Rougher mainly affects fair-skinned men over 50, but can also occur in others. Rougher often starts quite suddenly, and typically occurs in the middle of the back and middle of the chest, and sometimes in other places such as the upper arms. Countless skin changes, a few millimeters in size, can be seen which can be slight elevations ("bumps"), blisters or flaky changes. The color is red or reddish brown. The disease occurs most frequently in winter and can be triggered by sweating. For many, it goes away after 2-4 weeks, but for others it can last several years. The itching can be very bothersome.
The cause of Grover's is probably irritation in the excretory passages of the sweat glands, therefore some will say that sweating has triggered the disease. Infections can predispose. A lot of sun exposure over several years increases the risk. Sometimes drugs can be a triggering factor. The disease can be difficult to diagnose, and sometimes a tissue sample from the skin can be helpful.
In mild cases, a moisturizer is often sufficient, preferably with menthol or another substance that has a cooling effect. For more serious problems, a cortisone cream will usually calm Grover and perhaps make the disease go away. Grover may be prevented by avoiding heavy sweating.