Q. Can rosacea be traced to lupus?

A. Lupus is an autoimmune disease that can cause inflammation, pain, and damage to various areas of the body including skin, joints and internal organs. Rosacea and lupus have some symptoms in common, such as facial redness and rash, and sensitivity to light. However, lupus affects many different parts of the body, including internal organs, while rosacea typically affects the facial skin and eyes. 

Q. My rosacea is fairly well controlled but I have a lot of skin sensitivity on my face. Is this a problem for other rosacea sufferers, too?

Q. Is it common to break out in an itchy, bumpy rash (always on my forehead) after slight sun exposure?  Would sunscreen help prevent this?

A. In patient surveys, the sun ranks as the most common trigger for rosacea flare-ups, so it is likely that the sun is the culprit in your case. Even incidental exposure, such as running errands on a sunny day, might be enough to cause an outbreak of rosacea symptoms in some individuals.

Q. Is salicylic acid a known rosacea trigger? I just purchased a new cleanser and noticed this in the ingredient list.

Q. This is my second round of rosacea, but this time it came with a tightening, burning, hot feeling. It is also very itchy. Is itching normal?

A. Yes, itching is a common secondary symptom of rosacea.

Q. My ears have been weeping and draining for three years. I was diagnosed with ocular and regular rosacea a year ago. Is there such a thing as inner ear rosacea?

A. Rosacea is primarily a disorder of the facial skin, but it may also occur on the skin of other parts of the body such as the neck, chest, scalp or ears. However, there is not good evidence in medical literature linking rosacea to symptoms of the inner ear.

Q. I have itching due to rosacea that occurs during the evening and disrupts my sleep. What can I do to alleviate this itching?

A. Sleeping in a room that is too warm often causes itching. A fan or air conditioner may help alleviate this.

The itching also may be caused by overly dry skin or by skin-care products. Avoid rubbing and scratching, which may bring immediate relief but can make matters worse.

Q. Can rosacea be on the lips as well? If so, what can be done to treat them?

A. There have been no reports in the medical literature of rosacea on the lips, although the bumps and pimples of rosacea may appear around the mouth. This can be treated with standard therapy for rosacea.

Another common disorder called perioral dermatitis may also occur around the mouth, and is associated with small bumps, as well as scaling and peeling. This condition can often be effectively controlled with appropriate treatment.

Q. Is there a link between chronic nasal blockage and rosacea?

A. Chronic nasal obstruction has many potential causes, and there is no evidence linking this condition to rosacea. Even patients with rhinophyma usually can breathe well through their noses. A typical stuffy nose is commonly associated with inflammation of the mucous membranes from various causes, often allergies or viruses.

Q. I have special sunscreen, topical medication and special makeup. In what order should these three things be applied to my face?

A. From both medical and cosmetic standpoints, it makes much more sense to apply your medication before applying your sunscreen and makeup.