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One way to reduce the embarrassing acnelike flare-ups of rosacea, which affects an estimated 14 million Americans, is to reduce stress.

A survey of more than 700 patients found that 91 percent reported that emotional stress caused their rosacea to flare up, and 78 percent said they always or sometimes incorporated stress-management techniques in their lifestyle, Harvard's Dr. Ted Grossbart reported in the journal Rosacea Review.

Of those who worked hard at controlling their stress, 83 percent reported that it reduced or sometimes reduced their rosacea flare-ups. Rosacea typically begins after age 30 as a flushing or redness on the cheeks, nose, chin or forehead that may come and go. As the disease progresses, the redness becomes ruddier and more persistent, and small, dilated blood vessels may appear.

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