Rosacea is a chronic facial skin disorder that typically appears in a person’s 30s or 40s, and most often in those with fair skin (particularly women). It first manifests itself as unusually persistent flushing in response to stress or exertion. The flushing worsens as blood vessels in the “blush areas” of the cheeks, nose, and chin become weakened and permanently stretched. Over time, the flushing becomes more pronounced, with uncomfortable episodes increasing in their duration. The skin always looks red and irritated; it may become interlaced with networks of visible veins. Small, firm, red bumps (papules) or pus-filled pimples appear over the red areas. It is because of these bumps that rosacea is sometimes called “acne rosacea” or “adult acne.” Triggers vary by person, but may include ingestion of hot food or beverages, alcohol, or spicy condiments. Emotional stress, heavy exercise, and exposure to sunlight and extreme temperatures also worsen the condition.