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Leading dermatologists, ophthalmologists, researchers and others will answer questions about this chronic but treatable condition. New questions are answered every month, so be sure to check back regularly.

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Q I feel extremely worried and depressed about my appearance, and don't know what to do. I think I have rosacea because my nose has changed color or it looks red and irritated, and it's swollen in the mornings.

A

Response from Dr. Ted Grossbart, assistant clinical professor of psychology, Department of Psychiatry, Harvard University and author of Skin Deep: A Mind-Body Approach to Healthy Skin:

You are not alone in your distress. In addition to its physical signs and symptoms, one of the most serious consequences of rosacea may be the emotional anguish that comes from its effects on personal appearance.

A key first step is to seek medical help and consult a dermatologist, who can determine whether you have rosacea and prescribe or recommend appropriate therapy. While rosacea has no cure, treatments are available to control or eradicate its signs and symptoms. The effects of rosacea on appearance can be further minimized with lifestyle changes, proper skin care and cosmetics.

It's also important to keep personal appearance in proper perspective, and to obtain psychological help if needed. Emotional stress itself is a common trigger for rosacea flare-ups in many patients. Facing the disorder armed with the knowledge, coping skills and therapy to bring it under control will help to break the cycle of emotional distress from rosacea that may contribute to continued flare-ups.

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