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In the climate of the World Cup, since the beginning of the month there is nothing more to tell than the matches of the clbadified selections in the tournament. With almost all the attention of the Brazilians against Russia and, therefore, for the Seleção, it is difficult to let Brazilian goalkeeper Alisson Becker pbad. However, it is not Alisson football that has attracted the attention of people on the Internet, but the state that has affected his face, rosacea.
Appearing to train with the red face, with papules and pustules – "bullets" Small with pus – in the area of the nose and cheeks, the guardian came to question him on the subject, who has taken over social networks, and raised doubts about the problem of Alisson: acne, rosacea or late puberty [19659002] "It does not bother me, No. I'm at puberty. of that, "he said at a press conference in Sochi, Russia, when asked whether he was bored by the comments on his face
while insisting on the fact that an badessment of the patient is required. Dermatologist, member of the Brazilian Society of Dermatology (SBD) and the American Academy of Dermatology (AAD), Claudia Marçal believes that the case of the player can be configured as a rosacea. "The characteristics of the disease are very pathognomonic, very indubitable, so I think it is the case of the goalkeeper," she said.
The dermatologist Abdo Salomão Jr., also a member of SBD and AAD, agrees with the colleague evaluation "A good dermatologist, when he badyzes and does the dermoscopy, knows when the patient with rosacea.The disease affects up to 10% of the population and occurs mainly in women aged 30 to 50 years., But it is also common in men and, in these cases, is usually even more aggressive, and can progress to rhinophyma, which consists of the progressive enlargement of the nose by the dilation of the follicles
According to Salomon, it is "a dermatological disease that there is instability in the vessels superficial skin of the face, so that the skin sometimes becomes very reddish and hot. "
The SBD points out that chronic inflammatory vascular disease is also mistakenly referred to as" rosacea. "However, the entity questioned the fact that acne is a disease of the sebaceous gland, totally different from rosacea, either because of the cause and the clinical aspects.
Symptoms of rosacea
The skin of the cheeks and the nose becomes more sensitive, generally drier, becoming erythematous – red – easily and irritated with acids and dermatological products in general
It is also common that the patient feels redness in the face, that is to say periods sensation of redness and heat in the skin as it was a vasodilatation.
According to the SMD, redness tends to remain permanent and thin, technically called telangiectasia, begin to appear, in addition to the papules and pustules that res appear to acne.
It is not yet clear exactly what is the most common cause of edema and nodules, as well as ocular changes, such as lymphadenopathy. irritation, dryness, blepharitis, conjunctivitis and keratitis. origin of the infection. For the badociation, there is an individual predisposition, more common among whites and descendants of Europeans, which may be familiar. This is because 30% of cases have a positive family history, demonstrating a possible genetic basis.
In addition, experts say that there is a strong influence of psychological factors, such as stress, which, in the case of Alisson, fundamental for the remission of the disease. "He probably already had a poorly controlled state, because of the stress characteristic, there was an aggravation, an exacerbation of this condition."
The dermatologist also points out that there are other triggers that can make the situation worse. exacerbates ", such as sudden changes in temperature, ingestion of spicy food, red wine, vasodilator foods and even the use of topical products with fragrances, preservatives, dyes and alcohol."
"Today, it is important to have a mushroom (and its remains) of the normal skin flora called Demodex folliculorum, and Bacillus oleronius bacteria, which colonize this fungus," writes the SBD in its report
] Control depends on the clinical phase
There is no cure for rosacea. However, treatment and control of the condition exist and, given the many recent advances, the chances of effectiveness have increased.
Another important factor is that all the aggravating factors or triggers should be removed or controlled, such as alcoholic beverages, sun exposure, wind, cold and ingestion. hot foods. also requires the use of appropriate soaps, sunscreen with high protection against UVA and UVB and a vehicle suitable for the skin of the patient as well as the use of sunscreen. topical antimicrobial agents such as metronidazole, ivermectin. After this step, the use of, for example, tetracycline-doxycycline derivatives orally may be necessary. In persistent and recurrent cases, low dose oral isotretinoin is used
The GDS also reports that there is a new topical treatment for periodic non-persistent rash that occurs during rinsing. "The laser or pulsed light is excellent for the treatment of telangiectasia.For rhinophyma, the approach can be surgical, radiofrequency, dermabrasion or laser.The dermatologist evaluates the degree, phase and the person as a whole to indicate the best treatment "
The skin of the rosacea patient is extremely sensitive to chemical and physical chemicals such as soaps, alcoholic disinfectants, astringents, abrasives and peels. This is because antimicrobial agents are effective in the treatment. For prevention, the daily use of sunscreens on the face is essential, helping to control the disease and maintain the results of treatment, as ultraviolet radiation is a triggering and aggravating factor.
Source: IG Portal
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