Rosacea can present with pimples and be confused with acne vulgaris but in addition, patients may also have facial flushing and spider veins on the face. In rosacea however, blackheads are not present, as they are in acne. Usually rosacea appears in adults and this condition can be caused or made worse by drinking alcohol including wine or beer, or too much sun exposure. Particular foods may worsen this condition. Treatment with prescription topical or oral medications is very effective in treating rosacea, and laser or intense pulsed light treatments can improve spider veins on the face facial redness and spider veins.