Can rosacea exacerbate hormonal disorders?

Rosacea is a dermatosis initially caused by a significant dilation of the facial blood vessels (telangiectasias), which makes them more visible, especially on lighter skin tones. These manifestations are accompanied by a diffuse redness on the face, as well as skin hypersensitivity, burning sensations, and sometimes hot flashes. It's important to know that rosacea is a chronic condition, meaning it operates in flare-ups. Symptoms may thus regress, or even disappear, for several weeks, before returning. There are several forms of rosacea, each presenting different clinical signs:

• Vascular Rosacea: Also known as telangiectasia, it is characterized by facial redness, which can be intermittent (erythema) or permanent (erythrosis). This often occurs on the cheeks, forehead, nose, and chin. Due to their dilation, the blood vessels on the skin's surface appear blue or red and are visible to the naked eye.

• Papulopustular Rosacea: In addition to the symptoms associated with rosacea, papulopustular rosacea, or acne rosacea, manifests through pustules and red bumps on the face. However, unlike acne, this form of rosacea does not result in blackheads. Papulopustular rosacea occurs following the invasion of the parasite Demodex in the sebaceous glands.

• Hypertrophic Rosacea: A rare form of the disease, it is characterized by dilated pores, skin thickening, or skin protrusions. Hypertrophic rosacea results from an increase in the volume of the sebaceous glands. The nose is particularly affected (rhinophyma) as this area contains a large portion of the sebaceous glands on the face.

• Ocular Rosacea: Characterized by inflammation in the eyes, particularly the eyelids, followed by tearing, irritation, and dryness of the eyes, ocular rosacea is believed to be caused by a malfunction of the Meibomian glands, the sebaceous glands located in the epidermis of the eyelids.