Martin Schaller, MD, - Rosacea and demodex

[Martin Schaller, MD]

Hello,

my name is Prof. Martin Schaller and i am interested in patients with acne and rosacea. Another topic of my clinical work is the contribution of Demodex to the pathogenesis of Rosacea.

Sincerely

M. Schaller

[Guest Jenny]

Hi Prof Schaller

Welcome to the RRDi! Great to have you on board!

I have papulopustular Rosacea and have been quite interested in my recent (revamped) reading on the Demodex Mite theory for Rosacea.

Do you believe that Demodex Mites are only an issue for those Rosaceans with p&p or do you believe it could also be extended to those who have constant redness/flushing episodes?

Do you believe that an anti-Demodex Mite topical will allieviate the problem long term or would there be a need for on-going topical treatment?

Is there a possibility of a systemic drug to treat Demodex Mite infestion? Or possibly, that treating the body from the inside out may help?

Sorry, I know, a lot of questions in one hit!

My interest lies with my own Rosacea problems as well as for others.

I started a new diet (anti-Candida/natural healing) in April this year and have found that my face has cleared up quite remarkably. Not perfect but much better. The diet aims to input all the nutrients the body needs and to assist in boosting the immune system. A form of detoxing I suppose, to optimal health. I still have a lot more to read about this. If I can find a way to tip the scales to 'normal' looking skin, I would jump at the chance, hence my interest in the Demodex Mite theory.

Oh, one more question. Specifically, what would you like to see researched via the RRDi,

Thank you for your time. Much appreciated.

Jenny

[Guest Jenny]

Reply received by e-mail on 2nd July 2006, by Prof Schaller:

"Hi Prof Schaller

Welcome to the RRDi! Great to have you on board!

I have papulopustular Rosacea and have been quite interested in my

recent (revamped) reading on the Demodex Mite theory for Rosacea.

Do you believe that Demodex Mites are only an issue for those Rosaceans with p&p or do you believe it could also be extended to those who have constant redness/flushing episodes?

Dear Jenny,

I think that abnormal increase of Demodex mites density can induce a

skin disease resembling rosacea. In contrast to rosacea the papules are

follicular and the skin disease is not localized symmetrically. The

patient do not report about flushing and there are no teleangiectasis.

Eventually Demodex mites might aggravate a normal rosacea...

Do you believe that an anti-Demodex Mite topical will allieviate the

problem long term or would there be a need for on-going topical treatment?

Only

Is there a possibility of a systemic drug to treat Demodex Mite

infestion? Or possibly, that treating the body from the inside out may

help?

Ivermectin or metronidazole will be a systemic drugs active against demodex

Sorry, I know, a lot of questions in one hit!

My interest lies with my own Rosacea problems as well as for others.

I started a new diet (anti-Candida/natural healing) in April this year

and have found that my face has cleared up quite remarkably. Not perfect

but much better. The diet aims to input all the nutrients the body needs

and to assist in boosting the immune system. A form of detoxing I

suppose, to optimal health. I still have a lot more to read about this.

If I can find a way to tip the scales to 'normal' looking skin, I would

jump at the chance, hence my interest in the Demodex Mite theory.

There absolute no connection between anti-Candida diet and rosacea. For

many people a diet avoiding unhealthy things will be good in general.....

Best regards

M. Schaller

Oh, one more question. Specifically, what would you like to see

researched via the RRDi,

Thank you for your time. Much appreciated.

Jenny

--

Prof. Dr. med. Martin Schaller

Leitender Oberarzt

Universit?§ts-Hautklinik

Eberhard Karls Universit?§t T?ºbingen

[Martin Schaller, MD]

I think it would be important to know much more about the pathogenesis of Rosacea, nutrition, UV, ....

Another important topic is the contribution of Demodex. I agree to the statement of Prof. Plweig.

Best

M.S.