Rosacea and eczema are two common skin conditions that can often be confused due to their similar symptoms. However, they are two distinct conditions with different causes and treatments.

Rosacea is a chronic skin condition that causes visible blood vessels in the face, with redness around the nose, cheeks, chin, and forehead. It may also cause small, red, bumps or pustules, and thickened skin. While rosacea does not typically cause itching, some individuals may experience mild discomfort or a burning sensation in the affected areas.

Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that causes dry, itchy, and red skin. It can occur anywhere on the body and often appears as patches of dry, thickened, scaly skin. Eczema can also cause small, fluid-filled blisters that can ooze and crust over, and may lead to temporary skin discoloration or skin thickening.

One of the main differences between rosacea and eczema is the location of the redness. While both conditions can cause redness, rosacea is typically localized to the center of the face, particularly around the nose, whereas eczema can occur anywhere on the body. Additionally, while rosacea does not typically cause itching, eczema is known for causing intense itching that can often interfere with daily activities.

Treatment for rosacea may include lifestyle changes, such as avoiding triggers like spicy foods, alcohol, and extreme temperatures, as well as topical and oral medications. Topical medications may include creams or gels containing metronidazole, azelaic acid, or brimonidine, which can help reduce inflammation and redness. Oral medications may include antibiotics, such as doxycycline or minocycline, which can help reduce inflammation and prevent acne-like breakouts. Laser and IPL treatment can help reduce the appearance of visible blood vessels and generalised facial redness. In many cases, this type of rosacea treatment is covered by Medicare.

Eczema treatment may include moisturisers to hydrate and protect the skin, as well as topical and oral medications. Topical medications may include corticosteroids, calcineurin inhibitors, or PDE4 inhibitors, which can help reduce inflammation and itchiness. Oral medications may include antihistamines which can help reduce itching and inflammation.

While both conditions can be managed with proper treatment, they are chronic conditions that may require ongoing care. It is also important to consult an experienced GP or dermatologist to receive an accurate diagnosis and appropriate treatment plan.