Rosacea affects 14 million Americans and those who have it often mistake it for common acne.

"Some people think they have acne. Many people may have pimples from it and the difference is there are no black heads, associated redness and very often spider veins," said Dr. Paul Rappaport, dermatologist.

It affects people of all ages, young and old, but most often it occurs in women between the ages of 30 and 50. It gets worse as they near menopause.

Symptoms of rosacea include redness on the cheeks, nose, chin or forehead. Small visible blood vessels, red bumps or pimples on the face. Some people get watery or irritated eyes.

"There are certain types of food people ingest alcohol that causes flushing and flushing causes redness and permanent dilation of the blood vessels or spider veins," said Rappaport.

Factors that trigger flare ups include sun exposure, drugs like vasodilators. Spicy foods will make it worse. Avoid cheese, liver, yogurt, and sour cream. Hot drinks including hot cider, hot chocolate and coffee will increase the symptoms. Saunas and hot baths should also be limited.

The cause of rosacea is unknown and there is no cure, there is medical help is available that can control the symptoms.

Topical, medicated creams, oral antibiotics and prescription vitamins are used to treat the condition. Some dermatologists are also using lasers, such as this diode laser to reduce patients' symptoms.

According to the National Rosacea Society, because of its red-faced, acne-like effects, 76 percent of rosacea patients said their condition caused significant psychological problems and lowered their self esteem. If you have been unsuccessfully battling acne, maybe you have rosacea. Contact your local dermatologist for information.

Dr. Paul Rappaport's website: drrappaport.com.

To learn more about rosacea, what it looks like and how to control it, go to www.rosacea.org.