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Learn about Rosacea and how Knoxville Institute of Dermatology can help you.

Rosacea 2017-11-07T21:35:19+00:00

Project Description

The National Rosacea Society estimates more than 16 million Americans are affected by Rosacea. There is no cure for this poorly understood skin disorder, but a wide variety of treatments are available to control the signs and symptoms of this burdensome condition. Rosacea is characterized by persistent redness, bumps or pimples and visible blood vessels on the cheeks, nose, forehead or chin. The most important factor in successful treatment of Rosacea is early diagnosis. If you or your loved one are dealing with Rosacea-like symptoms, contact Knoxville Institute of Dermatology for an evaluation today.

What is Rosacea?

Rosacea is a chronic rash involving the central face that most often affects those aged 30 to 60. It is common in those with fair skin, blue eyes and Celtic origins. It may be transient, recurrent or persistent and is characterized by its color, red. Although once known as “acne rosacea”, this is incorrect, as it is unrelated to acne.

What is the cause of Rosacea?

There are several theories regarding the cause of rosacea, including genetic, environmental, vascular and inflammatory factors. Skin damage due to chronic exposure to ultraviolet radiation plays a part.

What are the clinical features of Rosacea?

Rosacea results in red spots (papules) and sometimes pustules. They are dome-shaped rather than pointed and unlike acne, there are no blackheads, whiteheads or nodules. Rosacea may also result in red areas, scaling (rosacea dermatitis) and swelling. Characteristics of Rosacea include:

  • Frequent blushing or flushing
  • A red face due to persistent redness and/or prominent blood vessels – telangiectasia (the first stage or erythematotelangiectatic rosacea)
  • Red papules and pustules on the nose, forehead, cheeks and chin often follow (inflammatory or papulopustular rosacea); rarely, the trunk and upper limbs may also be affected
  • Dry and flaky facial skin
  • Aggravation by sun exposure and hot and spicy food or drink (anything that reddens the face)
  • Sensitive skin: burning and stinging, especially in reaction to make-up, sunscreens and other facial creams
  • Red, sore or gritty eyelid margins including papules and styes (posterior blepharitis), and sore or tired eyes (conjunctivitis, keratitis, episcleritis) – ocular rosacea
  • Enlarged unshapely nose with prominent pores (sebaceous hyperplasia) and fibrous thickening – rhinophyma
  • Firm swelling of other facial areas including the eyelids – blepharophyma
  • Persistent redness and swelling or solid oedema of the upper face due to lymphatic obstruction – Morbihan disease

What is the differential diagnosis of Rosacea?

Rosacea may occasionally be confused with or accompanied by other facial rashes including:

  • Acne vulgaris
  • Steroid rosacea
  • Perioral dermatitis
  • Rosacea fulminans
  • Seborrheic dermatitis
  • Irritant contact dermatitis

How is Rosacea diagnosed?

In most cases, no investigations are required and the diagnosis of rosacea is made clinically. Occasionally a skin biopsy is performed, which shows chronic inflammation and vascular changes.

What is the treatment for Rosacea?

  • Where possible, reduce factors causing facial flushing.
  • Avoid oil-based facial creams. Use water-based make-up.
  • Protect yourself from the sun. Use light oil-free facial sunscreens.
  • Keep your face cool to reduce flushing: minimize your exposure to hot or spicy foods, alcohol, hot showers and baths and warm rooms.
  • Laser therapy
  • Antibiotics
  • Oral and topical medications


I really was impressed with Dr. Wright. He is extremely knowledgeable and I really recommend him as a fine Dermatologist.

Ronna P.

Dr. Rahman is wonderful. She is very professional, knowledgeable and kind. She takes time to listen. She handled my problem right away. I had been very concerned about it.

Donna B.

What a great experience! I was greeted promptly and courteously by the front desk staff. I was seen almost immediately and treated with care and concern by both Devon and Dr. Wright. I will certainly make KID my home for dermatology and would highly recommend them to everyone.

Penny F.

Dr. Adam Wright took his time to explain the procedure, perform the surgery, and teach how to care for wound afterwards. I have found few physicians take such time with their patients and I am a registered nurse.

Laurie J.

I was very pleased with the efficiency of the staff who handed me some forms, then directed me upstairs where I barely sat down before I was escorted to the exam room. Dr. Wright came in a few minutes later and got down to business in a most pleasant and professional manner. Thank you.

Jerome R.

I had a recurring dermatological condition for several and a series of dermatologists as a result. And yet until I met Dr. Wright, my condition remained undiagnosed and it turned out to be potentially life-threatening. I am so fortunate to have found him and I would not go to anyone else and recommend him often.

Donald B.

Knox Institute of Dermatology is the best! Dr. Adam Wright has always been very courteous and knowledgeable of my care.

Robin P.

Lindsey Best, NP is a great listener and she is sensitive to my daughter’s questions and concerns. Her acne is getting better! Thank you!

Campbell T.

I saw the NP. She was personable, informative and skilled in taking care of my problem. I recommend her and will ask for her if I have need to go again.

Martha M.

Awesome doctor, awesome staff. Definitely would recommend this office to all my friends. Also, my husband is a patient and my daughters will have appointments soon.

Cynthia P.

Dr. Rahman and her nurse were very friendly, professional, and spent an appropriate amount of time with me. I have some benign lesions that I want to have removed at some time in the future and I will return to Knox Institute of Dermatology.

Patricia G.

We had a great experience with Dr Anderson, she was great with my 10 year old son, minimal wait times. Lovely office and staff!

Ian S.

Dr. Elizabeth Anderson is very thorough, knowledgeable, listens, explains the best treatments, and gives options for care.

Mark S.

I had an overall satisfying experience as usual. Short wait time, attractive and clean facilities, courteous and professional yet welcoming staff. Dr. Rahman was thorough and treatment options were well explained.

Larry Troy M.

Dr. Anderson has been my dermatologist for several years, and I continue to be impressed with her dedication, caring attitude, and professionalism. The staff are always friendly and helpful.

M Carol S.

I was called back promptly. Dr. Rahman was careful to make sure I was not experiencing any pain during the procedure.. The staff was friendly, yet very professional; clearly describing follow-up procedures I needed to perform. My insurance initially rejected a prescribed mediation, but the staff worked tirelessly and was successful in getting them to reverse their decision.

Susan P.

Friendly and excellent service! Love the staff, always up beat and happy. Comfortable with staff knowledge and skills. Just a great experience if there is such a thing when visiting a Dr.

Gary C.

Dr. Wright was very caring, answered questions in a way I could understand, listened to what I had to say. I especially appreciate that he doesn’t prescribe medications without careful thought and trying alternatives first.

Jane R.

Dr. Anderson is a knowledgeable, compassionate, and caring doctor. Her nurse, Lori, was equally sensitive to my concerns and she showed the utmost respect and dignity during my medical treatment.

Terrissa D.

They have a very nice and knowledgeable staff. I didn’t have to wait long, and they did a great job of explaining the process and options to me. I highly recommend this practice!

Aaron H.

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