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Dermatology  (Expert Forum)
 | 
Rosacea or not?
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.

Rosacea or not?

by Natasha, Aug 25, 2000 12:00AM
Dear Doctor Rockoff,

3 months ago I posted a question - "Rosacea vs. skin irritation". I've been using MetroGel for 3 months, but can see only a very slight improvement. Actually, my eruptions fluctuate as before - sometimes I have clear face, sometimes red bumps and tiny whiteheads (pustules?) appear on my cheeks. I have no idea what triggers those eruptions - they are not related to flushing, always get worse before my period, almost disappear right after it, may be somehow related to alcohol consumed, but I am not sure; get worse if I irritate my skin... they are itchy and a bump can appear in a minute...

Is it really rosacea? If not, what else can it be?

Thank you for you time!

Natasha

by Alan Rockoff, MD, Aug 27, 2000 12:00AM
Natasha:



Metrogel is quite helpful, but is not sufficient for everyone if used alone.  You may want to ask your doctor to consider prescribing an oral antibiotic such as a tetracyclien derivative for a period of time, or else adding or substituting a different topical cream.



As to the fluctuations you describe, they are par for the rosacea course, and you're not likely to find a "trigger" which is consistently present.  My advice is not to look too hard: just bring it under control.  Ask your dermatologist how.



Best.



Dr. Rockoff
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