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Rosacea is a chronic skin condition characterized by redness and flushing of the face. However, patients can remain in a relatively symptom-free state if they avoid exposure to certain factors known to exacerbate symptoms and cause "flare-ups".
These triggers include lifestyle and environmental factors and may be unique to each individual. However, many are common to all rosacea patients and include, among others:
Certain foods:
Dairy products, chocolate, spicy foods, soy sauce, vanilla, vinegar, yeast, liver, avocado, spinach, eggplant, broad leaf beans, tomatoes, bananas, citrus fruits, raisins, figs, red plums, histamine-rich foods and hot foods.
Certain drinks or beverages:
Red wine, gin, champagne, vodka, beer, bourbon, cider, hot chocolate, coffee or tea.
Extreme temperature and weather:
Extreme heat, saunas, hot baths, strong winds, excess humidity, cold weather, excess sun or sun lamps.
Medications:
Topically applied steroid creams, vasodilators, blood pressure pills and cholesterol controlling drugs.
Medical conditions:
The menopause, a propensity to flush excessively, caffeine withdrawal syndrome and the chronic cough.
Emotional changes:
Stress, anger, embarrassment, or anxiety.
Cosmetics:
Cosmetics containing fragrances, alcohol, hydro-alcohol, acetone or witch hazel.
Trigger factors vary from patient to patient so each individual needs to identify which particular factors are likely to induce their own flare-up response.
Rosacea patients are therefore often asked to maintain a diary documenting any trigger factors they were exposed to before a flare-up of symptoms.
Since there is no known cure for rosacea, the identification and avoidance of triggers forms the most important approach to minimizing any negative impact of the condition.