Granulomatous rosacea is a less common form of rosacea, accounting for about 1 in 10 cases. In general, rosacea is a common skin condition which is characterized by patches of affected skin on the face. These patches are red (flushed) and often have bumps or pimples. People with rosacea usually do not have symptoms all the time but instead experience flare-ups of symptoms. Granulomatous rosacea is different from other forms because instead of acne-like pimples or small bumps, one will have nodules or hard bumps. Additionally, instead of the nodules being red, like the pimples or bumps of other forms of rosacea, the nodules tend to be yellowish brown in color. Like typical rosacea, however, the nodules form in an area with the red flushed skin.
Granulomatous rosacea most often affects the areas around the eyes and nose, but sometimes affects the chin and around the mouth. Generally, the pattern of the nodules is symmetrical (the same on each side of the face). The bumps may vary in size from person to person, but an individual will have bumps of the same size. Granulomatous rosacea, like other forms of rosacea, is most commonly seen in women 30 years of age and older. The cause is unknown, but people with autoimmune disorders or whose rosacea is triggered by bacteria, heat, or chemical substances are more likely to develop the granulomatous form.
This type of rosacea may be difficult to diagnose because the symptoms can be very similar to lupus and psoriasis. For this reason, a skin sample is usually tested to confirm the diagnosis (biopsy). There is no cure for granulomatous rosacea, but it does respond well both to natural remedies and prescription medicines. Research is ongoing, so talk to your dermatologist (a doctor who specializes in treating skin conditions) or naturopath about the most current treatment options. Support groups are also a good source of information and can help you connect with others living with rosacea.