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  1. Scanning electron micrograph of a human T lymphocyte (also called a T cell) from the immune system of a healthy donor. Image courtesy of Wikimedia Commons Chronic Mucocutaneous Candidiasis (CMC) "is an immune disorder of T cells, it is characterized by chronic infections with Candida that are limited to mucosal surfaces, skin, and nails." [1] One report states, "Heterozygous STAT1 gain-of-function (GOF) mutations result in a combined form of immunodeficiency which is the most common genetic cause of chronic mucocutaneous candidiasis (CMC)." [2] This same report connects "chronic demodicosis in the form of a facial papulopustular eruption, blepharitis, and chalazion" with CMC. This could also be described as demodectic rosacea. Candida has been connected to rosacea in at least one paper. [3] End Notes [1] Wikipedia [2] Pediatr Dermatol. 2019 Oct 21; STAT1 gain-of-function and chronic demodicosis. Molho-Pessach V, Meltser A, Kamshov A, Ramot Y, Zlotogorski A [3] Candida Albicans
  2. The skeleton structure of the SNRI venlafaxine, a typical example of an antidepressant. image courtesy of Wikimedia Commons "I’d never heard of antidepressants causing any issues with skin, which made me wonder if anyone else was having the same issue and just putting up with it in silence – or if the whole thing was in my head. I chatted with Dr Zubair Ahmed, the CEO of MedicSpot digital clinics, who confirmed that yes, antidepressants can absolutely cause or worsen skin conditions. ‘These skin issues range from innocent facial flushing to life threatening systemic rashes such as Stevens-Johnson syndrome,’ Dr Ahmed told metro.co.uk. ‘You may also notice purple dots on your skin (Purpura) or a condition called urticaria which is often due to an allergic reaction. ‘Eczema is also associated with antidepressant medication.’ " How your antidepressants might be messing with your skin, Ellen Scott, Metro Chai reports a serious rosacea flareup after withdrawing from mirtazapine.
  3. image courtesy of Wikimedia Commons There are a number of anti-flushing prescriptions reported by rosaceans and we have an exhaustive list here (also includes a list of non prescription treatments as well).
  4. Aclaris has now sold Rhofade to EPI Health, LLC.
  5. "Aclaris Therapeutics, Inc. (Nasdaq: ACRS), a physician-led biopharmaceutical company focused on immuno-inflammatory diseases, today announced it has divested RHOFADE® (oxymetazoline hydrochloride) cream, 1% (RHOFADE) and related intellectual property assets to EPI Health, LLC (EPI Health). The divestiture of RHOFADE is a key component of Aclaris’ recently announced strategic plan to refocus resources on the development of its immuno-inflammatory development programs." GlobalNewswire, Inc, October 10, 2019 "Allergan developed and brought RHOFADE to market in 2017 after acquiring the drug as part of its 2011 acquisition of Vicept Therapeutics, Inc., a company established by certain members of the current senior management team of Aclaris." Business Insider, October 15. 2018 Aclaris owned Rhofade and sold it to Allergan and bought it back on October 2018. The new owner, EPI Health, states on its website, "EPI Health is continually expanding our prescription product line to offer healthcare professionals and patients new and better options to treat skin conditions." EPI Health's president, John A. Donofrio, joined EPI Health in March of 2019. image courtesy of EPI Health, LLC
  6. "All the cases, spreading rose petals on their face, at the end of the treatment show a decrease of the redness as well, and their “facies” exhibit a dark pinkish colour, that correspond to a real flesh-coloured appearance, that reveals a complete status of good health and remission of the syndrome." Our Dermatology Online, Letter to the Editor Rosacea treated with rose petals: a calembour that affffords intriguing results Piotr Brzezinski, Lorenzo Martini Since obtaining rose petals is without a doubt an easy task for most rosaceans worldwide, we should be able to easily confirm if this treatment works. Please post your results in this thread. Thayers Alcohol-free Rose Petal Witch Hazel with Aloe Vera Thayers Natural Remedies Alcohol-Free Rose Petal Witch Hazel Facial Mist Toner
  7. There is a new cosmetic version of the ZZ cream now available on Amazon which is priced at $39 with free shipping until November 16, 2019. After this date the price goes up to $49. To learn more about this and what the difference is between the cosmetic ZZ cream and the original ZZ click here. I haven't used the ZZ cream for probably around nine months. I tried the horse paste because there were so many who raved about the success they were having with it and I must say, it is just as good or better than Soolantra. I just received a new shipment of the Cosmetic ZZ cream and must say this is an improved version and works much better and I have always preferred using the original ZZ cream over any other topical treatment for rosacea. Within a week my red spots have cleared up. I highly recommend you try a three month supply of the Cosmetic ZZ cream or at the very least one jar to see if your rosacea improves. If it does, you have demodectic rosacea.
  8. No mention of ivermectin in the abstract. Wonder if these authors have heard of Soolantra?
  9. One report on 50 patients with rosacea using topical ivermectin concluded, "Ivermectin is an effective treatment not only in moderate-severe papulopustular rosacea but also in almost clear/mild rosacea." [bold added] Dermatol Ther. 2019 Oct 03;:e13093 Real life experience on effectiveness and tolerability of topical ivermectin in papulopustular rosacea and anti-parasitic effect on Demodex mites. Trave I, Merlo G, Cozzani E, Parodi A
  10. A recent report concluded, "As a result, the Demodex count was significantly higher in the primary demodicosis and rosacea patients than the control group. We think that every Demodex-positive patients should be evaluated for also eyelash mites to prevent a possible chronic blepharitis."
  11. The RRDi has been using the Invision Community forum for many years. It has been announced that there will soon be Invision Community Apps for iOS & Android released to the public. We look forward to using these new apps.
  12. I was intrigued when I heard about The Planetary Society and requested the latest Form 990 from this 501 c 3 non profit organization, which means that any donation to this non profit is tax deductible for the donor. I received the following pdf: 2018 TPS 990 without Schedule B.PDF You can review this above yourself and save yourself the time requesting it for yourself. A cursory review of the above Form 990 shows some interesting facts. For example, total revenue (donations) in tax year 2017 was $4,945,266.00 and total expenses were $4,885,055.00 so they spent just about all the donations except for about $60K. See the summary below: What did they spend most of the money on? What about 'planetary' things? Actually most of the donations for 2017 were spent on salaries and employees if you go through the expense details which amounted to $2,682,000.00 if you look above. If you will note in the summary, line 5, there are 29 employees of The Planetary Society. That means if you average it out, each employee cost The Planetary Society $92,482.75. Would you like to work for The Planetary Society? Remember that each employee is paid with donations from the public. However, you should note that the six board of directors received the highest amount in salaries and compensation. The salaries for six of the board of directors amounted to $911,122 which is 34% of the total expenses on salaries listed on 15 above which you can view below in detail: I challenge any of you to find in the Form 990 provided for free from The Planetary Society to find what this non profit organization spent on 'planetary' or 'space' items? I found one grant they spent in the amount of $98,759 (line 13 in the summary above) and for its Lightsail Project which is listed below in the amount of $123,000 spent on an independent contractor, Ecliptic Enterprise Corporation (see below). So the only two items I could find that remotely relates to 'space' are one grant and its one project which totals $221,759.00. That means for every dollar donated to The Planetary Society about 4 cents is actually spent on what its mission statement is about. The other 96 cents of a donated dollar is spent on operating the organization and most of the expense is on salaries and employees (54%). This is not uncommon practices for non profit organizations which is the theme of this entire thread. If you take the time and effort to receive a Form 990 from any 501 c 3 that is required to publish one that makes it available to anyone who asks, you will find that most non profits spend very little on its 'mission.' One other item of note are the assets listed by this non profit organization. When you bring in millions of donations each year, it is possible that the non profit organization accumulates assets. Note below what is listed in the Form 990: The total assets are significant. In other words, if this organization ever decided to dissolve, it could sell the assets and the organization is required to disclose where all the money from those assets went. But most people simply don't care how non profit organizations spend their donations. Especially when it comes to rosacea non profits. Are you surprised or do you even care about any of this?
  13. Thanks Erin for your post. Many, many others have reported great success with horse paste (gel). Without a doubt, Galderma and other pharmaceutical companies will note this success and start producing 1.87% ivermectin in a gel form without as many inactive ingredients to compete with the success you and others are having, especially a cheap version that could get FDA approved for human treatment. As for taking ivermectin orally, we have a thread on using ORAL IVERMECTIN FOR ROSACEA which is separate from the one you are posting in here which is about topical horse paste treatment. Really appreciate your post very much.
  14. A new paper published in the September 2019 issue of The Journal of the European Academy of Dermatology and Venereology states that treatment using benzyl benzoate and crotamiton has been shown to decrease demodex density counts and improve demodectic rosacea. Benzyl Benzoate is a medication and insect repellent also used to treat scabies and lice. Crotamiton has been used to treat rosacea for sometime now and has traditionally been used to treat scabies. For more information.
  15. Admin

    Brimonidine

    There are a number of papers warning about allergic contact dermatitis to topical brimonidine (Mirvaso): Case Report: Allergic Contact Dermatitis to Topical Brimonidine Demonstrated With Patch Testing: Insights on Evaluation of Brimonidine Sensitization. Allergic contact dermatitis caused by Mirvaso®, brimonidine tartrate gel 0.33%, a new topical treatment for rosaceal erythema. [Allergic contact dermatitis to Mirvaso® (brimonidine tartrate)]. Allergic contact dermatitis to topical brimonidine. Sensitization to and allergic contact dermatitis caused by Mirvaso(®) (brimonidine tartrate) for treatment of rosacea - 2 cases.
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