Rosacea Papulopustular Rosacea (PPR) is a sub-type of Rosacea that is symptomized by the development of pimples, redness, multiple inflamed bumps and papules all over the facial region and could be a very discomforting condition for sufferers. The treatment of this condition hinges on the severity of its stage. However, the condition can be medically treated with sulphur containing creams and some antibiotics as prescribed by a physician. Antibiotics which are commonly used for treatment include tetracyclines, similar topical creams and Accutane drugs.
This skin condition is regularly mistaken for normal acne due to its appearance on the face, which is most often as acne-like red bumps. Other common symptoms in Papulopustular Rosacea patients include regular flushing of the face, as though blushing (this is normally the first symptom of the disease, and a very good indicator sign, particularly in the presence of type 1 or Erythematotelangiectatic Rosacea), sunburn-like erythema on the face and small cysts or pustules, all of which may disappear after some time or remain on the skin for a considerable period, if no treatment is taken. The skin condition may affect only a region on the skin or be present in a symmetrical manner on both regions of the face.
Papulopustular Rosacea can lead to a thickened and dry skin appearance. Since it assumes a rather persistent condition in sufferers, with constant remission and exacerbation of symptoms for a long period of time, Papulopustular Rosacea can be a source of trauma and severe emotional distress in some individuals. This skin condition can be seen in individuals of any age, however, it is more commonly seen in 25-70 years old adults with a peak incidence observed in people who are 45 years old. The condition is also more common in females than males and affects all individuals irrespective of ethnic or racial background. It is, however, more predominant in fair-skinned than dark-skinned individuals. Although, there is really no geographical centralization of Papulopustular Rosacea, the condition is frequently observed in North European descents.
The progression of the condition occurs in 3 stages: Stage 1 involves redness of the skin surface and telangiectatic occurrence of tiny blood vessels. Stage 2 is identified by the presence of papules and pustules in addition to skin redness and blood vessel conditions of stage 1, while Stage 3 accumulates all these symptoms plus the development of nodules and thick skin. It is not unusual, however, to note that, PPR may progress without following the sequential stages. While some affected persons only show symptoms of stage 2 and 3, other individuals may have different stages exhibited on the affected regions of the skin.
Causes of Papulopustular Rosacea
There are a multitude of high-risk factors which can predispose one to developing Papulopustular Rosacea and these include environmental factors, lifestyle, and eating pattern. Common triggers include intense and frequent exposure to sun, frequent cold or hot baths, excessive use of detrimental skin care products, consumption of spicy foods and some medicines. Papulopustular Rosacea causes and triggers also include consumption of dairy products, hot beverages, caffeine, alcohol, histamine, and marinated meat, as well as exposure to heat wave and emotional stress. These factors and triggering agents are however not specific to all sufferers as some individuals are only likely to elicit the condition on exposure to very few of the triggering factors.
The development of Papulopustular Rosacea is more predominant in middle-aged individuals. Some recent studies have also implicated small intestinal bacteria with the condition. However, being a non-infectious disease, Papulopustular Rosacea cannot be transmitted from one individual to another. This skin condition can also occur after, or simultaneously with Type 1 Rosacea (i.e. Erythematotelangiectatic Rosacea). Despite the fact that Demodex folliculorum (Demodex mites) have been isolated in many cases of PPR lesions, no concrete evidence has been put forward linking Demodex folliculorum to PPR. These mites are parasites inherent on the hair follicles of the face.
Papulopustular Rosacea Diet Treatment
Although application of topical creams have been successful in taking care of Papulopustular Rosacea, some changes in diet and foods are also essential in preventing the onset or progress of the disease. Some of Papulopustular Rosacea diet treatment remedies include:
- Apple cider vinegar
Apple cider vinegar has been shown to be quite effective in ridding the face of the various conditions that are elicited by PPR sufferers. Mixing 2 tablespoons of this wondrous agent in a glass of water and taking it twice daily will be amazing in restoring your facial appearance. The effectiveness of apple cider vinegar is due to its anti-inflammatory properties which is vital in controlling Papulopustular Rosacea.
- Aloe vera
Another very active agent in Papulopustular Rosacea diet treatment is Aloe vera. Aloe vera gel and juice, when topically applied on the face is a terrific cleanser. Also taking lots of water to keep hydrated and cleaning the face often with rose water twice daily are beneficial in preventing the inflammatory symptoms that come with Papulopustular Rosacea.
- Omega-3-fatty acids
This great anti-inflammatory agent should also be taken regularly in the diet of general rosacea sufferers to reduce inflammation and aggravation of Papulopustular Rosacea.
Topical therapy which have been employed for facial restoration from mild Papulopustular Rosacea are antibiotics such as erythromycin, metronidazole and tetracycline. Topical therapy using these antibiotics have been employed as there is less risk of side effects, drug interactions and antibiotic resistance. However, the extent of development will ultimately determine the approach of dermatologists and combining the treatment with appropriate anti-inflammatory diets give best results. Before resorting to any topical measure or laser therapy, you should consult your physician and should have tried the natural remedies available to you.
The aforementioned antibiotics work well in treating the spots and cysts as they reduce skin inflammation and exterminate inherent bacteria. There is usually an observable skin improvement when they are applied for about 2 to 3 weeks and the cysts and spots will normally clear up if the drugs are used completely for 6 to 12 weeks. However, missing your treatment routines for some reasons may render the antibiotics ineffective and may worsen your condition. Thus, for total clearance of the pustules and cysts and for long-term benefits, your dosage should be taken as prescribed by your physician.
Unfortunately, there is no standard treatment for Papulopustular Rosacea and natural remedies, if strictly adhered to, as well as antibiotics and laser therapy, as a last resort, remain the options available for suffers in remedying their face of the unsightly pustules and cysts that come with the condition.
Thus, eliminating alcohol intake, which is the most important underlying cause and making sure you participate in vigorous exercise will be tremendously beneficial. Other preventive or flare-up minimizing measures to be taken are: reducing anxiety and stress, absconding or minimizing consumption of caffeinated drinks and foods high in histamines such as canned foods, pickled foods, smoked meat, some cheese varieties, shellfish, pulses and beans as well as some nuts of almonds and cashew. Avoidance of hot liquids and spicy foods, cosmetics involving microdermabrasion and chemical peels (a procedure often used to treat acne and wrinkles), sunbathing and excessive heat are other ways to minimize triggering an onset of Papulopustular Rosacea.