Should You Go on a Rosacea Diet? – Rosacea Center

Passing on foods that trigger flushing and choosing ones that may help fight inflammation could be the recipe for a good rosacea diet. Figuring out the foods that are your personal triggers for rosacea can help you better manage the skin disease and avoid red face flares. Consider keeping a food diary to see if you can identify what foods affect your rosacea.

“Certain foods can cause increased facial flushing by dilating facial blood vessels,” says Jill Waibel, MD, a dermatologist in private practice in Miami. and on volunteer faculty at the University of Miami School of Dermatology. Dr. Waibel says food triggers for rosacea vary from person to person, but notes that alcohol, especially red wine, is a classic trigger that can worsen facial flushing.

While red wine was named the top alcohol trigger, other alcohol products (including beer, bourbon, gin, vodka, and champagne) have also been identified as rosacea triggers, according to data collected by the National Rosacea Society.

Rosacea Diet: Food and Beverage Triggers

Besides alcohol, there’s a long list of food triggers that are generally troublesome for rosacea. The top culprits include:

• Spicy foods. Examples are hot sauces, vinegar, hot spices, and meat marinades.
• Hot drinks. Hot cider, hot chocolate, coffee, and tea are suspects. “It’s the temperature of the coffee or tea rather than the caffeine that cause the blushing in patients,” says Waibel. She explains that warmer temperatures cause the blood vessels to dilate and release heat, which then causes the face to turn red.
• Dairy foods. Yogurt, sour cream, and cheese (except cottage cheese) may need to be removed or curtailed from your diet for rosacea if they tend to be triggers for you.
• Foods that are high in the chemical histamine. This includes foods pickled with vinegar, citrus fruits (including tomatoes), chocolate and cocoa, nuts, beans, and legumes.

According to the International Rosacea Foundation, high calorie carbohydrate foods, like sugar, pasta, and bread, can be triggers for rosacea as well.

Waibel says dermatologists recommend that people avoid obvious triggers in their rosacea diet, but it’s not necessary to completely deprive yourself. “We have very effective treatments for rosacea so patients may enjoy a healthful glass of wine or cheese in their daily lives.” She adds that laser and light therapy are very effective treatments for rosacea, and topical and oral treatments are available as well.

Foods to Add to Your Diet for Rosacea

“Any foods that decrease inflammation [redness, swelling, and heat] may improve rosacea,” Waibel says. She notes that foods with omega-3 fatty acids such as enriched eggs, flaxseed oil, and cod liver oil supplements have anti-inflammatory effects.

Here are more food suggestions from the American Dietetic Association that may help fight inflammation:

• Whole grains, such as oatmeal and brown rice
• Nuts, including walnuts, almonds, and pistachios
• Fatty fish, like salmon, tuna, and mackerel
• Berries

“Blueberries and other berries are excellent sources of natural antioxidants and contribute to the overall health of skin and all organs,” says Waibel. They also help fight sun damage. “Generally fruits and vegetables benefit the skin by providing optimal health and keeping medical issues controlled. Vitamin A (found in carrots) helps clear acne and keeps skin healthy,” she adds.

Hydrochloric acid and vitamin B complex have been reported to improve rosacea symptoms in people with low stomach acid, but talk to your doctor before trying this. Some people also tout the benefits of probiotics for rosacea. “There are no studies at this time indicating that hydrochloric acid supplements or probiotics help rosacea — stay tuned, we are learning more every day,” Waibel says.

Top 7 foods to avoid if you have Rosacea

5. Avoid: Non-organic fruits especially apples, peaches, nectarines, pears, grapes, strawberries, raspberries and cherries. Also avoid some non-organic vegetables such as potatoes, spinach, lettuce, and bell peppers.

Replace With: Other fruits and vegetables or if listed above, insist on organic only.

6. Avoid: Gluten (wheat, rye, barley and most oats unless the label states gluten-free)

Replace With: Almond Flour, Coconut Flour and rice flour products. Bread made from flax, pea, quinoa, buckwheat and rice are good alternatives if you insist on eating bread.

7. Avoid: Commercial Meats and Poultry / Processed Meats such as luncheon meats.

Replace With: Grass-fed, Free Range meats / poultry. Organic where possible.

There are other foods/drinks you should avoid, but the above are the main contributors to ill-health and chronic inflammation. Begin by replacing one or two of the above and work your way down the list over time. It may seem daunting and even impossible at a first glance, but it is achievable if you take it step by step. Your family will also benefit from following the same rules, so you will not have to have separate shopping lists.

To avoid the pitfalls of eating the above foods ‘by accident’, or because you have to eat what is available, I highly recommend you plan your weekly meals ahead. This one factor appears to play a significant role in success.

It is commonly discovered upon Laboratory Testing that those with Rosacea have food intolerance.

Some foods that are considered healthy may be in this category. I highly recommend you have your Health Profiles assessed to determine if there is any possibility that you have an intolerance to everyday foods and to arrange testing if necessary. You can contact me by email, and I will create a client login on my website for you and guide you as to how to access and complete two questionnaires. I can then perform an analysis of your responses and advise according to your personal case.

I suggest you eat both cooked and raw vegetables on a daily basis, with high quality protein such as meat, poultry or fish (especially oily fish like sardines and salmon. Salmon should be organic or wild caught only – avoid all farmed fish).

Poached, soft-boiled or lightly scrambled organic eggs make a wholesome and healthy breakfast. For the Rosacea sufferer, it is important to pay close attention to your digestive system (covered in previous weekly newsletters). For this reason, it is also vital for you to know that digestion begins in the mouth. Please make every effort to form the habit of chewing your food thoroughly and in a relaxed manner to promote healthy digestion. Avoid eating when stressed as the digestive processes are shut down to varying degrees when stress is present.

If you have any digestive issues, I urge you to contact me by email in order that I guide you through a personal analysis procedure to determine if your digestive system is in need of clinical attention.

This Week’s Quote:

“Food is your body’s fuel. Without fuel, your body wants to shut down.” – Ken Hill

Lisa is a qualified Nutritional Therapist. She has been practising nutrition for 16 years across a broad spectrum of health conditions. She has a special interest in Rosacea, and her research, together with experience, led to the writing of her thesis entitled “The Nutritional Management of Rosacea”.

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The Chicken, Not the Egg

Demodex mites, the microscopic parasites that are normal inhabitants of facial skin, have long raised the question, “Which comes first, Demodex or rosacea?” as medical experts debate whether their increased numbers on rosacea patients are a cause or a result of the disorder, and now there may be some evidence that the “chicken” — Demodex mites — and not the “egg” comes first, according to a recent scientific report.

In an article in the Journal of the European Academy of Dermatology and Venereology, researcher Dr. F.M.N. Forton has championed the mite as a key culprit behind the development of the condition, noting it may be the missing link in understanding the onset of subtype 2 (papulopustular) rosacea, characterized by redness with bumps and pimples.¹ He noted that National Rosacea Society-funded research has shown that toll-like receptors (TLRs) trigger production of cathelicidins, components of the immune system that may prompt subtype 2 rosacea.

He further noted that the two factors that stimulate the TLRs to induce cathelicidins are skin infection and disruption of the skin barrier. These conditions occur when Demodex mites are present, and he contends that the increased number of Demodex mites may therefore be a cause rather than a result of the bumps and pimples.

The link between mites and infection may be suggested by evidence that the complaint of sensitive skin in rosacea patients disappears when the number of Demodex mites is brought back to normal, he said. Disruption of the skin barrier may also occur as the mites erode the skin surface, penetrating into the lower dermis skin layer.

Furthermore, Dr. Forton suggested the Demodex mites themselves may be responsible for the bumps and pimples of subtype 2. Biopsies have shown that the presence of Demodex mites inside facial follicles consistently corresponds with the immune response in the skin as the body protects itself against invaders.

He noted that bumps and pimples — a sign that the body’s immune system has kicked in — may appear when the mites are already on their way out after treatment. This suggests that the mites trigger the immune process that produces the bumps, rather than simply gravitating toward them after they appear.

Topical therapies are known to potentially reduce the number of mites, and Dr. Forton concluded that confirming a role for Demodex introduces the possibility of important new advances in treatment.

In mild to moderate cases, doctors often prescribe oral and topical rosacea therapy to bring the condition under immediate control, followed by long-term therapy to maintain remission. A version of an oral antibiotic with less risk of microbial resistance has also been developed specifically for rosacea and has been shown to be safe for long-term use.

In severe cases, higher doses of oral antibiotics may be prescribed, and other drugs may be used for patients who are unresponsive to conventional treatments.

Reference:

1. Forton FMN. Papulopustular rosacea, skin immunity and Demodex: pityriasis folliculorum as a missing link. J Eur Acad Dermatol Venereol 2012;26:19-28.

Causes of rosacea – Sönd

In this Article

What can cause rosacea?
Causes of Rosacea
What Foods Can Cause Rosacea?
Can Bio Identical Hormones Causes Rosacea?
Can Flouride Cause Rosacea?
Can Sinus Problems Cause Rosacea?
Can Hot Showers Cause Rosacea?
Does Niacin Cause Rosacea?
Can Drugs Cause Rosacea?
Is Rosacea Caused by a Mite?
What Does Not Cause Rosacea?
What Causes Rosacea Symptoms?
What Food Can Improve Rosacea?

What can cause rosacea?

The exact causes of rosacea are not known. It’s an inflammatory disease. The targets of inflammation are blood vessels in the skin and eyes as well as glands of the nose. It’s possible to consider rosacea as an allergy where symptoms occur in the skin of the face and upper torso.

As with allergies, predisposition to rosacea runs in the families, mostly of North European origin. Additionally to the genetic component, there is an environmental factor. The people that live in cities have rosacea more frequently than people who live in the countryside.

The triggers of rosacea are environmental and lifestyle. For example, changes in weather such as extreme hot temperatures can trigger rosacea. Possibly the most frequent rosacea trigger is strong emotions. On the other hand, many skin care products or medications that widen blood vessels also trigger rosacea.

There are also types of food and drink that cause rosacea:

• Any alcohol containing drink
• Spicy food containing any sort of pepper
• Food containing a compound that gives cinnamon its distinctive flavour

Causes of Rosacea

The causes of rosacea are not fully understood however there are things that are known to trigger Rosacea which we cover below.

Can Argan Oil Cause Rosacea?

Argan oil is shown to be beneficial for scalp and hair. However, as any organic product that contains a number of various compounds, it can cause allergy. There are reports that argan oil for the face can trigger rosacea, although there is no systematic research about it.

Can rosacea be caused by gluten?

In women, there is a strong link between rosacea and gluten intolerance. Gluten causes hyperactivity of the immune system increasing general inflammation. Inflammation of skin blood vessels leads to rosacea.

Probiotics are recommended in the cases of gluten-caused rosacea. It is also important to avoid red wine that can worsen gluten intolerance.

Does Stress Cause Rosacea?

Stress is one of the main causes of rosacea symptoms. For example, in one multicentre study, the most common factor aggravating rosacea was emotional changes (51.7%), followed by stress (48.4%).

Do Hormones Affect Rosacea?

Hormones play an important role in triggering rosacea. Stress is one of the most common factors causing rosacea flares. Stress is mediated by stress hormone, cortisol. Persistent stress elevates the level of cortisol and causes rosacea to become worse.

Another group of hormones, female hormones estrogens are also involved in rosacea. But they have the opposite effect. Changes in levels of female hormones affect rosacea. For example, during the time before menopause, perimenopause decline of estrogens causes the surges in hormones that normally regulate body temperature. This causes hot flashes typical for rosacea.

Does Proactive Cause Rosacea?

Clinical studies of patients have shown that active ingredient of Proactive, benzoyl peroxide can cause rosacea aggravation. Although the concentration of benzoyl peroxide in Proactive is lower than in most medications, there is still an adverse effect. If there is a suspicion that Proactive – or any other treatment – causes rosacea, the doctors recommend immediately discontinue it and find alternatives.

Can Over Exfoliating Cause Rosacea?

Rosacea is an inflammatory disease. Any harsh treatment of facial skin can cause inflammation, including over exfoliating that stripping the outer layers of skin. Can

Weightlifting Cause Rosacea?

Weightlifting involves strenuous exercise on the edge of tolerance. This causes general stress and skin flashes that can develop into rosacea. In cases of rosacea it is recommended to do moderate exercise and avoiding long workouts.

What Foods Can Cause Rosacea?

Diet can cause play a role with Rosacea and certain foods can trigger it. Below we explore the foods that have a reputation for causing Rosacea.

Can Wheat Intolerance Cause Rosacea?

Rosacea is associated with a number of immune system diseases such as allergies to various foodstuffs. It is shown that allergy is one of these diseases. Allergy causes general inflammation and rosacea is an inflammatory disease of the skin. Therefore, wheat intolerance can cause rosacea.

Can Dairy Cause Rosacea?

There is some evidence that dairy causes rosacea. The effect is prominent for people of Asian origin. For people of European descent, the negative impact of dairy on rosacea is less frequent. In fact, probiotics can reduce general inflammation and rosacea flares.

Can Eggs Cause Rosacea?

Egg white protein albumin can be an allergen and therefore can cause rosacea. However, for people who do not have an allergy, poached or scrambled eggs are beneficial as a part of a healthy diet.

Can Eating Strawberries Cause Rosacea?

Strawberries are a known allergen. It is also shown to induce rosacea in some cases. Therefore if you suspect that strawberries cause rosacea flare ups, you should discontinue eating them and observe the effects it has on your skin.

Can Hot Drinks Cause Rosacea?

Rapid changes in body temperature are one of the triggers of rosacea so hot drinks can be a trigger for rosacea. Especially if they contain stimulants that cause blood vessel dilation, for example, tea and coffee.

Can Alcohol Cause Rosacea?

Regular and/or excessive consumption of alcohol is one of the most frequent causes of rosacea. Alcohol causes rapid widening of the blood vessels, especially prominent on the face.

Can Coffee Cause Rosacea?

There are two reasons why coffee can cause rosacea. Firstly, it’s a hot drink and hot drinks, in general, can trigger rosacea in people with genetic predisposition to it. Secondly, coffee contains caffeine that rapidly dilates blood vessels.

Can Diet Deficiencies Cause Rosacea?

The deficit of several vitamins and microelements can cause rosacea. Vitamin B6, Selenium and Magnesium deficiency cause face blood vessels dilation e.g. symptom of rosacea.

On the other hand, treatment for vitamin B12 deficiency common in vegans and vegetarians can lead to rosacea.

In order to prevent rosacea flares, it is important to maintain a healthy balanced diet. Apart from meat and fish, wholegrain cereals such as oatmeal, wheatgerm, and brown rice as well as soya are good sources of vitamin B6. Magnesium is found in dairy, leafy vegetables, nuts and bread. Selenium is found in shellfish.

Can Spicy Food Cause Rosacea?

After heat and alcohol spicy food is the third main trigger of rosacea. Any food that contains a compound that is common in pepper, capsaicin, are likely to cause rosacea flare. This means that you have to avoid any type of pepper, even mild – white, black, cayenne, chili including chili oil, paprika, jalapenos.

The fourth common cause is another plant compound used in food called cinnamaldehyde. Cinnamaldehyde is found in ‘warming’ spices such as cinnamon, cloves, ginger, fenugreek, cloves, mustard, horseradish.

Can Bio Identical Hormones Causes Rosacea?

Bioidentical hormones have the same effect on rosacea as internal hormones. In some cases, female hormone imbalance can cause rosacea. In these cases, bioidentical hormones are prescribed to restore normal balance or, in the case of menopause, to replace normal hormones.

On the other hand, steroid hormones irrespective of their origin are one of the strongest causes of rosacea.

Can Flouride Cause Rosacea?

There are medical reports about cases of fluoride causing rosacea. While fluoride prevents dental decay by making teeth enamel stronger, it also irritates the skin of the mouth. Skin irritation can lead to inflammation that results in rosacea.

Can Sinus Problems Cause Rosacea?

There is a positive association of sinus inflammation or sinusitis with rosacea. This means that people with sinus problems have increased chances of developing rosacea. Steroid hormones that are often prescribed for treating sinusitis can also cause rosacea flares.

Can Hot Showers Cause Rosacea?

The hot temperature is the most frequent trigger of rosacea. Despite being less warming than taking a bath, hot shower heats body starting from skin quite quickly. It is recommended to use warm showers instead.

Does Niacin Cause Rosacea?

Niacin or vitamin B3 is shown to cause rosacea so make sure that you don’t consume an excessive amount of niacin. The obvious source of excessive niacin are breakfast cereals that are often fortified with vitamins including B3. Multivitamins of B-complex vitamins also contain too much niacin.

Can Drugs Cause Rosacea?

Any drug that causes rapid blood vessels dilation can cause rosacea. Prescription steroid hormones also can also cause rosacea flare ups. Before starting to take a drug check whether it has either of these.

Can Steroids Cause Rosacea?

Steroid hormones (steroids) often cause rosacea. Steroids induce general inflammation and as rosacea is a skin inflammation it can be a trigger.

Can Cortisone Injections Cause Rosacea?

Cortisone is a steroid hormone. Steroid hormones frequently cause rosacea. The higher is the concentration of the hormones, the stronger the rosacea symptoms can be, so hormone injection has a high chance of inducing rosacea.

Can Salicylic Acid Cause Rosacea?

Salicylic acid has a skin peeling effect. Therefore a treatment that includes salicylic acid will irritate skin and may trigger rosacea. High concentrations of salicylic acid or prolonged contact with it are more likely to cause rosacea.

Is Rosacea Caused by a Mite?

Dermodex mites that live on the skin in oil glands are associated with many skin diseases including acne and are found more frequently in people with rosacea.

Rosacea is an inflammation that can be triggered by external factors that activate the immune system, for example, hot weather or alcohol consumption. Skin mites, Demodex are associated with rosacea in some people. But rather than directly causing rosacea, these organisms increase general inflammation that worsens rosacea. Stomach bacteria Helicobacter has a similar effect.

What Does Not Cause Rosacea?

There is a lot of misunderstanding around Rosacea and what causes it. Below we look to uncover the false beliefs around the causes of Rosacea.

Can Accutane Cause Rosacea?

Accutane contains a derivative of vitamin A, retinoid isotretinoin. Isotretinoin is used in rosacea treatment. Some formulations of isotretinoin show anti-rosacea efficiency comparable to oral antibiotics. Therefore, it’s very unlikely that Accutane would have an adverse effect on rosacea.

Can olive oil cause rosacea?

Olive oil reduced symptoms of rosacea in a controlled clinical trial. Unless you use a lot of unrefined or extra virgin oil. Virgin oil contains various compounds in addition to the main olive oil compound, omega-3 fatty acids in your cooking, it is very unlikely that rosacea is caused by olive oil.

Can Antibiotics Cause Rosacea?

Antibiotics are often prescribed to reduce symptoms of rosacea as they reduce general inflammation. It is unlikely that antibiotics will cause rosacea. However, they can cause an allergy that looks like rosacea.

Can Dust Mites Cause Rosacea?

Dust mites are one of the more frequent causes of allergy. However, rosacea is not an allergy but a skin inflammation disease. Dust mites do not cause rosacea. It’s different mite that lives on skin, Demodex, that is associated with some rosacea cases.

Is Rosacea Caused by Cleft Lip and Palate?

Cleft lip and palate are developmental defects e.g. they happen when some genes work incorrectly during fetus development. This is not connected to rosacea, which is inflammation.

Is Rosacea Caused by Dehydration?

Dehydration on its own cannot cause rosacea. However, dehydration usually happens on hot days in the sun and these are shown to induce rosacea. For rosacea flare-ups prevention, it is important to stay hydrated and use sunblock and moisturisers on your skin, especially face.

What Bacteria Causes Acne Rosacea?

Although it is still called by its old name ‘acne’ rosacea has different causes than acne. No bacteria causes acne. Acne is an internal inflammation that is caused by the hyperactive immune system. The triggers of rosacea are environmental (hot weather) or lifestyle (alcohol, spices, medication).

Can Helicobacter Cause Rosacea?

Helicobacter pylori is a usual passenger of the human digestive tract. It can cause stomach ulcers in some cases but most people don’t have any adverse effects because of its presence. Some but not all people with rosacea have helicobacter. It is shown that antibiotic treatment that alleviates rosacea symptoms does not always remove helicobacter. This means that rosacea and helicobacter are not connected in many cases. However, just as skin mites Demodex, helicobacter may increase general inflammation.

Can Emollients Cause Rosacea?

Emollients are moisturising treatments applied directly to the skin to soothe and hydrate it. They cover the skin with a protective film to retain moisture. Emollients are formulated to decrease irritation and inflammation. It is unlikely that emollient will cause rosacea. However, for over the counter emollients make sure that it doesn’t contain other potentially irritating compounds such as perfume.

What Causes Rosacea Symptoms?

There are various things that can trigger Rosacea symptoms so we have listed the ones we know of below. 

What Causes Rosacea Bumps and Pimples?

Rosacea bumps or papules are swollen parts of small blood vessels, capillaries. When capillaries are inflamed they dilate and often become visible.

Rosacea is an inflammation of small blood vessels, capillaries. During inflammation the vessels first widen. Then they form red bumps that are called papules.

What Causes Rosacea Pustules?

The most advanced stage of rosacea is pustules. Rosacea starts with blood vessels inflammation. This causes small red bumps or papules. When they fill with pus which is dead immune cells attracted to the sites of inflammation papules form.

Is It The Facial Redness in Rosacea That Causes Pustules?

Facial redness is the first stage of rosacea. The small blood vessels, capillaries swell increasing the blood flow to facial skin. Next stage is red bumps on the skin – papules that are caused by local inflammation of the blood vessels. If the inflammation persists, it attracts immune cells. Dead immune cells accumulation causes pustules formation.

What is The Cause of Ocular Rosacea?

Rosacea is an inflammation of small skin blood vessels. When this condition is more severe, it involves eyes. Small blood vessels in the eyes also widen. They become inflamed, causing the eyes to appear red. People with ocular rosacea have dry eyes and eyelid inflammation, blepharitis.

What Food Can Improve Rosacea?

Diet rich in anti inflammatory food can improve rosacea symptoms. Green vegetables such as green beans, spinach, okra, cucumber are anti-inflammatory foods. Mango and berries are good as well.

There is an emerging evince that gut health is important in rosacea. Two ways to maintain gut health is eat fiber that is abundant in vegetables and helps good bacteria that live in the gut. Eating fermented foods will top up the good bacteria. These foods include yogurt, kombucha, sauerkraut, kefir, pickled vegetables, and fruits.

You may also be Interested in:

Sources

Weiss Е. Каtta R. (2017) Diet and rosacea: the role of dietary change in the management of rosacea. Dermatol Pract Concept. 2017 Oct; 7(4): 31–37. PMID: 29214107 doi: 10.5826/dpc.0704a08

Levin J. and Miller R. (2011) A Guide to the Ingredients and Potential Benefits of Over-the-Counter Cleansers and Moisturizers for Rosacea Patients. J Clin Aesthet Dermatol. 2011 Aug; 4(8): 31–49. PMID: 21909456

Lee J.B et al. (2018) Epidemiological and clinical features of rosacea in Korea: A multicenter cross-sectional study. J Dermatol. 45(5):546-553. doi: 10.1111/1346-8138.14281.

Nutrients. 2018 Jun 21;10(7). pii: E800. doi: 10.3390/nu10070800.

Rodrigo L. et al. (2018) Cutaneous and Mucosal Manifestations Associated with Celiac Disease. Nutrients. 1;10(7). doi: 10.3390/nu10070800.

Williamson T. et al. (2018) Rate of Adverse Events and Healthcare Costs Associated with the Topical Treatment of Rosacea. Am Health Drug Benefits. 10(3): 113–119. PMID: 28626508

Hannah de Gruchy BSc(Hons)

About Author

Hannah de Gruchy is a freelancer writer who specialises in health and wellness. She has a keen interest in the biology of skin and loves using her words to help separate the real science of skincare from the pseudoscience of some skincare brands. Hannah has a degree in Human Biology and many years’ experience working in laboratories around London. Using this experience, Hannah enjoys turning complex science into interesting, engaging and easy to digest pieces to read. In her spare time, Hannah runs, practices yoga and loves cooking plant based foods.

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For the Ageless

Why It’s Worth Trying The Rosacea Diet

If you get next-level flushed when you drink alcohol, eat spicy food, overheat or just because, you might have rosacea. It affects about 1 in 20 people in the UK and about 415 million people worldwide.

Scientists are also investigating the role of your gut microbiome when it comes to the condition. A study of almost 50,00 people in the British Journal of Dermatology found those with rosacea were likelier than the control group to struggle with gastrointestinal issues, such as irritable bowel syndrome and ulcerative colitis.

The rosacea diet: what you need to know

What is rosacea?

Rosacea is a skin condition that causes redness on your cheeks, nose, chin and forehead. It may make you feel like you are constantly blushing. In some cases, pimple-like bumps and dryness can show up to the party, too. The exact cause of rosacea is unknown, but it tends to be prevalent in people with fair skin or who blush easily, although people with darker skins do experience it, too.

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It may start as a slight flush, but over time it can get progressively worse and more apparent. However, some of the lesser known symptoms of rosacea are eye problems such as sensitivity to light, burning and stinging, and the thickening of the skin.

While it’s unclear exactly what causes rosacea, the effects can be debilitating for individuals.

Rosacea treatment: can diet really make a difference?

There is scientific evidence that certain strains of probiotics may reduce symptoms of rosacea, which ties into the gut microbiome research, and the National Rosacea Society survey reports that the majority of patients experience diluted symptoms once they change their diet.

Research does suggest that there is a link between rosacea and certain ‘trigger foods and drinks,’ such as spicy foods and alcohol, and dermatologists frequently suggest that patients experiment with cutting these out.

However, different people may have different triggers, and so it’s worth speaking to a medical professional about what may be the best course of action, for you.

Nutritionist Vicky Pennington advises: ‘One piece of advice which is the NHS gives is to keep a diary to identify any potential triggers.’ But she caveats: ‘As rosacea is a medical skin condition, diet might only be one aspect.’

Consultant Dermatologist Justine Hextall also advises noting down which foods are inflaming your rosacea. ‘Keeping a food diary will help to highlight certain triggers for rosacea. Many individuals often find that simply avoiding trigger foods and alcohol can make a significant improvement to their skin. A diet rich in anti-oxidants and if necessary anti-oxidant supplements will help too,’ she says.

‘Keep in mind that one of the most common triggers for rosacea is stress. Exercise that doesn’t exacerbate rosacea, mindfulness and in some cases hypnotherapy can help relieve rosacea symptoms and triggers,’ she adds.

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Your rosacea diet plan

Doctors are still unsure about what causes rosacea, making it difficult to explain why things like weather conditions, physical activities and diet can make the symptoms worse.

However, the basic understanding is that when you flush, the blood rushes to your face causing it to become red and warmer, and those with rosacea have a higher sensitivity to heat leading to inflamed skin.

While everyone is different when it comes to their ‘triggers’, the rosacea diet focuses on eliminating foods and ingredients that tend to exacerbate the symptoms.

Lisa Borg, Nutritional Therapist at Pulse Light Clinic also recommends identifying food allergies and or sensitivities. ‘These may not necessarily cause a flushing episode, but rather a delayed reaction in the immune system which results in inflammation and excessive heat production. Some common symptoms of food sensitivity are: drowsiness during the day, sinus problems, bloating one to three hours after eating, migraine, unexplained fatigue and dark circles under the eyes,’ she says.

Pennington explains: ‘Triggers might vary from person to person, so it is useful to keep a log. For example, spicy and alcohol might only be triggers in some people. There would be no harm in avoiding these two however.’

Foods that could be rosacea triggers

• Spicy foods and ‘hot’ spices like paprika, cayenne, cumin and black pepper
• Dairy – think yoghurt, cheese and sour cream (there is no strong evidence linking rosacea and dairy, but some say that swerving it helped to lessen their symptoms)
• Sugar
• Alcohol (particularly red wine, champagne and beer)
• Hot drinks, including tea, coffee and hot chocolate

Foods to eat on the rosacea diet


• Nuts and berries
• Leafy greens and whole grains
• Lentils, asparagus and kale
• Deeply pigmented fruits and vegetables such as sweet potato, broccoli and cauliflower
• Fatty fish, such as wild salmon and mackerel
• Chia and flax seeds

Is the rosacea diet plan safe?

As long as you are getting sufficient nutrients from your diet, there is no need to worry that a rosacea diet is unsafe. Before making any drastic change to your diet or cutting out entire food groups, do consult a medical professional.

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What else can you do to help with rosacea aside from diet?

‘There is a long list of factors that can help with rosacea aside from diet,’ says Borg. Here are her top six tips.

1/ Be careful with your skin

Treat your skin with care, use lukewarm water and a mild, natural soap. Avoid washing your face with water that’s very hot or very cold. Dry the skin carefully, patting it instead of rubbing it. The quality of the water you use to wash with should also be addressed if washing is a particular trigger for you.

2/ Choose your clothing and the material it is made from carefully

Choose clothing made from cotton (organic cotton is even better), and avoid clothes that raise the local temperature around your face (e.g. polo neck jumpers), also avoid the synthetic fibres (rayon, nylon etc) as these do not ‘breathe’ as cotton does.

3/ Use SPF

Make sure you have adequate sun protection on a daily basis, ensure that it is non-irritating and hypo-allergenic, always test on a small area of skin before use.

4/ Avoid extreme temperatures

Getting overheated or moving from one extreme temperature to another can trigger rosacea. Whilst you may have no control of humidity outdoors, or indeed in an office or work-place, you can use a humidifier at home.

5/ Choose the right skincare

Opt for cosmetics that are as gentle as possible: the French pharmacy brands, such as La Roche-Posay, are gentle on sensitive skin.

6/ Try topical steroid creams

These can help to relieve the symptom but do not address the underlying causes. You should only use these under medical supervision.

Now that you know about the rosacea diet, learn about how to deal with feeling constantly tired.

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Steer Clear of these Foods for Calm Skin • Joyous Health

Being prone to redness has always been part of my life but given my healthy lifestyle, I never thought I would develop rosacea. I just assumed the fact I’ve always blushed easily and my cheeks get really red when I do an intense workout is just who I am. But here I am today, sharing this with you and it’s something that I’m dealing with one day at a time. Just like eczema, there is no cure for rosacea, just management of symptoms by reducing the factors that contribute to the inflammation.

I’m not gonna sugarcoat things and say it’s been a walk in the park – I didn’t just eat some kale and poof I had calm skin.

I wish it were that easy. Many people comment on my skin that it doesn’t look like I have rosacea but that’s because I cover it up with tinted moisturizer and pressed powder when I have a flare up.

There’s been plenty of tears of frustration over the years but one thing I can say for sure is that my skin would be far worse if I was not careful with my diet and engaged in unhealthy habits.

Rosacea is redness that affects your cheeks, nose and chin. It is one of the most common skin conditions for people over 30. In fact, millions of people all around the world suffer from it. It is a multifactorial skin condition, which means there is no one single cause for it, which makes it a little frustrating when you’re trying to address the root cause.

That being said, there is so much you can do to manage this condition in terms of your nutrition and lifestyle.

As a nutritionist, I’ve spent a lot of time researching this condition and I can say with confidence I have tried everything natural. I have chosen not to take antibiotics or use any antibiotic creams or steroid creams on my skin as the side effects outweigh any benefits.

I do know my rosacea would be far worse if it were not for the habits I have in place. In this post today I’m going to share with you what you need to avoid if you have rosacea from a dietary perspective. Don’t worry, I will do a follow up post with all the wonderfully nourishing foods you’ll want to be eating like everything in this Veggie Quinoa Soup!

What To Avoid Eating If You Have Rosacea

This doesn’t mean you can never eat these foods again because many of them are health-promoting. I still eat eggplant ( as you know! ), I eat strawberries when in season but I keep this list in mind to manage my symptoms and there is no food on this list I eat every day. Some of these items I never consume (red wine) because they are big triggers for me. Know your triggers and it will help you manage your symptoms.

Rancid Oils (Most Vegetable Oils)

Corn oil, cottonseed oil, soybean, canola, sunflower and safflower oil usually in clear plastic bottles that line the grocery store shelves in abundance should be avoided. The consumption of these oils has increased dramatically in the last decade.

There are multiple problems with these oils making them the very worst choice for your health.

Before they end up in the bottle, they have often been treated with multiple pesticides and chemicals (many of them GMO), extracted with solvents such as hexane, been treated with multiple chemicals, and subjected to an unbelievable amount of processing from bleaching to deodorizing and more. Additionally, they are very high in omega-6 fatty acids and our diets have far too much of this fat already which can contribute to inflammation and make rosacea worse.

It’s important to note that not all plant oils are bad. Olive oil, avocado oil, pumpkin seed oil and coconut oil are all plant-oils I use in cooking and baking. Choose organic cold-pressed oils (that means no heat in the extraction process) and look for oils packaged in dark glass bottles. Dark glass bottles protect the oil from oxidizing (going bad). The exception is coconut oil because it’s mostly saturated fat which means it’s more stable than olive or pumpkin seed oil.

Since there are foods that are high in histamine and foods that trigger the release of histamine, I’ve combined both in the following list:

• Alcohol and other fermented beverages i.e. kombucha and water kefir
• Fermented foods such as yogurt, dairy kefir, sauerkraut
• Veggies: eggplant, spinach
• Fruits: avocados, tomatoes, bananas, papaya, citrus fruits
• Walnuts, cashews, peanuts, pineapples
• Seafood
• Egg whites
• Chocolate
• Soy
• Yeast extract
• Any foods that are aged, pickled, dried, smoked, processed or fermented

Histamine causes vasodilation in the skin (widening of blood vessels) which exacerbates rosacea. This means that when blood vessels in the face dilate, redness follows. I take quercitin everyday because it’s a phytonutrient that inhibits the release of histamine – this has helped me. All that being said, high-histamine foods may not be an issue for you. It’s a bit of trial and error.

Cow’s Milk

One of the most common food allergens and food sensitivities is dairy. In addition to that, lactose intolerance affects around 65% of the population. This means 65% of people do not make an enzyme needed to break down the milk sugar and therefore have many symptoms like gas, diarrhea and bloating when they consume dairy.

Even though dairy is a great source of bone-building nutrients like vitamin D and calcium it has a downside. Dairy can be inflammatory ( inflammation is at the root of rosacea), causing redness and swelling, making rosacea worse. Fermented dairy such as yogurt and kefir as you just learned is a source of histamine.

What about goat and sheep dairy?

This is a better option if you are sensitive to cow dairy. Sheep and goat dairy have less A1 casein protein and an abundance of A2 casein. Why does that matter? This matters because A1 is far more irritating and allergy provoking than A2. I’ve written more about this here: Cow vs Goat and Sheep Milk, Which is Better?

Gluten can cause increased permeability in the gut leading to leaky gut, food sensitivities, and inflammation. Increased levels of inflammation, food sensitivities, and poor gut health also exacerbates rosacea. It has been established that a high incidence of people with gastrointestinal disorders also have rosacea. It is well known that gluten can make these GI disorders worse.

Gluten intolerance, celiac disease and autoimmune disease are at the root of many skin issues beyond rosacea such as acne , eczema , and psoriasis.

If you want to fuel the fire of rosacea then eat lots of sugar. Wait! Don’t do that! Sugar worsens inflammation, increases oxidative stress, irritates the gut lining and aggravates rosacea. It also promotes AGEs (advanced glycation end products) which has this caramelizing effect on your skin, we talk about it in season 1 of the Joyous Health Podcast, listen here .

Sugar also causes rapid swings in blood glucose and insulin levels, may increase hunger, and may elevate free fatty acid levels. The latter oxidizes and turns rancid quickly which translates to inflammation in the body. The same goes for refined starches in foods such as white rice, white bread and white pasta and other foods made with white flour.

I do my best to avoid added sugars even if it’s organic cane sugar which means you must be an avid label reader. Refined sugar of course is the worst offender because it’s truly nutrient dead. I use honey, stevia, maple syrup and others to sweeten but truly in moderation.

All of the dessert recipes here on Joyous Health use natural sweeteners.

Despite the French paradox, alcohol causes increased production of inflammatory cytokines, which are cell-signaling molecules. This causes the dilation of the small blood vessels in your face, making your skin flushed. It’s as simple as that. Want to reduce rosacea, skip the wine. Sorry!

Anything really warm can set off a rosacea flare. That being said, I’m a huge tea drinker but I know that caffeinated beverages like coffee or black tea, as delicious as they are, they make my cheeks very hot. However, I can slurp back any of our organic herbal teas (caff-free) with no issues. The key here is to notice your triggers and do your best to avoid them.

The culprit in spicy foods is the compound capsaicin. Capsaicin affects the pain receptors in your skin that feel warmth. Foods high in capsaicin include chili peppers, jalapenos, hot sauce and Tabasco sauce. Black pepper, paprika, curry spices can also make your skin red. That being said, I love a little hot sauce on my eggs or drizzled on my cauli tacos. But I don’t use it every day.

Cinnamaldehyde gives cinnamon its familiar pungent flavor. This compound causes a warming sensation that can trigger rosacea symptoms. It’s found in a range of foods including cinnamon, tomatoes, citrus fruits, and chocolate (very sad face). I haven’t found this to be a big trigger for myself personally, but everyone is different so please just be aware of this one.

Remember, it’s not about perfection— it’s about being aware of your triggers.

If you have the knowledge about what can cause a flare up for you, then you’ve already won half the battle! This will build your confidence in managing your symptoms. 

If you’ve read all the way to the bottom and you’re wondering what you CAN eat, remember it’s about your diet as a whole. If you eat some birthday cake or have your mom’s famous apple pie and ice cream this weekend don’t beat yourself up about it. If the large majority of the time you’re eating nourishing foods than the occasional indulgence is okay and recommended!

I will be back to share foods to add, supplements to consider and of course lifestyle factors that play a huge role in rosacea flare up from emotional stress to poor sleep habits.

Wishing you calm skin,

Joy xo

Alkaline Diet & Rosacea – DermaHarmony

Can an Alkaline Diet Help Rosacea?

by Dr. Scott Olson,
Naturopathic Doctor (ND)

If you are one of the unlucky people who have rosacea, you have probably searched for a solution to your problem and maybe you have tried a few approaches including various creams, light therapy (phototherapy), or even some alternative treatments. While some of these approaches may have worked for a while, eventually, the rosacea returned.

Not all is lost, though, and you have probably learned a lot during your search. You may have discovered that harsh chemical creams or lotions can actually make rosacea much worse, despite what the package claimed. You may have also learned that phototherapy worked, at least for a while. And you probably learned that many treatments simply don’t work at all, despite whatever the hype was about the product.

All of these approaches are doomed because they fail to understand and address the underlying cause of the disease. What you need to do is forget trying to treat rosacea as a skin problem and think of it as a whole-body problem; or, more specifically, a gut problem.

The old saying that “beauty is more than skin deep” has never been truer than when you are dealing with a skin disease such as rosacea. Skin diseases are reflections of overall health. It is well-known, for example, that people who eat a non-Western diet have fewer skin diseases: including rosacea, acne, eczema and others. This is because non-Western diets focus on more fruits and vegetables and fewer sugars, grains, and processed foods. People eating a non-Western diet are healthier than the average American and their skin shows it.

Brady Barrows and author of a book on diet and rosacea, called Rosacea Diet: A simple method to control rosacea, commented on the relationship between processed foods and rosacea:

As the processed food industry of the developed world makes inroads into the underdeveloped world the result is a diet producing obesity. Rosacea during this same period has increased dramatically worldwide. The current number of Americans with rosacea is over 14 million.

There is a healthy path to clearer skin and, while it may take more effort on your part than simply buying a cream or lotion, the results will be dramatic and long-lasting.

What is Rosacea?

Rosacea is a chronic skin disease that produces a red rash across the cheeks, nose, chin, and forehead. The rash goes through periods of remission followed by periods where the rash is much worse (flare-ups). What exactly causes a flare-up is a bit of a mystery, but most people, over time, uncover their own triggers that seem to make the rash much worse. For some people, their trigger is coffee or other hot drinks, for others it is stress or anxiety, and for others it may be some food they ate.

What you need to recognize about triggers is that they point to you in the right direction: Triggers tell you that rosacea is a whole-body disease and not just a skin disease.

While rosacea can be severe and produce permanent swelling of the nose called rhinophyma, or even severe eye symptoms, for most people rosacea remains an unsightly, embarrassing blotch on their face.

The Gut and the Skin

While it can sound strange, there is actually a very close relationship between the health of your digestive tract and the health of your skin. Some researchers have gone as far as to say that inflammation or the rash on the face means that there is also inflammation throughout the gut.

Although the precise etiology of rosacea is not known, numerous associations with inflammatory gastrointestinal tract disorders have been reported. Furthermore, substance P-immunoreactive neurones occur in considerably greater numbers in tissue surrounding affected blood vessels suggesting involvement of neurogenic inflammation and moreover plasma kallikrein-kinin activation is consistently found in patients.

While there is a lot of technical jargon in the quote above, it is basically saying that there is a close relationship between inflammatory conditions of the gut (such as ulcerative colitis, Crohn’s disease or even Celiac disease) including body-wide inflammation and a disease like rosacea.

Slow transit time, better known as constipation, has also been known to be associated with rosacea. In a recent study, researchers treated a rosacea patient with slow transit time and saw a complete removal of his symptoms. This study, while incredibly small, shows the relationship between gut health and rosacea.

Other studies on diet and rosacea have also been preformed. A vegetarian alkaline diet was shown to dramatically reduce the symptoms of rosacea over two months. Not only did the symptoms of rosacea reduce or disappear in almost every participant, but eating an alkaline diet also reduced body-wide inflammation in the participants.

Acid Base Balance is the Key

A whole-body approach to rosacea recognizes that what you put into your mouth matters and what you eat can affect your health and the look of your skin. A whole-body approach is also an understanding that the body needs balance in order to thrive, and that most of what we typically eat puts us way out of balance.

The basic balance in your body is called the acid/base or acid/alkaline balance. You might have heard of pH balance, but not known what it is exactly. Every food that we eat has a certain pH: it is either a low pH (1 —7) and considered an acid, or it is a high pH (7-14) and considered a base. Water is right in the middle; it is not either an acid or a base. Your body likes to mimic water and keep its own pH close to neutral as possible; the blood, for instance, is slightly basic (pH of 7.3—7.4).

It is this at this neutral or slightly alkaline pH that your body functions its best.

When your body is in an acidic state, instead of the natural alkaline state, it doesn’t function well. This means that the body’s basic mechanisms such as detoxification, elimination, and repair all don’t function as they should. When these mechanisms fail, the result is disease, in your case, this means that rosacea once again flairs up.

This acid problem is made worse by many of the activities we engage in: eating poorly, not sleeping well, not exercising, and feeling stressed… all of these push us to an acidic state.

How to Discover Your Own Balance

It is very easy to discover what you own personal acid base balance is by testing either your saliva or urine every morning. You can use pH strips, which are multicolored strips that can let you know if you are too acid or alkaline (although it is hard to be too alkaline).

In order to test your pH simply put a pH strip in your mouth or touch the paper to your urine stream. You want to do this first thing in the morning. As you eat an alkaline diet, you can watch how your pH readings will change from acidic to more basic (from unhealthy to healthy). You can also notice how different foods will change your morning pH and how you feel when you are more acidic.

When Acid Pushes You, Push Back

Since many of the activities you engage in push you towards a more acidic state, you have to develop an action plan to push back. The easiest way to do this is to eat a diet that is more alkaline. While you do not have to eat a purely vegetarian diet, you do want to include a large number of fruits and vegetables in your diet.

Much like giving a car the right fuel, our bodies thrive when we give it what it needs. Interestingly, eating an alkaline diet not only means that your body is more in the proper balance, but it is also getting more of the nutrients your body needs.

Diet—far from being just a source of potential triggers for Rosacea—is actually the key to a permanent solution to the disease. Eating an alkaline diet means that in as little as a few weeks, your skin should start looking better and you will feel much better.

Rosacea Rescue Diet

The best diet for someone with rosacea is an alkaline diet.

Here are the basics to an alkaline diet:

• Eat more fruits and vegetables, in fact they should outnumber and outweigh all the other food that you eat.
• Avoid acid-forming foods such as grains, sugar and many meats. Of the three (grains, sugar and meat), meat is the most allowable because it can be easily balanced by a large amount of vegetables or fruit.
• Drink plenty of fresh clean water.
• Make sure you are getting enough of the essential nutrients your body needs; supplement if you have to, you body may need the additional nutrients.
• Avoid cooked fats, trans fats, and fried foods.
• Avoid dairy foods.

While not a complete list, here are the most common acid and alkaline foods:

Acid-forming foods: alcoholic drinks, breads, cake, coffee, cereals, crackers, grains (except millet and quinoa), vinegar, eggs, oils or foods cooked in oils, meat, seafood and fish, nuts, seeds, pastas, salt, sugar, tofu

Alkaline-forming foods: fresh fruit, vegetable, salad green, sprouts, raw cider vinegar, lima beans, potatoes, citrus fruits, millet, quinoa

When following this diet, you don’t want to completely avoid all acid-forming foods, but you want to balance them with as many alkaline-forming foods as possible. A good rule of thumb is to have a meal of 80 percent alkaline-forming foods and 20 percent acid-forming foods.

Other Helpful Tools

Don’t just stop at changing your diet, there are other ways to keep your body in an alkaline state. Try the rest of these for an added punch to your anti-rosacea diet:

• Manage stress
• Detoxify your body
• Drink enough water
• Add fiber to your diet
• Exercise
• Avoid coffee, tea, trans fats, alcohol, cigarettes, fried foods
• Avoid artificial sweeteners, some have been blamed on causing rosacea
• Eat lots of berries
• Eat cool foods
• Maximize nutrition with a multivitamin
• Take digestive enzymes
• Make sure you get enough EFAs

Despite what you may think, you don’t have to live with rosacea; as your body becomes healthier, so too, will your skin. The side effects of a choosing an alkaline diet is not only that you have healthier skin, but your whole body will feel better.

Related content:

Rosacea Diet (1800 Calories per Day)

Read on for the answers you seek, then give us a call if you would like additional guidance.

90,000 Rosacea on the face – what is it and how to treat it: POSITIVEMED

What you need to know about Rosacea?

What is Rosacea?

Rosacea (rosacea, acne pink) is a chronic inflammatory dermatosis, which is a persistent vasodilation on the face.

Rosacea occurs in 8-10% of the world’s population. The disease is more common in women. However, men develop complications of the disease faster and more often. Acne rosacea occurs primarily in fair-skinned people between the ages of 40 and 50.It is extremely rare that rosacea affects the elderly and children.

Causes of rosacea

The causes of rosacea are not fully understood. But there are a number of theories according to which diseases of the stomach and the endocrine system, disorders in the immune system, hereditary factors, etc. play a role in the occurrence of rosacea.

Internal factors of the human body that contribute to the occurrence of rosacea:

• digestive tract dysfunction,
• changes in the connective tissue of the dermis,
• immune disorders,
• changes in the sebaceous hair apparatus,
• high pressure,
• hormone imbalance,
• psychovegetative disorders,
• Diet with large amounts of hot food and carbonated drinks,
• extractive,
• tonic substances and spices,
• alcohol abuse.

External factors that can significantly aggravate the condition are taking a bath, visiting a sauna or bath.

It would not be superfluous to note climatic factors :

• prolonged exposure to frost or wind,
• use of aggressive cosmetic products,
• strong emotional stress.

Disease symptoms

At the initial stage, skin changes are subtle and temporary and transient.Then the vasodilatation becomes persistent and noticeable. The temperature of the skin rises, locally against the background of dilated blood vessels, if the skin is not properly cared for or the skin is thick, then all conditions are created for the development of a secondary infection: staphylococcus, demodex. Therefore, as a result, there are inflammatory elements and pustules.

Superficial vessels react to the action of internal and external factors and expand.

Rosacea – treatment and prevention

Since there are many causes of rosacea, the methods of treatment are also very diverse.Some products are more conducive to reducing rosacea on the face. Other methods are aimed at treating concomitant diseases. In particular, the digestive system and the nervous system.

Antiallergic and sedative agents are used in the treatment of rosacea. In some cases, the use of antibiotics from the tetracyclines group is allowed. To quickly relieve symptoms, special creams, gels and ointments are used, as well as physiotherapy procedures.

Among other things, a special diet is required for rosacea patients.It is best to eat small amounts of food regularly. It is important to limit the use of any canned foods, sausages, salt, pepper, vinegar and other spices as much as possible. Eliminate sweets, fried foods, alcohol, strong coffee and tea. It is not recommended to eat grapes, oranges, pears and tangerines.

What is possible? You can eat fish or lean meats stewed, boiled, or steamed. Boiled eggs, potatoes, vegetable and butter, carrots, cabbage, fresh cucumbers, beets, apples, plums, berries, rhubarb, dill and parsley, beans, any dairy products, rice, buckwheat, oatmeal, yeast-free bread are allowed.

Prevention of rosacea is based on the elimination of factors contributing to the development of the disease. To prevent rosacea, follow these guidelines:

• If you have light skin, be sure to use photo protection in the summer with spf at least 30
• Wash with special products. The main rule when choosing cosmetics is only moisturizers with a gel-like texture.
• Do not use scrubs
• Eliminate champagne, red wine and sodas
• Eliminate spicy food

Diagnosis of rosacea

Usually a dermatologist makes a diagnosis based on an external examination.To exclude other pathologies, as well as to establish possible causes of the disease, laboratory diagnostics are carried out. Also, the doctor may prescribe:

1. Pustule inoculation assay;
2. Microscopy of skin scrapings, contents of sebaceous glands, hair follicles of eyelashes and / or eyebrows of Demodex mites;
3. Additional advice from other specialists, for example, an endocrinologist or gynecologist-endocrinologist.

The need for diagnostic procedures is established by the doctor in each case individually.

In conclusion

People who are overtaken by this unpleasant ailment often try to cure it on their own. Thus, they inflict additional harm on themselves.

Patients with a severe form of the disease periodically come to see me. But complications could well have been avoided if the patient had turned to a specialist on time and allowed the doctor to do his job!

Traditionally POSITIVEMED all good mood and good health!

Diet for rosacea

27.12.2017

Many people suffer from rosacea, but most of them are not even aware of it. But rosacea, like acne, is often the cause of self-doubt. Some admitted that they even missed work because of this. And while there are currently no effective medications to help effectively manage rosacea, there are still steps you can take to lessen the appearance of rosacea. And you can start with the diet.

Many drinks and foods can trigger an inflammatory response, resulting in skin redness, hardening, and dilated blood vessels.To prevent all this, you need to eat right. However, not everyone has a clear idea of ​​how and what to do. Now let’s talk about everything in order: \

Attention: products provocateurs

• Hot or sour vegetables such as tomatoes, hot peppers, carrots, beets, eggplants, onions, radishes and spinach.
• Alcoholic drinks, hot coffee or tea not only promote vasodilation, but can also be one of the reasons for the appearance of red spots on the face.
• Foods high in histamine, such as citrus fruits.
• Sugar and starches can also cause acne and redness of the skin.
• Warming spices: ginger, cumin, black pepper, fenugreek seeds, cloves.
• Beef.
• Seafood.

What you can:

• Fresh vegetables: asparagus, cucumbers, sweet potatoes, leafy vegetables, pumpkin, broccoli, cauliflower, celery, okra, lettuce, green beans, squash or zucchini.
• Soothing spices: coriander, cardamom, saffron, fennel.
• Fish of the salmon family is not only healthy and nutritious, but also has anti-inflammatory properties and perfectly reduces skin redness.
• Goat Cheese: An excellent source of protein, digestible and improves skin condition.
• Turkey or chicken (in moderation).
• A fish.
• Non-citrus fruits: grapes, melons, mangoes.
• Turmeric.
• Ghee, a type of refined ghee widely used in South Asia, helps to strengthen the immune system.

In general, some experts recommend eating a diet in which 25-35% are fresh vegetables, 25-35% are protein-rich foods (tofu, cottage cheese, egg white and white meat), and the remaining percentage is given to grains (nuts , wheat germ bread, barley, granola, amaranth seeds, polished rice, and tapioca).

Try making salmon rolls with asparagus, for example. This combination is ideal because salmon has anti-inflammatory properties, goat cheese is easy to digest, and overall, the whole product is low in carbohydrates – just what people with acne or rosacea need.

The recipe for the dish is extremely simple. Simmer 2 tablespoons, chopped shallots and 1/4 cup chopped asparagus in olive oil.Mix with 100 grams of fresh goat cheese, season with salt and pepper to taste. Take the filling and place in equal small portions on slices of thinly cut, as for the preparation of rolls, salmon and roll. Refrigerate and refrigerate for at least 2 hours.

Rosacea Disease

Rosacea (rosacea) is a chronic recurrent facial skin disease. It is manifested by redness, the formation of papules (acne), the expansion of small vessels. It occurs at the age of 30-50 years, more often in women.As it progresses, it can move to the skin behind the ears, eyes and chest.

Diagnostics

A dermatologist makes a diagnosis based on examination, history taking and examination with a dermoscope. If necessary, a general and biochemical blood test, lipid profile is prescribed.

Symptoms

Initially, redness appears on the skin of the face, which lasts for several days. A vascular mesh becomes visible on the cheeks (telangiectasia). On the reddened place, many papules (rash) appear, starting from the nose and nasolabial folds, then spreading to the forehead and chin.Some of the papules turn into abscesses and nodes, the rash can merge into one inflamed area.

In men, rosacea often manifests itself as rhinophyma – redness and hardening of the skin on the nose.

First Aid

Rosacea is a chronic disease that can only get worse without professional treatment. It is important at the first signs: redness of the skin of the face, an obvious reaction to cold and heat – consult a dermatologist.

Treatment

First of all, a cosmetologist or dermatologist may prescribe NSAIDs (non-steroidal anti-inflammatory drugs) or steroids (in severe cases).In addition, antibacterial agents (internal and external), drugs that suppress the production of sebum (antiseborrheic), etc. are used.

Prevention :

1. Reduce exposure to provoking factors: prolonged exposure to the sun, alcohol, spicy foods, drinks that are too hot.
2. Adhere to a diet, excluding pickles, canned food, vinegar, pastries, some types of fruits (pears, tangerines, grapes).
3. Enrich the diet with fish, boiled eggs, carrots, cabbage, parsley, dairy products.
4. Complete the course of treatment for the underlying disease.

Complications :

• irreversible changes in the skin;
• ophthalmic rosacea (transition of inflammation to the eye).

Reasons

Dermatologists call the causes of rosacea diseases of the gastrointestinal tract, endocrine system, menopause; infectious diseases, ticks of the genus Demodex. In addition, topical corticosteroid use can cause rosacea.

Exposure to cold or heat, solar radiation, the use of spices, hot drinks, alcohol contribute to the recurrence of rosacea.

Symptoms and Treatments in EMC

Rosacea is a chronic skin disease that manifests itself as reddening of the skin (erythema), telangiectasias (dilation of small vessels of the skin), as well as papules and pustules that resemble acne in appearance. The disease is characterized by an undulating course with alternating periods of exacerbations and remissions.The term “rosacea” is often used when talking about rosacea .

Localized mainly on the face: in the forehead, nose and chin. Rarely on the neck, chest, scalp, or ears.

Locations of rosacea:

• Face: cheeks, nose, zygomatic arches, chin and area around the mouth, forehead, eyebrows, conjunctiva of eyes and eyelids

• Hairy part of the head

• Auricles

• Neckline

• Epigastric region (extremely rare)

Rosacea: more about the disease

Rosacea is a genetic condition of the skin, an individual feature of the structure of blood vessels and their reactivity.Rosacea accounts for 5-7% of all dermatoses in Russia, but recently the number of such patients has increased.

Often the patient does not even suspect that he has a disease, because the symptoms are similar to rashes. The difficulty in this case lies in the fact that acne and rosacea can exist in one person at the same time. The only thing is, acne is more common at a younger age, and rosacea is more common in people between the ages of 30 and 50. Acne disappears with age, but rosacea cannot be “overgrown”.

Rosacea affects both men and women equally. In men, it is less common, but more severe. The disease is rare in children.

Causes of rosacea

The exact causes of rosacea have not yet been established. One of the main versions is that the disease is genetically determined and arises from a change in the tone of superficially located small vessels (arterioles).

Factors that influence the occurrence of exacerbations of rosacea:

External factors:

• abuse of spicy food, spices

• drinking hot drinks (60˚ and more)

• chemical peels

• use of drugs with corticosteroids (steroid rosacea)

• cosmetics with aggressive ingredients

• taking certain medicines

• excessive insolation, UV irradiation

• strong wind

• exposure to high and low temperatures

• alcohol abuse

Internal factors:

• diseases of the gastrointestinal tract (chronic, gastritis, chronic colitis, chronic cholecystopancreatitis)

• endocrinological pathologies

• disorders in the immune system

• the first and second type of photosensitivity according to Fitzpatrick

• neurovegetative and microcirculatory disorders

• functional insufficiency of peripheral blood supply

Most often, rosacea manifests itself at the age of 30-40.After 40 years, the manifestation of symptoms in women is often associated with menopause. After 50 years and in childhood, the primary development of the disease is extremely rare.

The genetic factor plays an important role in the development of the disease. Rosacea can be associated with the structural features of blood vessels or the functioning of various body systems that affect the formation of this condition. Studies have shown that in 40% of cases the disease is present in the history of patients’ relatives.

Classification of rosacea

Despite the fact that rosacea is a chronic disease with periods of exacerbations and remissions, there are five stages in the development of the pathological process:

• Transient erythema of the central part of the face. Short-term episodes of redness that come on suddenly and disappear without consequences.

• Persistent (background) erythema and telangiectasia. They develop due to the expansion of the vascular network after numerous cases of transient erythema.

• Papular stage. Papules begin to form on the skin.

• Pustular stage (pustules appear).

• Infiltrative-productive stage. Edema and fibro-hypertrophic changes in the skin appear.

There are four subtypes of rosacea:

• Erythematous-telangiectatic rosacea.It is distinguished by the presence of transient erythema, turning into persistent, telangiectasia and edema.

• Papulopustular rosacea. It is characterized by the formation of papules and pustules on the skin.

• Phymatous rosacea is characterized by thickening of the skin, the appearance of a characteristic bumpy surface and the appearance of pineal growths in the nose, on the forehead, on the chin, on the auricle, on the eyelid.

• Ophthalmic rosacea.It can occur at any stage of the disease (possibly even before the onset of skin symptoms) and is characterized by various eye pathologies. Most often it is blepharitis (inflammation of the eyelids) or conjunctivitis (inflammation of the mucous membrane of the eye). In some cases, meibomyitis (inflammation of the meibomian glands located along the edges of the eyelids) and recurrent chalazion join. In difficult cases, keratitis, scleritis and iridocyclitis develop.

Atypical rosacea

• Granulomatous (lupoid).It is characterized by the appearance of dense yellowish papules (granulomas), which, after opening, can leave scars on the skin.

• Conglobate. Large nodes appear with signs of the spread of a purulent process and fistulas.

• Halogen. It develops as a result of taking iodine and bromine preparations, the symptoms are similar to the conglobate form.

• Steroid. It occurs as a result of long-term use of local steroid drugs.

• Gram-negative. It can develop as a result of incorrect antibiotic therapy, differs in the attachment of gram-negative microorganisms.

• Fulminant. It is characterized by the sudden and rapid development of symptoms, including edema, hyperemia, papulo-pustular formations with purulent discharge.

Rosacea symptoms

The manifestations of the disease depend on the stage of development of the disease.

• Erythematous stage . Areas of hyperemia on the face (forehead, nose, cheeks), rarely on the chest, and telangiectasia appear and can persist for several days. Gradually, the number of flushing attacks and their duration increase. The hyperemia becomes brighter, sometimes it acquires a bluish tint. Swelling and peeling appear. The patient feels a burning sensation in the places where the symptoms are localized.

• Papular (pustular) stage .In parallel with hyperemia, there are multiple grouped small papules or pustules with thin whitish scales. The main localization is the nose and nasolabial folds with subsequent spread to the chin and forehead. Symptoms persist for several weeks.

• In difficult cases, 90,015 skin edema may appear , most often in the area between the eyebrows. The patient does not experience discomfort, with the exception of severe itching when the process extends to the scalp.A rash may appear on the chest or back.

• At the papular-nodular stage, increase and fusion of the elements of the rash occurs, this process is accompanied by the formation of nodes and plaques. Hyperplasia of the sebaceous glands with subsequent fibrosis is possible. The effect of “orange peel” is observed on the skin, the tuberosity gradually leads to a change in the shape of the nose, ears, and the relief of the forehead.

Classification of atypical forms of rosacea on the face

• Granulomatous (lupoid) form: red-brown papules 2-4 mm with clear boundaries, localized in the mouth and eyes.Can be single or multiple.

• Conglobate form: large nodes up to 2 cm, with a brown or bluish tint.

• Fulminant form: sudden appearance of multiple elements: papules, pustules, nodes. Characterized by edema and hyperemia with a bluish tinge. The predominant localization is the forehead, chin, cheeks. It is severe and difficult to treat.

• Lymphoedema: cyanotic erythema and edema of the midface associated with the proliferation of connective tissue as a result of chronic inflammation.Very rare.

• Ophthalmic rosacea: the eyes are involved in the inflammatory process, keratitis, conjunctivitis, blepharitis, chalazion, etc. develop.

Diagnosis of rosacea

The required diagnostic techniques are determined as a result of a detailed consultation with a dermatologist, anamnesis, dermatoscopy and visual examination.

The main sign indicating rosacea is persistent long-term (at least three months) erythema of the central zone of the face, which does not involve the skin around the eyes.

Diagnostic Criteria

Basic:

• unstable erythema;

• persistent erythema;

• rosacea;

• papules and / or pustules.

Additional:

• burning and tingling sensation, swelling of the face;

• dry skin;

• the presence of inflammatory plaques;

• eye damage;

• phymatous growths.

To establish a diagnosis, at least two criteria must be met.

Additional instrumental and laboratory studies are needed to exclude diseases with similar symptoms (various dermatitis, systemic connective tissue diseases, etc.), as well as to clarify the main triggers of the disease. The choice of treatment tactics depends on the information received.

The following are used as the main diagnosis of rosacea:

• microscopy of skin scraping

• examination of the contents of pustules (to exclude secondary bacterial infection)

• blood test for markers of systemic connective tissue diseases

• Doppler ultrasonography (allows to record changes in blood flow velocity)

Differential Diagnostics

Rosacea is important to differentiate from other diseases with similar symptoms: acne vulgaris, demodicosis, systemic lupus erythematosus, perioral dermatitis, seborrheic dermatitis, skin sarcoidosis, chronic photodermatosis.

The effectiveness of treatment depends on the accuracy of the diagnosis.

Rosacea treatment

One of the important components of effective rosacea treatment is proper facial skin care and competent prevention.

• Wash with warm water.

• Avoid prolonged exposure to the sun, use creams with an SPF filter of at least 30.

• In cold weather, use fatty creams for protection.

• Abandon the bath and sauna.

• Avoid prolonged and intense physical activity.

• Do not use creams with hormonal components, especially when treating steroid rosacea.

• Cosmetics should not contain vasodilating components, alcohols, heavy oils.

Diet is also important to ensure the success of therapy.It is recommended to exclude spicy, salty and smoked foods from the diet, do not consume alcohol, coffee and strong tea. It is recommended to introduce more vegetables and fruits, lactic acid products into the diet. It is important to eat food warm, not hot.

It is necessary to find out the main source provoking the symptoms, and to exclude all circumstances that may lead to them. Observe causal relationships during exacerbations. By doing this, you will help the doctor choose the treatment that is personalized and best for you.

Drug treatment for rosacea

Drug therapy is prescribed taking into account the stage, duration and features of the course of the disease, the severity of symptoms. Antibiotic therapy is prescribed in the case of the infectious nature of the elements of the rash. For severe rosacea, broad-spectrum antibiotics are often prescribed.

For relief of the inflammatory process, non-steroidal anti-inflammatory drugs are used, and in the absence of a result – glucocorticosteroids.Drugs that reduce the activity of the sebaceous glands and normalize the keratinization of the skin may be recommended.

Special creams and ointments for rosacea are prescribed for bacterial infections. They must have anti-inflammatory, antimicrobial, decongestant, drying and healing effects.

Antibacterial external agents often contain metronidazole and effectively cope with most pathogens of purulent processes, eliminating pustules.

Drug-free treatment:

• laser therapy,

• IPL therapy (treatment with high-intensity flashes of light),

• microcurrent therapy,

• cryotherapy.

Laser therapy

The principle of action of laser therapy (phototherapy) is the effect of a laser beam on the dilated vessels, as a result, their coagulation occurs and the symptoms go away. Several sessions are required to achieve a lasting result.

Laser therapy is often part of a comprehensive rosacea treatment plan. The action of the laser has an antiseptic and antibacterial effect, which is necessary in the treatment of papulopustular forms of the disease.Laser therapy helps to achieve a more stable and long-term remission.

Cryotherapy is also one of the effective treatments for rosacea. It helps to eliminate inflammation and discomfort, restore microcirculation and metabolic processes in the skin.

Groups at risk of developing rosacea

• Rosacea is a genetically determined disease, if relatives suffer from this disease, a person is at risk.

• People who abuse tanning do not use sunscreen

• People who often take a contrast shower prefer hot baths

• People who change cosmetics frequently do not choose the right daily care

• People who often travel from hot to cold climates or are exposed to sudden temperature changes

• People who abuse alcohol and tobacco

• People with dry skin prone to allergic reactions

• People with disorders of the gastrointestinal tract

Prevention of rosacea

The main prevention of rosacea is, first of all, competent vascular therapy.

Prevention of rosacea also consists in minimizing the impact of disease-provoking factors:

• to minimize outdoor exposure in strong wind and frost, use protective equipment;

• exclude visiting the solarium, do not be in direct sunlight during the period of maximum solar activity, apply cosmetics with SPF protection, wear hats with wide brim;

• refuse to visit the bath and sauna;

• choose countries with mild cool climates for vacation;

• maintain optimal temperature and humidity conditions in the room;

• to minimize the presence of spicy, spicy, fatty and fried foods in the diet, do not consume hot food and drinks;

• to exclude the use of alcohol and tobacco smoking;

• to refuse aggressive aesthetic procedures: chemical and mechanical peelings, dermabrasion;

• Provide delicate facial skin care: use mild cleansers without detergents, alcohol and other irritating ingredients, use moisturizers;

• if exacerbations are associated with taking medications, you should consult your doctor about replacing them.

• exclude prolonged exposure to the sun, use creams with an SPF filter of at least 30.

• in cold weather use fatty creams for protection.

• abandon the bath and sauna.

• exclude prolonged and intense physical activity.

• Do not use creams with hormonal components, especially when treating steroid rosacea.

• cosmetics should not contain vasodilating components, alcohols, heavy oils.

Rosacea responds well to treatment, the course of the disease in most cases can be successfully controlled. Thanks to the professionalism of the attending dermatologist and adherence to all recommendations for treatment and prevention, it is possible to achieve a stable long-term remission.

You can make an appointment with EMC specialists by calling +7 (495) 933 66 55, or by filling out the online form on the website

90,000 ROSE WITH IRON SPIKES

Diseases of the skin cause not only physical but also emotional suffering.A red face, a beet-colored nose, a mesh of blood vessels – a middle-aged person experiences unpleasant sensations when he looks at himself in the mirror. It’s not age that is to blame, but the disease – rosacea. It can be prevented and treated. How can this be done?
The questions of the journal “Science and Life” are answered by the candidate of medical sciences T. A. Korchevaya, the general director of the clinic for acne and skin rehabilitation. The interview is conducted by E. Kudryavtseva, a special correspondent for the Science and Life magazine.

Science and Life // Illustrations

General Director of the Clinic for Acne and Skin Rehabilitation, Candidate of Medical Sciences Tamara Aleksandrovna Korchevaya.

The initial stage of rosacea. A hair follicle with microcomedone is a small cyst of the sebaceous gland.

A character in Pieter Bruegel’s painting “Peasant Dance”, judging by his nose, was a victim of rosacea.

Severe youthful acne – acne; clogged pores, accumulation of sebum in the pores lead to inflammation.

Nodular rosacea.

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– Tamara Aleksandrovna, you are one of the leading specialists in skin diseases and rosacea in particular, and you know a lot about it.Please tell us, first of all, how to recognize this disease?

– The international term “rosacea” is a euphonic word associated with a rose, but the disease does not at all make a person appear. The former name adopted in Russia – “rosacea” – was more descriptive. We use both terms today.

As a disease, rosacea was mentioned as early as the 19th century. But there are still a lot of mysteries left.

In rosacea, attention is often drawn to a red nose.There are a lot of sebaceous glands in his skin; at a certain stage of the disease, their activation begins. An increase in the sebaceous glands, proliferation of connective tissue deform the nose, the so-called rhinophyma occurs – the nose becomes red, bumpy, loose. This problem occurs mainly in men. But in general, rosacea often affects women: redness of the facial skin, pronounced vascular network, acne, capturing certain areas – on the cheeks, forehead, chin. Usually, rosacea occurs in middle-aged and older people.If young people have the first symptoms of the disease in the form of red disappearing areas, then this is already a sign that they need to take care of their health.

– What is the mechanism of the disease?

– The cause of the disease is in disorders of metabolic processes in the skin and changes in regulation
the tone of the blood vessels feeding it. This is a kind of manifestation of vegetative
neurosis.

Most often, people with blood vessels close to the surface of the skin are predisposed to rosacea.They (often unaware of their condition) have reddening of the skin. Exacerbations of rosacea occur at the first rays of the spring sun. At first, the redness of the skin goes away, but over time it becomes persistent and the face acquires a permanent pink color. With dilated vessels, more active dehydration of the skin occurs, there is a feeling of dryness.

With long-term untreated rosacea, the sebaceous gland is additionally activated in the hair follicle of the problem area.An inflammatory process arises in them, a secondary infection joins. At this stage, as with acne vulgaris – acne, the sebaceous gland is more actively involved in the process. Here you need a gentle treatment that relieves inflammation of the skin, dissolves nodules, and soothes the vascular reaction.

In the case of juvenile acne, the doctor opens the papule (sealer), a sebaceous plug comes out, the cavity is freed from the contents that clogged the sebaceous gland, and it is time to start working normally. We tried to open the papules in rosacea, but this did not help: there was no content inside the nodule.Over time, it became known that in case of rosacea, unlike acne, not only a general hormonal mechanism acts, but a local one. Under the influence of prolonged inflammation, the sebaceous gland begins to activate. At this stage, treatment may be similar to that of conventional acne, including internal medications such as Roaccutane.

– For many years, dermatologists have treated rosacea as a disease caused by the demodex mite (also called the iron mite). Trichopolum was prescribed inside, masks with trichopolum on the face.Now what?

– Indeed, the demodex mite (lat. Demodex folliculorum ) contributes to the intensification of rosacea – it also exists on healthy skin. The tick is cunning, like all “sticky”. It activates on a running papule or inside it. For the vital activity of the tick, clogging of pores, reduced immunity of the skin, inflamed nodules are “beneficial”. The waste products of the tick are irritating and cause skin rashes. The situation here is similar to opportunistic microbes – for the majority they are not dangerous, but someone suffers from them.

Although rosacea is not an allergy, mites make rosacea-affected skin very sensitive and allergenic. The tick complicates treatment.

– How is this skin treated?

– There are different methods of treatment, and you have to select them very individually. A program is set, say, for a week, and the effect is checked – whether the skin condition has improved or not. Rosacea drugs are drugs for very sensitive skin, not just inflamed or acne-prone, but sensitive, especially moody.

Starting the treatment of rosacea, one must first of all diagnose Demodex and treat it, of course, with the help of a dermatologist. For years, the tick was destroyed with trichopolum, metrodinazole, today we have to look for other drugs, because the tick has lost its sensitivity to these.

Dermatologists still successfully use the old proven method – sulfur preparations, in particular the so-called sulfur talkers. True, sulfur is visible on the skin, so you can use such talkers only in evening light or at night.Apply a gel with sulfur – Delex acne. It is very good, it is applied in the morning and stays on the skin, so the treatment lasts all day. But sulfur dries a little, and if the secretion of sebum is weak, the skin is dry, then it is better to apply the gel with sulfur only pointwise.

– They say that the skin is a mirror of health. What systems of the body do not work well that makes rosacea worse?

– With age, the problems of the physiological state of the body accumulate and manifest themselves in different ways.Someone – through a peptic ulcer; in some women – endless gynecological diseases, in others – problems are more often associated with the skin.

When we talk about rosacea treatment, we mean lifestyle changes. And here the most important thing is proper nutrition and maintaining the normal state of the nervous system.

External methods, lotions, lotions are still half measures, the treatment should be comprehensive. It makes no sense to look for one external drug that will solve everything.There is simply no such remedy for rosacea.

– Please tell us how the work of the digestive tract affects the development of the disease?

– We are approaching the most important issue in the skin problem – the condition of the gastrointestinal tract. In the intestine there is an intensive digestion of food, a lot of active components are released, a lot of enzymes, vasoactive hormones that strain the vessels.

First of all, you really should chew your food thoroughly.There are a lot of enzymes in the oral cavity that are not found in the stomach and intestines. Badly chewing food, we do not use some of the enzymes, we kind of send an unprepared semi-finished product into the stomach and, even after eating good foods, we arrange a “trash heap” in the stomach, provoking decay processes. The kidneys and liver simply cannot cope with an excessive amount of putrefaction products, and intoxication develops.

Let’s say New Year’s. The clinic where I worked was multidisciplinary, but only near the dermatologist’s office on the first day after the holidays there was a huge queue: all cases of “eczema” worsened, the rash came to the surface, and other skin diseases appeared.The skin is a reserve way of removing toxins – like a second intestine, second kidneys, for long days of a feast we overload the main ways of removing waste products of the body. The intestinal microflora is disrupted, it begins to poorly assimilate nutrients, its very important immune properties decrease, the decay processes intensify, which leads to intoxication, and this, in turn, is reflected in the skin.

Bath, hot food, alcoholic drinks, sun, especially in spring – are also not for rosacea.

Another problem, seemingly not related to the skin, is the smell from the mouth, tormenting patients. This may be the result of unkempt teeth and inflamed tonsils, but more often a poorly working intestine manifests itself, and this defect can be eliminated with the help of an appropriate specialist with the right treatment tactics.

Now there is new evidence that parasites that live in the intestines, for example
lamblia, sharply exacerbate allergic dermatosis and rosacea. Generally, the problem with parasites
today has become very acute.Weak intestines cannot resist even the usual
the simplest. Doctors have long understood that the usual tests, say, feces for the presence
eggs of helminths are not always indicative, therefore there are methods for their detection
by blood.

So, first of all, we treat the intestines, restore the microflora, restore the intestinal mucosa – weakened, it no longer protects against toxins and microbes. In general, one gets the impression that gastroenterologists will soon turn out to be the most demanded doctors.

– You often notice a red face when a person is worried, angry. They say the face is bloodshot. You mentioned the connection between the nervous system and the skin. How does the nervous system affect rosacea?

– Today it has been proven that the skin, namely the epidermis with its sebaceous glands, develops from one germ layer with the nervous system. The skin and the nervous system are so close.

If we skip the first stage – the one when they say – the nerves “play naughty”, and the problems with the skin will deepen.

Let me give you an example. The company drank wine; all people look normal, and one woman burns like a poppy from a glass. All these are manifestations of a functional disorder of vascular regulation – vegetative rose (disruption of the autonomic part of the nervous system, which controls the tone and lumen of blood vessels). This is also the reason for the redness of the face.

Therefore, in case of skin diseases, the treatment of the nervous system is so important.

Homeopathic remedies give excellent results: they affect not only the nervous system (slowed down – weakened), but also in a complex way – both on the intestines and on the quality of the mucous membrane.Homeopathic remedies have one more advantage: they do not interfere with active living. Indeed, when taking many drugs acting on the central nervous system, it is not recommended to drive a car, you cannot perform responsible actions with complex mechanisms, etc.

Let me give you another example. A woman in her 70s came to me, she has diabetes mellitus, overweight and severe nodular rosacea – all this makes the patient nervous. She touches her face all the time. Aggressively cares for him at home, removes crusts, makes lotions, uses scrubs (exfoliation of the upper stratum corneum with mechanical particles).By the way, scrubs are generally not recommended for rosacea. It is clear that the patient’s emotional state is not conducive to treatment. When sedatives were prescribed, the effect came.

– And what about external products – a proven tool of dermatologists?

– From the external old means in the acute period, I would advise cooling lotions, say, with a solution of resorcinol (by prescription).

I will say a few words about the most modern method of listening to the surface layer of the skin – peels.This triggers skin renewal, stimulates metabolism. Glycolic peeling (with glycolic acid) is gentle, but at the vascular stage of rosacea and it is not always possible to use it; most often after peeling, when part of the upper layer of the skin is removed, the vessels are even more visible.

In case of rosacea, we can recommend enzymatic peels, they also “eat” dead particles, remove gray plaque, open the skin for subsequent effects – but all this is done gently, without injuring the skin.

– How to cleanse such sensitive, allergenic skin?

– During exacerbations, not only alcohol-containing tonics are not recommended, but also washing with water. There is a wide range of preparations for sensitive skin: there are preparations for relieving skin irritation, reducing the vascular reaction, to create the correct pH (healthy skin has a slightly acidic reaction – unfavorable for bacteria, pH 4.2 – 5.5 :), and there are professional methods for deep cleaning.Cleansing takes place thanks to surface-active additives, which do not have the alkaline effect of soap and shampoo. An excellent result is obtained by the preparation “Sensibio H ₂ O” (France) – a unique cleanser for sensitive skin prone to irritation. It removes well dying cells of the stratum corneum, toxins, pollution. The drug can also be used on the eyelid area. These are medicinal cosmetics, the so-called pharmacy assortment. There is also a preparation for problem skin – “Delex acne cleansing lotion” (Russia), it also gently cleanses the skin prone to inflammation, removes peeling particles, but unlike “Sensibio” is not applied to the eyelids.Of the physiotherapeutic methods, phototherapy (irradiation of the skin with light of a certain wavelength) should be noted. But after a year, say, this expensive procedure still has to be repeated.

Purely decorative green medicinal make-up can help. Drops of green paste (cream)
applied to inflamed areas, namely green with red gives beige
shade (unfortunately, few firms produce such camouflage pastes). IN
special pharmacies will select the appropriate shade for you.Regular concealing cream powder
– not an option, microbes can multiply under a thick layer, an unhealthy one also appears
shine over inflamed skin.

Therapy for patients with rosacea complicated by demodicosis uMEDp

Fig. 1. Patient C. before treatment (A) and five days after treatment (B)

Fig. 2. Dynamics of clinical manifestations of diseases against the background of treatment

The causative agent of demodicosis is the iron tick.Currently, out of 65 species and several subspecies of this tick, two have been identified in humans: Demodex folli culorum and Demodex brevis . D. folliculorum was first identified in 1841, D. brevis – in 1963. The first species is more common. The mite habitat is hair follicles, sebaceous glands, meibomian glands. D. brevis is more common on the skin of the trunk. As a rule, D. folliculorum is found in the upper part of the pilosebital canal (≤ 5 organisms / cm ² ), D.brevis – in the sebaceous glands and ducts. The source of food for mites is sebum.

According to different authors, 55-100% of the population are carriers of iron. Clinical manifestations of such carriage may be absent. So, N.I. Such (2004) established the carriage of the parasite in 89% of patients. At the age of 30–44 years, the disease is detected in 42.6% of the surveyed (mean age of women – 44.5 ± 2 years, men – 38.3 ± 5.4 years) [1]. Carriage of a tick in healthy individuals at different age periods is 19.3–61.2% [2].In infants and children, due to low sebum production, colonization of Demodex is insufficient. In adolescents and young people, tick prevalence is also low. It increases in the population from 20 to 60 years and remains stable after reaching 80 years [3].

In men, the prevalence of ticks is higher than in women (23 versus 13%). In addition, D. brevis is more often detected in men (23 versus 9%, respectively).

Since the mite Demodex is found on healthy skin, it can be considered a conditionally pathogenic parasite.Under normal conditions, it is located within the basement membrane of the epidermis [4].

The development cycle of Demodex in the skin lasts 15 days. The fertilized female lays diamond-shaped eggs at the mouth of the follicle. The optimum temperature for tick development is 30–40 ° C. At 14 ° C, numbness sets in, at 52 ° C – death. In water, a tick can live up to 25 days, in dry air – only a day and a half. The most favorable nutrient media for it are vegetable oil, fat, petroleum jelly [5].

Outside the host, the mite does not reproduce [6], but remains viable for up to nine days in conditions of darkness, constant humidity and room temperature.

Infection occurs directly from a person (carrier or patient) or indirectly – through underwear or bedding. The possibility of infection from pets is not excluded.

Under the influence of certain factors, ticks can become pathogenic organisms.We are talking, in particular, about dysfunction of the sebaceous glands and changes in the composition of sebum, diseases of the gastrointestinal tract, liver, nervous system, dysfunction of the endocrine glands, long-term use of topical glucocorticosteroids [7]. A change in the ratio of opportunistic skin flora can also serve as a trigger for the development of demodicosis [8]. D. folliculorum can participate in the development of the disease if its number exceeds 5 organisms / cm ² [9].

Currently, there are two forms of demodicosis. Primary demodicosis develops on externally unchanged skin. Secondary demodicosis is a complication of the underlying disease (rosacea, perioral dermatitis, etc.) [4]. A combined course of the disease is usually observed.

Objective signs of demodicosis are accompanied by itching, burning, slight soreness in the area of ​​rashes, a feeling of tightness of the skin, a decrease in its elasticity and softness [10].

The diagnosis is made on the basis of the clinical picture and the detection of mites in the contents of the pustules, the secretion of the sebaceous glands, scrapings and scales from the lesions [7]. It is important not only to establish the presence of mites, but also to determine their number [4].

The question of the role of Demodex mites in the development of various diseases of the skin and mucous membranes, including rosacea, remains controversial [11, 12]. The results of the studies have demonstrated a higher number of ticks per 1 cm ² in patients with rosacea [13] compared with patients with seborrheic dermatitis and acne.

On the surface of Demodex mites, bacteria Bacillus oleronius were identified, capable of stimulating the inflammatory response and growth of bacteria Streptococcus and Staphylococcus . As a result, favorable conditions for their reproduction are created [14]. Under the influence of various factors, mites begin to multiply actively, destroying the epithelium of the follicles and penetrating into the dermis. As a result, an inflammatory reaction is triggered and the course of dermatoses is aggravated [15, 16].

Treatment of demodicosis

Therapy for demodicosis should be phased. One of the first stages is carrying out sanitary and hygienic measures [17].

When choosing drug therapy, it is necessary to take into account the clinical picture of the disease, the type of ticks, their number, as well as the presence of concomitant pathology (rosacea, perioral dermatitis, acne, etc.).

To act on ticks Demodex , acaricidal agents are used, which include derivatives of the nitroimidazole group.

The structural features of the integument of ticks necessitate long-term courses of antiparasitic therapy and the choice of drugs with a minimum molecular size.

It is also necessary to include symptomatic, anti-inflammatory, antibacterial, desensitizing drugs in the treatment regimen.

Gel Demoten

Demodectic mange rarely occurs as an independent disease, therefore, the creation of means for the treatment of skin pathologies complicated by demodicosis and the care of such skin remains relevant.

Recently, a new product has appeared on the pharmaceutical market – Demoten gel. It contains sulfur, hyaluronic acid, aloe vera juice, polyvinylpyrrolidone.

Sulfur has antiseptic, antiparasitic, anti-inflammatory effects and helps to normalize the proliferation of epidermal cells.

Hyaluronic acid moisturizes the skin, increases its elasticity, and stimulates the renewal of the epidermis.

Aloe vera juice contains many biologically active substances.These are simple sugars, polysaccharides, amino acids, enzymes, minerals, organic acids, a complex of vitamins A, C, E. The inclusion of aloe vera juice in the gel improves skin condition, promotes cell regeneration, and provides an antiseptic effect. Polyvinylpyrrolidone, which has a sorbing and detoxifying effect, provides effective skin cleansing.

Application experience

We observed 23 patients (11 men and 12 women): 14 patients with papulopustular rosacea, nine with erythematous rosacea.The patients’ age is from 39 to 67 years.

The patients were divided into four groups. The first consisted of four patients with erythematous rosacea who received only basic therapy, the second – five patients with the same diagnosis who received concomitant therapy in addition to basic therapy, the third – five patients with papulopustular rosacea on basic therapy, the fourth – nine patients with a similar diagnosis on basic and accompanying therapy.

All patients underwent a laboratory test for the presence of the D mite. folliculorum . Found from six to ten individuals in the preparation.

Complex therapy of erythematous rosacea involved the use of azelaic acid in the form of a gel or metronidazole in the form of a gel once or twice a day, depending on the severity of clinical symptoms. As an accompanying therapy, Demoten gel was used twice a day (morning and evening).

Treatment of papulopustular rosacea at the first stage included the use of systemic (antibiotic doxycycline at a dose of 100 mg twice a day for ten days) and topical (antiparasitic drug metronidazole gel once or twice a day and Demoten gel) agents.Demoten gel was applied 15–20 minutes after metronidazole.

Three to five days after the start of therapy, the severity of skin manifestations significantly decreased in patients of the second and fourth groups. In particular, hyperemia, edema, itching decreased (Fig. 1). The dynamics of clinical manifestations of hyperemia and edema during therapy in four groups is shown in Fig. 2.

At the second stage of therapy, all patients of the fourth group continued to use Demoten gel.

A repeated laboratory test for the presence of mites Demodex, , carried out ten days after the start of treatment, showed a decrease in the number of individuals in the preparation to one to three.

During the two months of observation, no exacerbations of the disease were recorded.

Considering that no strong antiparasitic agents were used in the therapy and the number of mites in the preparations was reduced, it can be concluded that the Demoten gel has a stable antiparasitic effect.

Conclusion

The use of Demoten gel in the complex therapy of rosacea complicated by demodicosis allows you to quickly achieve positive dynamics. This drug can be prescribed for a long time in different forms of rosacea, which increases the relapse period.

90,000 Therapy for patients with rosacea complicated by demodicosis uMEDp

The article discusses diseases caused by the Demodex mite and the principles of their therapy.The results of treatment of patients with rosacea complicated by demodicosis, demonstrating the effectiveness of inclusion of Demoten gel in the complex therapy, are presented.

Fig. 1. Patient C. before treatment (A) and five days after treatment (B)

Fig. 2. Dynamics of clinical manifestations of diseases against the background of treatment

The causative agent of demodicosis is the iron tick.Currently, out of 65 species and several subspecies of this tick, only two have been found in humans: Demodex folli culorum and Demodex brevis . D. folliculorum was first identified in 1841, D. brevis – in 1963. The first species is identified most often.

The habitat of the tick is considered to be hair follicles, sebaceous glands, and meibomian glands. D. brevis is more widespread on the skin of the trunk.

The mite D. folliculorum is usually found in the upper part of the pilosebaceous canal in an amount of ≤ 5 organisms / cm ² . D. brevis – in the sebaceous glands and ducts.

Mites use sebum as a food source.

According to various authors, 55-100% of the population are carriers of the glandular, while the clinical manifestations of such carriage may be absent. So, N.I. Syuch (2004) established the carriage of the parasite in 89% of patients. At the age of 30–44 years, the disease is detected in 42.6% of the surveyed, the average age of women is 44.5 ± 2 years, men – 38.3 ± 5.4 years [1].

Carriage of a tick in healthy individuals at different age periods is 19.3–61.2% [2].

In infants and children, due to low sebum production, colonization of Demodex is insufficient. In adolescents and young people, tick prevalence is also low.It increases in the population from 20 to 60 years old and remains stable after reaching 80 years old [3].

Among men, the prevalence of ticks is higher than among women (23 versus 13%). In addition, D. brevis is more often detected in men (23 versus 9%, respectively).

Since the mite Demodex is found on healthy skin, it can be considered a conditionally pathogenic parasite. Under normal conditions, it is located within the basement membrane of the epidermis [4].

The fertilized female lays diamond-shaped eggs at the mouth of the follicle. The development cycle of Demodex in the skin lasts 15 days. The optimum temperature for tick development is 30–40 ° C. At 14 ° C, numbness occurs, at 52 ° C, death. In water, a tick can live up to 25 days, in dry air only a day and a half. The most favorable nutrient media for it are vegetable oil, fat, petroleum jelly [5].

Outside the host, mite reproduction stops [6].However, even then it can remain viable for up to nine days in the presence of darkness, constant humidity and room temperature.

Infection occurs directly from a person (carrier or patient) or indirectly – through underwear or bedding. Some authors do not exclude the possibility of infection from pets.

Under the influence of certain factors, ticks can become pathogenic organisms. We are talking, in particular, about dysfunction of the sebaceous glands and changes in the composition of sebum, diseases of the gastrointestinal tract, liver, nervous system, dysfunction of the endocrine glands, long-term use of topical glucocorticosteroids [7].A change in the ratio of opportunistic skin flora can also serve as a trigger for the development of demodicosis [8]. It is known that D. folliculorum can participate in the development of the disease if its number exceeds 5 organisms / cm ² [9].

Currently, there are two forms of demodicosis. Primary demodicosis develops on externally unchanged skin. Secondary demodicosis is a complication of the underlying disease (rosacea, perioral dermatitis, etc.)) [four]. As a rule, there is a combined course of the disease.

Objective signs of demodicosis are accompanied by itching, burning, slight soreness in the area of ​​rashes, a feeling of tightness of the skin, a decrease in its elasticity and softness [10].

The diagnosis is made on the basis of the clinical picture and the detection of mites in the contents of the pustules, the secretion of the sebaceous glands, in the scrapings and scales from the lesions [7]. It is important not only to establish the presence of mites, but also to determine their number [4].

The question of the role of Demodex mites in the development of various diseases of the skin and mucous membranes, including rosacea, remains controversial [11, 12]. Previous studies have shown a higher number of ticks per 1 cm ² in patients with rosacea [13] than in patients with seborrheic dermatitis and acne.

On the surface of Demodex mites, bacteria Bacillus oleronius were identified, capable of stimulating the inflammatory response and growth of bacteria Streptococcus and Staphylococcus .As a result, conditions are created for their reproduction [14]. In the presence of various favorable factors, mites begin to multiply actively, destroying the epithelium of the follicles and penetrating into the dermis. As a result, an inflammatory reaction is triggered and the course of dermatoses is aggravated [15, 16].

Treatment of demodicosis

Therapy for demodicosis should be phased. One of the first stages is carrying out sanitary and hygienic measures [17].

When choosing drug therapy, it is necessary to take into account the clinical picture of the disease, the type of ticks, their number, as well as the presence of concomitant pathology: rosacea, perioral dermatitis, acne, etc.

To act on ticks Demodex , acaricidal agents are used, which include derivatives of the nitroimidazole group.

The structural features of the integument of ticks necessitate long-term courses of antiparasitic therapy and the choice of drugs with a minimum molecular size.

It is also necessary to include symptomatic, anti-inflammatory, antibacterial, desensitizing drugs in the treatment regimen.

Gel Demoten

Demodectic mange rarely occurs as an independent disease, therefore, the creation of means for the treatment of skin pathologies complicated by demodicosis and the care of such skin remains relevant.

More recently, a new product has appeared on the pharmaceutical market – Demoten gel. It contains sulfur, hyaluronic acid, aloe vera juice, polyvinylpyrrolidone.

Sulfur has antiseptic, antiparasitic, anti-inflammatory effects and helps to normalize the proliferation of epidermal cells.

Hyaluronic acid moisturizes the skin, increases its elasticity, and stimulates the renewal of the epidermis.

Aloe vera juice contains a large amount of biologically active substances: simple sugars, polysaccharides, amino acids, enzymes, minerals, organic acids, a complex of vitamins A, C, E. Its inclusion in the gel improves skin condition, promotes cell regeneration, and provides an antiseptic effect.

Polyvinylpyrrolidone has a sorbing and detoxifying effect.As a result, the skin is well cleansed.

Application experience

We observed 23 patients: 14 patients diagnosed with papulopustular rosacea, 9 with erythematous rosacea. The patients’ age is from 39 to 67 years. Of these, 11 are men and 12 are women.

The patients were divided into four groups. The first group consisted of four patients with erythematous rosacea who received only basic therapy, the second – five patients with the same diagnosis who received concomitant therapy in addition to basic therapy, the third – five patients with papulopustular rosacea on basic therapy, the fourth – nine patients with a similar diagnosis on basic and accompanying therapy.

All patients underwent a laboratory test for the presence of mites D. folliculorum . Found from six to ten individuals in the preparation.

Complex therapy of erythematous rosacea involved the use of azelaic acid in the form of a gel or metronidazole in the form of a gel once or twice a day, depending on the severity of clinical symptoms. As an accompanying therapy, Demoten gel was used twice a day (morning and evening).

Treatment of papulopustular rosacea at the first stage included the use of systemic and topical drugs. The former include the antibiotic doxycycline (at a dose of 100 mg twice a day for ten days), the latter include the antiparasitic drug metronidazole gel (once or twice a day) and Demoten gel. Demoten gel was applied 15–20 minutes after metronidazole.

Three to five days after the start of therapy, the severity of skin manifestations significantly decreased in patients of the second and fourth groups.In particular, hyperemia, edema, itching decreased (Fig. 1). The dynamics of clinical manifestations of hyperemia and edema during therapy in four groups is shown in Fig. 2.

At the second stage of therapy for papulopustular rosacea, patients of the fourth group continued to use Demoten gel.

A repeated laboratory test for the presence of mites Demodex, , carried out ten days after the start of treatment, showed a decrease in the number of individuals in the preparation to one to three.

During the two months of observation, no exacerbations of the disease were recorded.

Considering that no strong antiparasitic agents were used in the therapy and the number of mites in the preparations was reduced, it can be concluded that the Demoten gel has a stable antiparasitic effect.

Conclusion

The use of Demoten gel in the complex therapy of rosacea complicated by demodicosis allows you to quickly achieve positive dynamics.This drug can be prescribed for a long time in different forms of rosacea, which provides an increase in the recurrence period.

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