6. Microorganisms: The presence of certain microorganisms on the skin, such as Demodex mites, may also contribute to the development of vascular rosacea.
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Overall, the exact cause of vascular rosacea is still unclear and likely to be multifactorial. Consultation with a dermatologist is recommended to determine the best treatment plan.


The following are some basic symptoms of vascular rosacea:

  1. Flushing: This is the most common symptom of vascular rosacea and is characterized by a reddening of the skin on the face, particularly the cheeks, nose, and forehead.
  2. Persistent redness: Some people with vascular rosacea may have a constant redness on the face, even when they are not experiencing a flare-up.
  3. Telangiectasia: This is the medical term for the visible blood vessels that are present on the face in vascular rosacea. They may appear as small, red, spider-like veins on the cheeks and nose.
  4. Burning or stinging sensation: Some people with vascular rosacea may experience a burning or stinging sensation on the face, particularly when exposed to certain triggers such as heat, cold, or wind.
  5. Dryness and itching: Some people with vascular rosacea may experience dryness and itching on the affected areas of the face.

It is important to note that not all individuals with vascular rosacea will experience all of these symptoms, and some may experience different symptoms or varying degrees of severity. It is always best to consult with a dermatologist for proper diagnosis and treatment.


It is characterized by the presence of visible blood vessels (telangiectasias) and flushing on the cheeks, nose, chin, and forehead.

Diagnosis of vascular rosacea is typically made by a dermatologist based on a physical examination of the skin and the patient’s symptoms. The dermatologist may also use a device called a dermascope to examine the blood vessels more closely.

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To confirm the diagnosis, the dermatologist may also ask the patient about their medical history, including any medications they are taking or any other skin conditions they have. The dermatologist may also conduct a skin biopsy to rule out other skin conditions that may have similar symptoms.


The main treatment for vascular rosacea, a subtype of rosacea characterized by visible blood vessels on the face, includes:

  1. Topical medications: Metronidazole cream or gel, azelaic acid cream or gel, and brimonidine gel are commonly prescribed to reduce inflammation and redness.
  2. Oral medications: Antibiotics such as doxycycline, minocycline, or tetracycline may be prescribed to reduce the severity of symptoms.
  3. Laser therapy: A laser treatment called intense pulsed light (IPL) therapy can be used to reduce the appearance of blood vessels on the face.
  4. Lifestyle changes: Avoiding triggers such as alcohol, spicy foods, and hot drinks can help reduce symptoms. Sun protection is also important to prevent further damage.
  5. Skincare routine: A gentle skincare routine with non-irritating products can help reduce symptoms and prevent further flare-ups.

It is important to work with a dermatologist to determine the best treatment plan for your individual case.