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  • Posts

    • Surgical Treatment Strategy for Severe Rhinophyma With Bilateral Pedicled Nasolabial Flaps. J Craniofac Surg. 2019 Apr 12;: Authors: Cui MY, Guo S, Wang CC, Lv MZ, Jin SF Abstract BACKGROUND: Rhinophyma is a rare disease characterized by chronic inflammation and hypertrophy of sebaceous glands, blood vessels, and fibrous tissue, associated with end-stage severe acne rosacea. There are multiple approaches to treatment and repair, including dermal shaving, secondary intention healing, free skin graft, and skin flaps. However, these methods have various disadvantages, such as prolonged healing, obvious scarring, and skin texture mismatch. Therefore, the authors adopted surgical excision with bilateral pedicled nasolabial flaps, which have better color, texture, thickness, and symmetry. METHODS: The authors present a case of severe nasal tip rhinophyma successfully treated by excision and repair with bilateral pedicled nasolabial flaps. This procedure combines deep excision of the focal lesion and coverage with bilateral nasolabial flaps. RESULTS: The bilateral pedicled nasolabial flaps were used for severe rhinophyma in a patient. After the operation, the flaps survived uneventfully in this study. Both functional and aesthetic results were satisfactory at 3 months. CONCLUSION: The authors offer an effective method for surgical treatment of rhinophyma. Excision of hypertrophic nasal tissue is an acknowledged effective treatment for patients with severe rhinophyma. After excision, reconstruction with nasolabial flaps results in satisfactory outcomes both functionally and aesthetically. Therefore, this approach should be considered an appropriate alternative in cases of severe rhinophyma. PMID: 30998589 [PubMed - as supplied by publisher] {url} = URL to article
    • A detailed report on cannabinoid signaling in the skin had this to say:  "It has recently been shown that abuse of synthetic, hyperpotent cannabinoids (e.g., “Bonsai”, “fake weed”, “K2”, and “Jamaica”) can result in dermatological disorders, such as premature skin aging, hair loss and graying, or acne [88], indicating that cannabinoid signaling can profoundly influence skin biology." "Importantly, with respect to the efficiency of PEA, human clinical data are also available. Indeed, the PEA containing Physiogel® A.I. Cream was found to alleviate itch in 14 out of 22 patients suffering from prurigo, lichen simplex and other pruritic diseases. Importantly, the same formulation was found to be effective in alleviating erythema, excoriation, scaling, lichenification, dryness, as well as pruritus in AD patients (ATOPA study). However, another vehicle controlled, randomized clinical trial involving a total of 100 subjects suffering from pruritic dry skin (ClinicalTrials.gov ID: NCT00663364) found that a PEA containing lotion was not significantly superior in alleviating itch as compared to its emollient vehicle." PEA is Palmitamide MEA, a naturally occurring lipid compound that may act as an anti-oxidant and anti-irritant. Molecules. 2019 Mar; 24(5): 918. Published online 2019 Mar 6. doi: 10.3390/molecules24050918 Cannabinoid Signaling in the Skin: Therapeutic Potential of the “C(ut)annabinoid” System Kinga Fanni Tóth, Dorottya Ádám, Tamás Bíró, Attila Oláh
    • Related Articles [The value of reflectance confocal microscopy in detection of Demodex mites]. Ann Dermatol Venereol. 2017 Jun - Jul;144(6-7):459-461 Authors: Harmelin Y, Le Duff F, Passeron T, Lacour JP, Bahadoran P PMID: 28347561 [PubMed - indexed for MEDLINE] {url} = URL to article
    • A sample of food-grade diatomaceous Earth  Courtesy of Wikimedia Commons Diatomaceous earth - also known as D.E., diatomite, or kieselgur/kieselguhr – is a naturally occurring, soft, siliceous sedimentary rock that is easily crumbled into a fine white to off-white powder. Wikipedia Can it be used to treat demodectic rosacea?  At least one person thinks so.  This was posted initially at Facebook, Rosacea Tips and Support Group, by Karli Walton who writes, "People are using horsepaste (ivermectin) for their mites, ivermectin is also in sooIantra. I haven’t tried either. You can also use diatomaceous earth powder mixed with honey. I use the powder on my dogs for their mites and fleas. It’s natural and won’t hurt you. Just keep in mind with any of these things, that it will get better before it gets worse. When you put it on, the mites start freaking out before they die." Karli probably meant it 'gets worse before it gets better.' Without a doubt, since it was posted on Facebook, others will try this and we receive more reports  since you can obtain food grade diatomaceous earth below and other mediums besides honey will be attempted and the results will be coming in. 
    • Related Articles Do Dermatologic Diagnosis Change in Hot vs. Cold Periods of The Year? A Sub-Analysis of the DIADERM National Sample (Spain 2016). Actas Dermosifiliogr. 2019 Apr 11;: Authors: Gonzalez-Cantero A, Arias-Santiago S, Buendía-Eisman A, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Descalzo MA, García-Doval I Abstract BACKGROUND: Knowledge of seasonal variation of cutaneous disorder may be useful for heath planning and disease management. To date, however, descriptions of seasonality including all diagnoses in a representative country sample are very scarce. OBJECTIVES: To evaluate if clinical dermatologic diagnosis in Spain change in the hot vs. cold periods. MATERIALS AND METHODS: Survey based on a random sample of dermatologists in Spain, stratified by area. Each participant collected data during 6 days of clinical activity in 2016 (3 in the cold period of the year, 3 in the hot period). Clinical diagnoses were coded using ICD-10. RESULTS: With a 62% response proportion, we got data on 10999 clinical diagnoses. ICD-10 diagnostic groups that showed changes were: other benign neoplasms of skin (D23), rosacea (L71) and other follicular disorders (L73), which were more common in the hot period and acne (L70) which was more frequent in the cold period. We describe differences in the paediatric population and in private vs. public practice. Some of these differences might be associated to differences in the population demanding consultations in different periods. CONCLUSIONS: The frequency of most clinical diagnosis made by dermatologists does not change over the year. Just a few of the clinical diagnoses made by dermatologists show a variation in hot vs. cold periods. These variations could be due to the diseases themselves or to seasonal changes in the demand for consultation. PMID: 30982569 [PubMed - as supplied by publisher] {url} = URL to article
    • Treatment of Rhinophyma With Surgical Excision and Amniotic Membrane. J Craniofac Surg. 2019 Apr 10;: Authors: Yoo JJ, Thaller SR Abstract Rhinophyma is a phenotypic subtype of rosacea affecting the nose. It is characterized by phymatous changes, skin thickening/fibrosis, glandular hyperplasia, and chronic inflammation. Treatment of severe rhinophyma is predominantly surgical excision with closure by secondary intention. Amniotic membrane has been used to promote wound healing, fibrosis, and inflammation. In this case study, the authors present a 63-year-old male with longstanding rhinophyma treated with surgical excision with intraoperative placement of amniotic membrane. PMID: 30985502 [PubMed - as supplied by publisher] {url} = URL to article
    • A number of anecdotal reports are using diaper rash treatments for rosacea. A typical example is Sarah Ann, Rosacea Tips and Support Group, Facebook,  who posts "This is gonna sound kinda crazy but I’ve tried almost everything for my rosacea and finally a couple days ago I was got so desperate I tried using my daughters diaper rash cream lol. It must be the zinc in it but after 2 days of it my skin is better than ever! The brand is Weleda Baby. Any one else try anything like this? I’m amazed!" There are hundreds of others who report trying this treatment and using different brands and rave about it. Just search 'diaper rash treatment for rosacea.' Here are two more examples:  Chris Kosier, Rosacea Tips and Support Group, Facebook, posts, "This is the one I use [Honest Diaper Rash Cream] and recommend all the time in this group. It's for healing dehydrated skin. I also use it to calm irritation from a flare, and I apply a very thin layer under my makeup which keeps my skin soothed until washing it off. The opaque color also masks redness. I see so many people recommending this brand now so I must have started a revolution." Angie Pattillo, Rosacea Tips and Support Group, Facebook, posts, "I started Boudreaux's Butt Paste today. It has the highest Zinc content at 40%." If you try this treatment, please post your results in this thread. 
    • "Quite simply, “groat” is the old Scottish word for the entire oat kernel minus the husk....Oat Groats are the whole grain - germ, bran, and endosperm - without having been rolled or steel cut!....Steel Cut Oats: Steel cut oats are whole oat groats that have been cut into two or three pieces. That's it." The Oatmeal Compendium There is discussion at RF started by butler that making a paste from oat groats or steel cut oats will clear your Rosacea/Seborrheic Dermatitis. It is a long thread but some report that it works, especially if you are into a natural treatment for your Rosacea/Seborrheic Dermatitis. Some prominent posters like Tom Busby. sejon, MrRed77, rednasstor are really into this. One method used to make the paste is to put the oats into a coffee grinder and add water to make the paste. 
    • Thanks for the tip Apurva. Finding a SUN BLOCK is not easy, however, I found one:  You may find this sunscreen interesting even though you said sunscreens tend to dry your skin, probably one like this?    The Neutrogena Hydro Boost may be better for your skin or the Neutrogena Clear Face Sunscreen? I tried to find 'sun block' at Amazon and I just get a list of sunscreens and only found that one. I will keep searching.  
    • Rosaceans always try to use products which can protect their skin from sun rays and try to find the specific products of their needs. It has been said that sunblock is best for rosaceans with sensitive skin than sunscreen because sunblock has mineral composition which is less irritant to skin and protects the skin from UVB rays providing physical barrier so I also started using zinc oxide cream and after a while my skin started becoming very dry, flaky and rough and I could not understand what was causing my skin to get dry and rough and then I found that zinc oxide was the cause of extreme dryness and flaky skin. I know many of you will have suffered from this thing even thinking of doing nothing wrong. So, I have come up with few things : Zinc oxide is an astringent, means it tends to constrict soft organic tissues and so stops secretions like sebum and sweat.So when you apply sunblock cream directly onto your skin since it has thick creamy consistency so we tend to apply it directly onto our skin and it constricts the tissues and stops absorption and secretion because it sits on the top layer of our skin. So what you can do to prevent your skin from excess drying is apply a good amount of moisturizer which suits your skin best and wait for few minutes let it absorb properly and then apply sunblock cream and avoid using frequently when you do not go out and after applying one time you do not need to reapply it. So avoid using frequently and with this practice within one week the excess dryness is less.
    • Thanks Apurva Tathe for your posts. 
    • Hey Admin, It's completely nothing like that. Whenever I have anything to share and post, I always do. Today I found your post on fasting and I shared my experience with this post and was browsing something and I found NRS designated this month as rosacea month. SO I just shared that news in this forum and after posting that I found this post. I do not know about the donation and support to any organization, I only love to share and spread my knowledge.
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