Borelli C, Korting H C
Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, Frauenlobstr. 9-11, 80337 München.
Hautarzt. 2011 Nov;62(11):828-33. doi: 10.1007/s00105-011-2145-6.
Rosacea is like no other disease a problem for patients regarding the use of skin care and cleaning products. The subjective assessment of the severity of the illness is an important factor regarding the development of depression in these patients. Inadequate skin care and cleaning products can lead to irritation and stinging of the skin. Dermatologists should address questions regarding skin care, cleaning and sun screens. Because of the higher irritability of the skin of rosacea patients, all possibly irritating cleaning products or procedures should be avoided. The water temperature is also important; it should be lukewarm to avoid the provocation of a vascular reaction. Soaps should be avoided, because they are alkaline and thus lead to a higher pH of the skin. A higher pH of the skin can lead to irritation. Appropriate make-up causes no aggravation of the skin and increases patient's satisfaction with their skin and thus leads to a higher compliance with pharmacological therapy. Laser or intense pulsed light treatment can improve telangiectasia or erythema. Operative treatment of rhinophyma is effective and well-established.
酒渣鼻与其他疾病不同，它在患者使用护肤品和清洁产品方面是个问题。对病情严重程度的主观评估是这些患者发生抑郁的一个重要因素。不适当的护肤品和清洁产品会导致皮肤刺激和刺痛。皮肤科医生应解答有关皮肤护理、清洁和防晒霜的问题。由于酒渣鼻患者的皮肤更易过敏，应避免所有可能有刺激性的清洁产品或操作。水温也很重要，应是微温的，以避免引发血管反应。应避免使用肥皂，因为它们呈碱性，会导致皮肤pH值升高。皮肤pH值升高会引起刺激。合适的化妆品不会加重皮肤问题，能提高患者对自身皮肤的满意度，从而提高对药物治疗的依从性。激光或强脉冲光治疗可改善毛细血管扩张或红斑。鼻赘的手术治疗有效且已得到充分认可。
