Description

This subtype combines background redness with acne-like red bumps and pus-filled pustules, most commonly across the central face. It's often linked to an inflammatory reaction involving Demodex mites that naturally live on the skin.

Causes

Severe inflammatory response, often linked to a reaction against normal Demodex skin mites, causing pus-filled bumps.

Prevention

Stick to a gentle, rosacea-friendly routine and avoid harsh physical exfoliants.

Treatment Options

Topical ivermectin (targets mites), azelaic acid, and low-dose oral doxycycline (for inflammation, not infection).

Myths vs. Facts

Myth: I need to scrub the bumps away. Fact: Scrubbing will dramatically worsen the inflammation and redness.

When to See a Dermatologist

If you have acne-like breakouts on a background of red, sensitive skin, especially on the central face.

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