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Just when you thought acne was something from your dim adolescent past comes word from dermatologists that winter's cold temperatures and biting winds can trigger a form of adult acne called "rosacea."

In its mildest form, rosacea consists of subtle redness appearing anywhere from the middle of the forehead to the tip of the nose and chin. Moderate rosacea can mean increasing redness and small dilated blood vessels visible on the skin. In severe cases dilated pores may develop on the nose and result in a bulbous, red appearance.

Rosacea typically strikes people in their 30s and 40s, and often is ignored because it alternately flares up and recedes.

"Many people believe that this is a complexion problem that runs in families," says Dr. Jonathan Wilkin, professor of dermatology at Ohio State University. "They also don't realize it can be effectively treated. Without treatment, the condition may worsen and cause permanent damage to facial skin."

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