Acne and rosacea are common. Although they’re often thought of as being similar, they differ markedly in their treatment and symptoms.

Acne vulgaris is commonly mistaken for acne rosacea because both conditions exhibit papules and pustules that typically measure 5 to 8 mm in diameter. However, the onset of acne vulgaris usually occurs between 10 and 25 years of age (in your teens - early adulthood). In addition, distribution is more widespread and acne vulgaris is accompanied by blackheads, which are absent in acne rosacea.

Acne Rosacea, sometimes called ”older adult acne,” is not really acne. It usually starts in the 30s, 40s or 50s. Acne Rosacea is a common disorder of the facial skin that typically shows up after age 30. About 10 million Americans have it. It first shows up as redness on the cheeks, nose, chin and forehead. Also at first it will come and go, but over time the redness deepens and doesn’t leave. Eventually tiny blood vessels can be seen in the skin and acne-like pimples often appear.

Symptoms usually are progressive, but early diagnosis and appropriate treatment can reduce discomfort and psychological distress, and prevent long-term problems.It’s important not to confuse acne rosacea with acne vulgaris. The latter is the type of acne that typically occurs in teens. Unfortunately, a common experience of many people with any kind of acne is a dislike for one’s appearance and a lowering of self-esteem.

It’s not yet known what causes acne rosacea. But it’s more likely to occur if a relative has it and it’s more likely to occur in people with fairer skin, especially those who tend to blush.

Treatment begins with oral antibiotics followed with ointments that contain antibiotics. These ointments are used on a long-term, continuous basis. Because they are placed on the skin and not swallowed, they are much less likely to cause side effects over time.

Exposure to sun, cold temperature, stress, hot and spicy foods, overheating and some skin care products, but everyone is different.

There is no cure for acne rosacea but there are medications that can be applied or taken orally to control it. Avoiding potential triggers can also help. Acne Rosacea has different triggers than acne vulgaris and triggers may vary from one individual to another. Alcohol will make it worse, as will sun, wind exposure, emotional stress, heavy exercise, extremes of temperature such as hot baths and hot drinks, such as coffee or cider.