Hello,

There is no perfect answer. There is one logical answer. I have
known pre-rosacea flushers who have stayed in pre-rosacea for
40years. The answer you are looking for is if your flushing
intensity or duration to a known trigger gets worse over time, then
you are progressing.

Dr. Geoffrey Nase
http://www.drnase.com



> I'm not sure if I can adequately word this question that I have in
a
> manner which will actually make sense but I'll give it a crack.
>
> In your post to myself, madamzara and Jay, you mention 'that you
> believe in treating rosacea in the pre rosacea stage but you first
> must meet the criteria.'
>
> Now I don't know about anyone else but when I was in the pre-
rosacea
> stage, not only did I not know what on earth rosacea was, but I
> thought that flushing and blushing were pretty normal reactions
that
> we all have in certain situations.
>
> I would hazard a guess that if I mentioned to any of my friends
and
> family who blush and flush often, that they may be pre disposed to
> developing rosacea at some stage, I think they'd look at me as if
I
> was talking in tongues.
>
> You say that 'for a person to develop rosacea, he or she must have
> both phenomenon occur; frequent facial flushing and the inability
of
> facial blood vessels to handle the increase in blood flow. A
person
> who just experiences one of these abnormalities will not develop
> rosacea'.
>
> You mention that 'Subjects who flush often but don't experience
> vascular damage and dysfunction, will not advance into true
rosacea'.
>
> You also mention that 'Subjects who have structural damage to
their
> facial blood vessels but don't flush often, will not develop true
> rosacea'.
>
> So how does one evaluate that they have pre-rosacea and may
progress
> to the next stage, when many if not all of pre-rosaceans never
really
> realise that they have a problem until they've progressed into the
> next stage?
>
> Does that mean that even if I was knowledgable enough to know that
I
> had pre-rosacea and was pre disposed to developing it, there
really
> isn't any escaping it because at some stage, despite my vigilance,
I
> would still develop it through the many triggers we are subjected
to.
>
> How many people actually know that they have pre-rosacea? I look
> around and as B mentioned in one of her posts, I see dozens of
people
> in various stages of rosacea.
>
> I don't want to harp on this but you mentioned that it would be
wise
> to follow Jay's advice and not get laser treatment if you have the
> type of pre-rosacea that passes quickly. But what sort of person
with
> pre-rosacea who flushes once or twice a day for less than half an
> hour, be looking to laser as a treatment option for in the first
> place? And would they even know to look at this forum for advice.
A
> few may but I believe many only take action when it leaps into the
> mild stage. Unless they are having facial laser treatment for
> something other than rosacea, then I get it.
>
> I guess this convoluted message is trying to say that even if we
are
> perceptive enough to pick up pre-rosacea symptoms, how do we make
> sure that we are not pre-disposed to it and what can we do to
retard
> it's onset and finally develop it at some stage, to some degree?
>
> Is it a given, that if you meet the previous 2 criteria for
> developing rosacea that Dr Nase mentions, then eventually one day
or
> another it will eventually get you, no matter how diligent we are?
>
> My derms and docs couldn't diagnose me when I had severe rosacea
so
> what hope do we have of being diagnosed in the pre-rosacea stage?
>
> I didn't even know what rosacea was when I was a pre-rosacean. I
have
> 3 friends and many family members whom I have asked and none of
them
> know about what rosacea is. I can see that they all display
classic
> rosacea signs but when I tell them that they may be pre-disposed
to
> it when they blush or flush, it's totally ignored.
>
> So how do you know that you have pre-rosacea unless you progress
to
> the next stage? Who warns you about pre-rosacea and what it may
lead
> to.
>
> I would love to hear from Dr Nase and others on this subject as I
> feel that I literally went from pre to severe rosacea almost
> overnight.
>
> So if there are any pre-rosaceans out there, I'd love to hear your
> stories.
>
> Mermaid