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No test for rosacea is known. In many cases, simple visual inspection by a trained health-care professional is sufficient for diagnosis. In other cases, particularly when pimples or redness on less-common parts of the face is present, a trial of common treatments is useful for confirming a suspected diagnosis.
Benzoyl peroxide was first proposed as a treatment in 1958 and remains a staple of acne treatment. [210] The introduction of oral tetracycline antibiotics (such as minocycline) modified acne treatment in the 1950s. These reinforced the idea amongst dermatologists that bacterial growth on the skin plays an important role in causing acne. [207]
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The most common product is a topical treatment of benzoyl peroxide, which has minimal risk apart from minor skin irritation that may present similar as a mild allergy. [6] Recently, nicotinamide (vitamin B 3), applied topically, has been shown to be more effective in treatment of pimples than antibiotics such as clindamycin. [7]
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Some acne treatments target infection specifically, but some treatments are aimed at the formation of comedones, as well. [16] Others remove the dead layers of the skin and may help clear blocked pores. [2] [3] [4] Dermatologists can often extract open comedones with minimal skin trauma, but closed comedones are more difficult. [3]