A Flushed Face Isn't Always a Crush; Doctors Warn of Repeated Flare-Ups as a Sign of Rosacea

Surveys show 40% of people suffer from facial flushing for over six months. Doctors warn that repeated redness could be a sign of Rosacea, urging personalized treatment and gentle skincare.
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  • 📰 Published: April 16, 2026 at 18:16
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Central News Agency

(CNA Reporter Shen Pei-shan, Taipei, 16th) A flushed face isn't necessarily a sign of a crush. A survey reveals that 40% of people have been troubled by facial flushing for over half a year. Doctors warn that repeated redness could be a warning sign of Rosacea, with causes involving mites or neurological factors, emphasizing the need for early diagnosis, personalized treatment, and gentle care to stabilize the condition.

April is International Rosacea Awareness Month. Dr. Chiu Pin-chi, Chairman of the Taiwan Acne and Rosacea Association, announced the latest "Facial Flushing Awareness and Experience Survey" at a health education press conference today. The results showed that 30% of respondents experience repeated facial flushing, and 40% reported being troubled by it for over six months. The most common area for redness is the cheeks (nearly 80%), while some patients also experience redness on the forehead, chin, and nose.

The survey was distributed through the association's website and patient community platforms, collecting 1,000 responses. It focused on the public's understanding of repeated facial flushing, their medical experiences, and its actual impact on daily life. The survey indicates that most patients experience chronic, repetitive, and disruptive symptoms that require immediate attention and early intervention.

During the briefing, Dr. Chiu explained that Rosacea is also closely related to the "nervous system." Chronic tension, anxiety, depression, or severe mood swings can lead to abnormal neurological control circuits, triggering a strong "neurological Rosacea" reaction. These symptoms are usually more severe, and if left untreated, can seriously affect a patient's daily routine and sleep quality.

In a media interview, Dr. Chiu pointed out that Rosacea, previously known as acne rosacea, is often mistaken for general skin allergies. The key to identifying it is the location and frequency of the redness. Rosacea most commonly occurs in the "mid-face" area, connecting the forehead, cheeks, nose, and chin.

Among clinical cases, Rosacea is mostly seen in adolescents to middle-aged individuals. Dr. Chiu emphasized that the causes are quite complex. Besides genetics and immune system issues, excessive exfoliation and damaged stratum corneum from improper laser treatments are major culprits. Furthermore, recent studies have found that an overpopulation of "Demodex mites" in facial hair follicles is a common trigger for inflammation.

A 30-year-old patient surnamed Lin has been fighting a 6-year "war against Rosacea." Initially misdiagnosed with atopic dermatitis, medication did not help. At its worst, her cheeks were red, swollen, and purple. The burning and peeling caused her immense distress. After seeking help everywhere without improvement, she finally went to Chang Gung Memorial Hospital, found the true cause, and after a year of adjusting her treatment, finally found a way to coexist peacefully with Rosacea.

Dr. Wang Fang-ying, a dermatologist at Chang Gung Memorial Hospital, explained four major pathogenic mechanisms of Rosacea: "abnormal neurovascular regulation," "imbalance of innate and adaptive immune responses," "impaired skin barrier function," and "increased Demodex mite density and associated microbiome imbalance."

Dr. Wang emphasized that many treatment options are now available, tailored by doctors based on the patient's clinical presentation and severity. Daily skin care is key to maintaining stability. Patients should use mild cleansing and moisturizing products, avoid UV stimulation, and reduce triggers like hot environments, spicy foods, and emotional stress to lower the risk of relapse. (Editor: Kuan Chung-wei) 1150416