Rosacea
(acne rosacea, rum nose, whiskey nose)
Rosacea has two major characteristics, a blush or redness (rash) in the middle third of the face-the nose, adjacent parts of the cheeks, chin, and the center of the forehead -and a rhinophyma, or so-called “rum nose” (an unfair designation since many patients are teetotalers), in which the nose becomes bulbous and red. Additionally, there is a characteristic dilation of capillaries, pimples, and overgrowth of tissue, dandruff, and occasionally ulceration of the cornea of the eye.
In some patients, it appears that certain foods, such as coffee, tea, nuts, chocolate, hot peppers, alcohol, and spices, can exacerbate this skin condition by their ability to cause vasodilation, but the role of diet is still controversial. Those who believe that diet indiscretion is a cause relate rosacea to gastric hypochlorhydria (diminished secretions of hydrochloric acid in the stomach).
Therapeutic measures may include antibiotics (tetracycline, 250 mg daily) topical preparations, and, in severe cases, electrosurgical removal of tissue.
Colostomy Bag
