Guatemala is in Central America, which is considered part of the continent of North America.
Rosacea is a skin condition that affects parts of your face. Symptoms can include facial flushing, facial redness, spots, thickening of your skin, and eye problems such as dry eyes and sore eyelids. Not all symptoms occur in all cases. Rosacea affects about 1 in 10 people in the UK, usually in middle age.
Taking steroid hormones is known to cause acne in bodybuilders as is medication such as corticosteroids. Rosacea is a type of skin disease that can also manifest as acne. Because medical experts usually cannot isolate just one cause of acne, treatment is limited to mitigating the symptoms.