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Author: admin | 14.01.2014 | Category: Tinnitus Hearing Loss

Acne rosacea is a common chronic skin condition which presents as facial flushing and erythema and is exacerbated by triggers such as alcohol, heat, spicy food, caffeine and sunlight.
It is primarily a condition of the white population, is three times more common in women than in men and has a peak age of onset between 30 and 60 years. For a diagnosis to be confirmed the erythema should have been present for at least three months. Patients with papulopustular rosacea have papules and pustules on a background of erythema, which appears similar to acne vulgaris. With ocular rosacea, the eyes as well as the skin can be affected, with red inflamed, dry eyelids - this may be confused with blepharitis. In all types of rosacea the diagnosis is usually made clinically after taking a history and examining the patient.
Papulopustular rosacea may resemble acne vulgaris, but there should be no comedones, which can be a useful differentiating feature.
The other main differential diagnosis is seborrhoeic dermatitis, a condition that sometimes coexists with rosacea.
Where the diagnosis is in doubt a skin biopsy can be helpful, but is unnecessary in most cases.
Direct questioning may be required, especially with regard to alcohol consumption and emotional stress. Once triggers have been determined, advice regarding avoidance of these should reduce the severity.
For those with ocular rosacea, lid hygiene is important and should be followed as it is in the treatment of blepharitis, using diluted baby shampoo and a cotton bud along with warm compresses. In more inflammatory rosacea, topical azelaic acid can be tried, but this may not be tolerated by everyone. Severe cases (for example, phymatous rosacea) may be disfiguring and surgery may be required.


In more severe cases a referral may be required to secondary care for treatment with isotretinoin. Agraphis nutans acts on the respiratory mucosa to treat discharge of watery mucus especially associated with exposure to cold wind. Ambrosia artemisifolia has a decongestant action on the respiratory mucosa with specific application in hayfever, excessive lachrymation (watery eyes) and itching and redness of the eyelids especially during summer.Aralia racemosa has an antispasmodic action on respiratory muscle tissue and helps relieve dry cough and difficult breathing when lying down.
The ingredients in this remedy all assist in desensitizing the body’s exaggerated response to common allergens and aids in treatment of prediagnosed allergies. Pentagen effectively targets 5 main areas affected by upper respiratory tract infections:1. Clinical trials have shown standardized extracts of Pelargonium sidoides to safely and effectively shorten the severity and duration of acute bronchitis and tonsillopharyngitis.
Agraphis nutans is indicated for blocked nostrils, nasal discharge, enlarged tonsils and adenoids and impaired hearing due to accumulated mucus. Although the usual areas affected are the nose, cheeks and forehead, other areas, such as the neck, chest and ears, can become involved. The cause of rosacea is unknown, although the demodex mite, which usually inhabits human hair follicles, may play a part in the pathogenesis. Erythematotelangiectatic rosacea presents with flushing that progresses to a permanent erythema and telangiectasia over the affected areas.
The nose is the most commonly affected area, resulting in a permanent enlargement called rhinophyma.
Flaking and dryness of the skin are more likely with seborrhoeic dermatitis, with a different distribution involving nasolabial folds, hairlines and other areas of the body such as the axillae, presternal areas and groin. As part of the history taking it is important to try to determine anything that may be triggering the flushing and rash. Other triggers include diet, exercise, sunlight, topical steroids and vasodilator medications such as calcium-channel blockers.


In the case of UV light a daily application of sunscreen throughout the year can be helpful. In mild cases a topical antibiotic, such as metronidazole, will help, especially where infection is present (including pustules).
Doxycycline can also be useful; a low-dose (40mg) preparation has been launched and is thought to work as an anti-inflammatory rather than an antibiotic. In the top right-hand corner of an individual comment, you will see 'flag as inappropriate'. A history of flushing preceding onset of the erythema, and an association with triggers can be helpful. Especially beneficial for first stages of colds and sore throats.Hydrastis canadensis for thick, yellow ropy mucus in the nose, sinuses and throat. Once Pentagen has been opened, it is recommended that any liquid which remains after 30 days should be discarded. Also for cough with burning pain in chest and thick yellow expectoration.Kalium bichromicum for blocked nose and tough, stringy, viscid secretions of the sinuses, pharynx, the larynx and bronchi. Also for foul-smelling discharges.Natrium muriaticum for profuse runny nose and frontal sinus inflammation often accompanied by frequent or explosive sneezing. Sambucus nigra acts on the respiratory system to relieve snuffles, swelling of mucous membranes and a sensation of suffocating while sleeping at night.



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