Question 1

Why do I flush when I have a glass of wine?

Accepted Answer

Vasodilation triggered by alcohol, heat, spicy food or temperature changes is a common phenomenon, and in many people it remains just that. It becomes clinically relevant when flushing is frequent, lasts a long time and progressively leaves a background redness that does not fade: that is the typical trajectory of rosacea, and recognising it early changes the pathway more than tackling it years later.

Question 2

I used a steroid cream and now it is worse: why?

Accepted Answer

It is a sequence often seen on the face. Steroids reduce redness quickly, but prolonged use at this site can thin the skin, make capillaries more visible and cause rebound worsening on stopping, with redness returning more intense than before. This is one reason facial steroids should be used on advice and for defined periods, not as a habitual remedy.

Question 3

Could it be an allergy to cosmetics?

Accepted Answer

It is possible, and the shape of the redness helps: contact allergy tends to produce borders following the area of application and typically appears hours or days later, not immediately. Immediate burning on application points instead to simple reactivity. When the history does not clarify, patch testing gives an objective answer, and it is performed at the Siena clinic.

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