Breaking news, this just in studies show the people with skin of color can get
rosacea hi guys dr. Sarah Tonks here today I am
going to be talking about rosacea but not any ordinary type of rosacea oh no
today I am talking about rosacea and skin of color this is actually something
that I see a reasonable amount of guys and that is why I am talking about it
today because often when we think about rosacea we are thinking about people who
have got skin types 1 & 2 skin types 1 & 2 refers to the Fitzpatrick scale which
is something used in medicine to categorize people into different skin
types according to how they respond to the Sun weirdly enough I don't see many
people with skin of color coming into the clinic to discuss their rosacea and
I think this is because it's massively underreported as a problem this is
because obviously on a darker skin type you can't see the redness and the broken
capillaries that form part of this disease however in a u.s. population
study looking at people who have been diagnosed with rosacea it found that of
those patients 2 percent were black 2.3 percent were Asian or Pacific Islander
and 3.9 were Hispanic or Latino it's not just a disease of people from Celtic or
northern European origin it has been shown to occur in all skin types and
unfortunately because it's often misdiagnosed and underreported it can
lead to more advanced symptoms of rosacea but it's just the same problem
you guys it's just that you can't see the persistent facial redness and
sometimes post inflammatory hyperpigmentation which is more common
in people with darker skin types can mask any broken capillaries or redness
that might otherwise be visible in people with skin of colorization
normally manifests itself with lesions either around the
around the mouth the redness is much more uncommon so if you can't see it why
is it a big problem well rosacea isn't just Flushing redness
tingling burning itching of the skin you can also have much more serious
consequences of rosacea such as problems with the eye or thickening of the skin
of the nose and the cheeks it is it's a potentially disfiguring disease so if
you suspect that you might have rosacea but you're not sure how can you tell if
you can't see the redness when you want to be looking for things like a warm
sensation on the skin flushing burning feeling a stinging
Breiner swelling hyperpigmentation there can be a previous history of acne
diagnosis and treatment which failed you might have triggers like stress spicy
food heat the Sun and it's worth bearing in mind that if you do have a mixed
heritage you are of a higher predisposition to developing rosacea one
thing to really watch out for is a diagnosis of separate dermatitis so
often these two conditions can look the same but if you've been treated for
separate dermatitis that normally involves application of a topical
steroid which is not great for rosacea and it can lead to hyperpigmentation
thread veins and thin skin in fact it's the absolute opposite of what you want
to use if you have rosacea thankfully the treatments for rosacea are exactly
the same across all skin types I'm talking about topical treatments such as
metronidazole or zenok acid oral treatments for example doxycycline laser
treatments so in this case probably gonna be ending yak and it's really
important in this group of patients to use sunblock this is something which is
often missed and you want to be using a physical sunscreen if you can either as
ink or titanium based sunscreen okay guys let me know what you think about
this different style of video I tried to keep it a bit more choppy and more
snippy than normal if you prefer to hear me just rambling
on like normal let me know in the comment section below
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classy San Diego