What are the pores and bloodshot acne on the surface of the nose?

In daily life, enlarged pores and blackheads on the surface of the nose are very common manifestations. The rough skin on the nose greatly affects personal image and beauty, and it is not easy to put on makeup. Pores, bloodshot and blackheads on the surface of the nose are also a very common situation. This may be a condition caused by rosacea and needs to be treated in time. Try to keep it clean at ordinary times.

What are the pores and bloodshot acne on the nose?

If you have symptoms caused by rosacea, it is recommended to follow the doctor's advice for treatment. Oral and topical medications are recommended for treatment.

Rosacea, also known as rosacea, is a chronic inflammatory skin disease characterized by erythema and telangiectasia that occurs primarily in the central part of the face. It is more common in middle-aged people aged 30 to 50, especially in women.

Causes

The cause is not yet fully understood. It may be due to the action of various harmful factors inside and outside the body on the basis of sebum secretion, which causes the vasomotor nerve dysfunction and long-term dilation of capillaries in the affected area. Trichocystis and repeated local infection are important factors for the onset of the disease. Alcoholism, smoking, spicy diet, gastrointestinal dysfunction, endocrine dysfunction (especially during menopause), mental factors, lesion infection, and long-term exposure to hot and cold factors on the skin such as high-temperature work, sun exposure, cold, wind, etc. can all induce and aggravate this disease.

Clinical manifestations

The disease is prone to occur in the middle part of the face, mainly on the tip of the nose and the wings of the nose, followed by the cheeks, chin, and forehead. It is often distributed symmetrically and is more common in middle-aged people, especially women. Patients often have seborrhea, and their faces look like they are covered with fat. Skin lesions manifest as erythema, telangiectasia, and inflamed follicular papules and pustules. The disease progresses slowly and can be divided into three stages without clear boundaries. It is divided into 3 stages: erythema stage, papule stage, and hypertrophic stage.

1. Erythema and capillary dilation stage

Erythema appears in the middle of the face, especially the nose, cheeks, between the eyebrows and chin, and is symmetrically distributed. The erythema is temporary at first. The face becomes flushed and congested, and there is a sense of burning sensation when eating spicy food or hot drinks, when the ambient temperature rises, or when emotional impulses occur. After repeated attacks, superficial dendritic capillary dilation occurs on the nose wings, nose tip and cheeks, and localized persistent redness occurs, often accompanied by enlarged nasal hair follicles and sebum secretion.

2. Papular stage

On the basis of erythema and capillary dilation, acne-like follicular papules and pustules appear repeatedly. When the lesions are deep and large, they form boils, cysts, and deep inflammatory nodules. The openings of the hair follicles on the nose and cheeks may enlarge, and may come and go over the course of several years, sometimes mild and sometimes severe. In middle-aged women, the rash often worsens before menstruation.

3. Hypertrophy stage

Also known as the rhinoplasty stage. It is only seen in a small number of patients, mostly in men over 40 years old due to long-term congestion, repeated infections, hyperplasia of nasal connective tissue, abnormal enlargement of sebaceous glands, hypertrophy of the nose tip, and dark red or purple-red color. There are enlarged nodules on the nose, which are uneven on the surface and form a tumor-like shape called nasal polyps.

In addition to skin manifestations, the eyes are often affected. The clinical manifestations are blepharitis, conjunctivitis, and occasionally keratitis and scleritis. Patients may experience dry eyes, foreign body sensation, tearing, photophobia, blurred vision, etc. There is no parallel relationship between the symptoms of eye involvement and the severity of rosacea symptoms.

In addition to the above symptoms, there are some special types of rosacea, such as steroid rosacea, which is caused by long-term local use of corticosteroids, which leads to thinning of the skin, aggravated capillary dilation, and the surface is inlaid with cystic, round, deep-located papules or pustules, and nodules. The skin is dark red and the patient feels uncomfortable and painful. Granulomatous rosacea is a special type of rosacea that often occurs on the face and around the mouth, forming butterfly-shaped nodules that appear as yellow-brown or jam-colored nodules when pressed on a slide.