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Admin

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  1. The immune system theory is one of the more popular theories proposed, especially with the research done by Dr. Gallo, et.al, at the University of San Diego into cathlecidin. Click here for more info.
  2. The inflammatory theory on rosacea is probably one of two more popular theories on rosacea. Click here for more info on the inflammatory theory. The other theory is the Immune System Theory.
  3. The vascular theory on rosacea was popularized by Geoffrey Nase, Ph.D., in his book, Beating Rosacea: Vascular, Ocular & Acne Forms. It is no longer a popular theory. For more info click here.
  4. There is a debate that rosacea is a genetic disease or caused buy the environment. It is possible that rosacea may be caused by both factors. Actually no one knows and neither theory has been proven, but a combination seems plausible. For more info the genetic theory click here. For more info on the environmental theory click here.
  5. A number of microorganisms have been proposed as causing rosacea but so far there are only theories on this subject and no real proof. Demodectic Rosacea is a variant of rosacea that is associated with the disease. For more info on the various types of microorganisms associated with rosacea click here.
  6. There is at least one clinical paper written about this subject. Click here for more info. Dr. Bakker, RRDi MAC Member, has a video on this subject.
  7. Helicobacter Pylori and rosacea have had a long history with many papers written on the subject. For more info click here.
  8. Demodex mites have a long history with rosacea and is probably the most researched and discussed topic other than metronidazole papers on rosacea. For more info click here.
  9. Not a good idea. While short term use of steroids for a red face may be prescribed by a physcian, long term use should be avoided because of steroid induced rosacea. For more info click here.
  10. Please read this notice about Subtypes Click here for the answer.
  11. Click here for the answer What constitutes a rosacea subtype and variant is a controversy. You can see the list proposed by various rosacea authorities and experts by clicking here. Current research suggests that subtypes may be different conditions. Now the current classification of rosacea has improved with the PHENOTYPE classification.
  12. According to MedPlus Online Medical dictionary (Merriam-Webster) a variant is "manifesting variety or deviation : exhibiting variation." A subtype according to the same source is "a type that is subordinate to or included in another type." So apparently a subtype is closer to the type while a variant is further from the type. The classification of rosacea into subtypes and variants has been from the start controversial, when the NRS first began classifying rosacea into four subtypes and one variant in 2002. The only rosacea variant recognized by the NRS in 2002 was Granulomatous Rosacea. The RRDi has a much longer list of rosacea variants. The classifying of rosacea into subtypes has moved to the superior phenotype classification, therefore, phenotypes and variants of rosacea are the current valid classification system, superior to the subtype classification. "In a nosological sense, the term phenotype can be used in clinical medicine for speaking about the presentation of a disease." Wikipedia 13 Variants of Rosacea The RRDi recognizes these thirteen variants of rosacea: Demodectic Rosacea Gastrointestinal Rosacea [GR], aka, Gut Rosacea Glandular Rosacea Granulomatous Rosacea Halogen rosacea Idiopathic facial aseptic granuloma (IFAG) Neurogenic Rosacea Pyoderma Faciale Rosacea Conglobata Rosacea Fulminans Rosacea Lymphedema (Morbihan Disease) Rosacea Perioral Dermatitis [RPD] Steroid Rosacea [Facial corticosteroid addictive dermatitis] (FCAD), Etcetera Please read this notice about Subtypes
  13. Neurogenic Rosacea is another proposed subtype of rosacea. For more info click here. There is some controversy on the NRS classification of rosacea into subtypes.
  14. More rosaceans report that they are using natural treatments. For more info click here. You can view hundreds of non prescription treatments for rosacea in the RRDi Affiliate Store.
  15. Many rosaceans report taking anti-flushing drugs. For more info click here.
  16. There are more reports that physicians are prescribing Accutane (Isotretinoin) for rosacea. For more info click here.
  17. There are many reports of rosacea co-existing with other skin conditions. The list includes, Eczema Seborrheic Dermatitis Keratosis Pilaris Rubra Faceii Periorol Dermatitis This list is not complete. For more info click here.
  18. There is evidence that psychological issues may be exacerbating rosacea. Click here for info on rosacea and psychology. Stress is a rosacea trigger.
  19. A rosacea trigger is anything that causes a rosacea flare up. A rosacea flare up is an exacerbation of the rosacea. Trigger avoidance is a recommended treatment for rosacea usually suggested by physicians and usually comes up in any discussion of rosacea. For more info on rosacea trigger avoidance click here. What is the difference between a Trigger, a Tripwire, a Flareup, and a Flush?
  20. The list of non prescription treatments for rosacea are quite massive. There are many over the counter products offered to reduce redness and more products are introduced each year. For a partial list and discussion or to start your own discussion click here.
  21. The first line of treatment for rosacea from medical authorities are usually Soolantra and Oracea (gold standard), then usually topical metronidazole or Azelaic Acid, followed by Brimonidine or Oxymetazoline Hydrochloride, sometimes Sodium Sulfacetamide-sulfur, or higher dose oral antibiotics. If these first line treatments are not successful, or in severe cases of rosacea, secondary treatments are used. For a list of these secondary treatments click here. When Rosacea Resists Standard Therapies
  22. Admin

    What Causes Rosacea?

    No one knows what causes rosacea but many theories have been proposed. Click here for more info. Theories Revisited
  23. Admin

    What Is PDT ?

    PDT is Photo Dynamic Therapy which is become a popular treatment for rosacea. For more info click here.
  24. The list is extensive and you can begin by searching here.
  25. IPL Kills Demodex Mites Improves acne, rosacea Intense Pulsed Light Eradicates Demodex Mites Timothy F. Kirn Sacramento Bureau VAIL, COLO. — Intense pulsed light appears to kill Demodex mites around hair follicles and sebaceous glands, which could make it useful in treating acne, Dr. Neil Sadick said at a symposium sponsored by the American Academy of Facial Plastic and Reconstructive Surgery. Dr. Sadick of Cornell University, New York, conducted an investigation in which 24 patients with a mean age of 47 years and Fitzpatrick skin types I-IV were treated with an intense pulsed light device (Quantum SR, ESC-Lumenis, Palo Alto, Calif.), which emits a noncoherent, multiwavelength of light of 500-1,100 nm. All patients were treated monthly, up to five times, using an average fluence of 25-45 J/cm2. Patients were then evaluated using a number of techniques that included observer rating of photographs, computer-based optical profiling, histology, and the use of monoclonal antibodies to measure cytokine production. Histology showed no evidence of appreciable new collagen formation, either by ultrastructural observation or by monoclonal antibody–binding concentration, even though there were indications of increased fibroblast activity, he said at the symposium, also sponsored by the American Society of Dermatologic Surgery. "There is some attempt at `neocollagenesis' occurring, but, in my opinion, there is not significant new collagen to the point where you can tell your patients that their wrinkling will be markedly improved because of new collagen formation," he said. Likewise, there did not appear to be new elastin fiber formation. But there was "normalization" of the elastin fibers. Histology also did not reveal any necrosis, or fibrin thrombi, and only minimal new blood vessel formation. On the other hand, since intense pulsed light wavelengths target melanocytes, the investigation did find decreased melanin production at the dermoepidermal junction and eradication of the Demodex mites in the pilosebaceous units. Perhaps as a consequence, there was a decrease in inflammatory infiltrate in the skin, both in rosacea but also in photodamaged areas. "If you treat patients with intense pulsed light, you can eradicate almost all the organisms," he said. The findings help explain the results already observed with intense pulsed light, Dr. Sadick said. They also suggest that the patient who will benefit most is the person in his or her mid-40s who wants to reverse early sun damage but does not need dramatic rhytid improvement. Killing of the Demodex organisms, and consequently toning down inflammatory processes, probably explains why intense pulsed light improves redness. Many patients believe that they have a decrease in pore size, and this may be due to shrinkage of the sebaceous glands. Normalization of the elastin fibers may improve elasticity and account for some of the smoothing of texture that is seen. Decreased melanin production accounts for the improvements in dyschromia. The study did demonstrate fairly significant improvement, he said. The independent observer assessment of the 17 patients who completed five treatments found that 47% achieved more than a 50% improvement in skin tone, texture, and color. Based on the results, Dr. Sadick said he tells patients that they can expect a 25%-50% improvement in skin contour and redness. Because of the eradication of Demodex, Dr. Sadick has begun to investigate using intense pulsed light for acne. "In our experience, we have found it is helpful in treating mild acne ... but not as helpful in treating cystic acne." SHARON WORCESTER, Tallahassee bureau, contributed to this story. source | Another report on IPL said, "...At 1-week, Demodex organisms appeared coagulated....Some esthetic improvement may be secondary to clearing of Demodex organisms and reduction of associated lymphocytic infiltrate." 2002 source
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