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Thread: General Evenly-Distributed Red Skin Tone

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    Default General Evenly-Distributed Red Skin Tone

    In the below article there is a photo of a woman who has a red skin tone, but evenly distributed for the most part, including all of the forehead being generally red. Is that also considered rosacea? In other words, is a red complexion rosacea?

    https://www.thesun.co.uk/fabulous/93...nage-symptoms/
    Last edited by ukw; 4th August 2019 at 11:18 PM.

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    Quote Originally Posted by ukw View Post
    In the below article there is a photo of a woman who has a red skin tone, but evenly distributed for the most part, including all of the forehead being generally red. Is that also considered rosacea? In other words, is a red complexion rosacea?

    https://www.thesun.co.uk/fabulous/93...nage-symptoms/
    Yes, she has "rosacea" --- a 'kitchen sink' term for various rednesses from completely different causes and different real illnesses! From the look of her redness, it seems that hers (if she is not victim of steroid) was brought on by crazy wind and sun and probably later harsh/chemical ladened products... Above is my humble personal opinion...

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    Senior Member Tom Busby's Avatar
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    I agree with ephemerality, above, that the woman in photo looks like she used Accutane.

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    I've never heard of any cases of rosacea developing from use of Accutane before. Is there substantial evidence of that?

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    Senior Member Tom Busby's Avatar
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    Rosacea is so badly defined -- anybody with a red face can claim the diagnosis.

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    Sorry, I should rephrase my question: has the use of Accutane commonly caused rosacea-like (i.e. "red face") symptoms? I just ask because it's the first time I'm hearing this, so I'm curious how you arrived at that conclusion.

    I also ask because all I've ever been able to find about Accutane, aka oral isotretinoin, is that it relieves acne and rosacea-like symptoms rather than causing them.

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    There are a lot of people who believe they developed rosacea after taking accutane, although at a low dose it may also help to control rosacea in some people. The dose for acne is 20-40mg generally (or even higher), whereas for rosacea it is only 5mg to 10mg maximum. The potential of accutane to make the skin more fragile is widely acknowledged which is why vaseline for the lips and moisturising of various varieties are advised while you are taking it. The fragility of the skin opens up the possibility for a weaker skin structure to protect superficial blood vessels. There are some particular rosacea symptoms which seem to be associated with taking accutane such as ear flushing. If the skin is more fragile and potentially thinner this enables demodex mites to cause more damage to the skin and blood vessels.

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    Senior Member Brady Barrows's Avatar
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    Quote Originally Posted by sejon View Post
    I've never heard of any cases of rosacea developing from use of Accutane before. Is there substantial evidence of that?
    I stopped collecting cases a while back after obtaining this list.

    While low dose Isotretinoin is currently the rage, and most are very happy campers with taking low dose and not as many complaints as taking higher doses of Isotretinoin, you should be at least aware that many have reported the issue of Accutane induced rosacea.
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    Senior Member Brady Barrows's Avatar
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    Quote Originally Posted by ukw View Post
    In the below article there is a photo of a woman who has a red skin tone, but evenly distributed for the most part, including all of the forehead being generally red. Is that also considered rosacea? In other words, is a red complexion rosacea?
    https://www.thesun.co.uk/fabulous/93...nage-symptoms/
    Thanks for the article in The Sun. The writer, Jo Hoare, states clearly, "I was diagnosed in 2016" with rosacea. That is what you do, get a diagnosis from a physician, preferably a dermatologist like she did. She complains of flushing so she may have Phenotype 1 and Phenotype 2 (you can have more than one phenotype of rosacea, there are actually six phenotypes). While Tom Busby makes a point that "Rosacea is so badly defined" it is important that anyone that presents with a red face should get a correct diagnosis since there are also at least thirteen variants of rosacea and a huge number of rosacea mimics, so a differential diagnosis is prudent. Just because one presents with a red face doesn't necessarily mean one has rosacea. I refer to Dr. Draelos statement about all this which is pertinent to this post, "Rosacea is probably a collection of many different diseases that are lumped together inappropriately." So while there is some confusion about presenting one self to a physician with a red face, there is a lot of information dermatologists have to find a correct diagnosis by taking a patient history, examination, and possibly some tests to rule out certain skin conditions that present with a red face. What everyone wants is to find the best dermatologist who does just that (finds the correct diagnosis), because misdiagnosis is not uncommon. Sometimes, the path to a correct diagnosis can get complicated.
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