Guide

Watch out for rosacea. Rosacea can also be exacerbated by cold, dry weather. Rosacea causes small blood vessels in your face, scalp, neck and ears to swell, making the skin look flushed. While rosacea never goes away, you can fight the inflammation with prescription antibiotic or retinoid creams and light therapy. Fighting Dry Skin: 10 Tips for Beating the Itch of Winter, By Lynn Allison, Newsmax

November 2016 The RRDi is the first non profit rosacea organization to endorse the new phenotype classification of rosacea in November 2016 after the ROSCO panel published its recommendation in the British Journal of Dermatology in October 2016 [epub ahead of print edition]. Identification of the ROSCO panel. Galderma acknowledged the phenotype classification in October 2017. For a history on categorizing rosacea from subtypes to phenotypes click here. Scroll through the posts below to review any new updates on phenotype classification of rosacea, especially of medical authorities and rosacea organizations that are recognizing this superior classification of rosacea, i.e., National Rosacea Society, American Acne and Rosacea Society, Medscape. Reply to this TopicThere is a reply to this topic button somewhere on the device you are reading this post.

"Run a cool-mist humidifier. Or place pans of water near heating vents to moisten indoor air. Humidity should be 30 to 60 percent (40 to 50 percent if you have allergies or asthma)." What to do about dry, itchy skin?, By Consumer Reports, The Washington Post “For added hydration, use a humidifier because skin that has rosacea tends to be sensitive and needs moisture,” said Dr. Jaliman. “A noncomedogenic (meaning that it won’t clog pores) moisturizer with ceramides also seals moisture into the skin.” What People With Rosacea Need To Know About Concealing Redness & Treating Flare-Ups, Dana Oliver, The Huffington Post "Run a cool-mist humidifier. Or place pans of water near heating vents to moisten indoor air. Humidity should be 30 to 60 percent (40 to 50 percent if you have ­allergies or asthma)." Dry Winter Skin: Eczema, Psoriasis, and Rosacea Explained, Catherine Winters, Consumer Reports "To replace moisture in the air, invest in a humidifier, and turn it on every time you turn on the heat, especially at night. This will help alleviate dry skin and dry eyes (especially important if you suffer from ocular rosacea)." Rosacea Treatment During Cold Weather Months, Dr. Jessica Wu, Everyday Health "Use a humidifier. There are “whole house” humidifiers you can install which will work with your heater. If that isn’t possible, look for cool-mist humidifiers you can keep in each room to keep moisture in the air. There are also small, desktop humidifiers you can use at work." Winter Rosacea: Symptoms and Tips for Managing, Eileen Bailey, Health Guide, Health Central "Use a humidifier. If you have a home humidifier that comes with your heating system, make sure it’s turned on. Otherwise, buy portable units at Home Depot or Lowes. The extra humidity they put into the air will be absorbed by your skin and hair, says Youn." Fighting Dry Skin: 10 Tips for Beating the Itch of Winter, By Lynn Allison, Newsmax Amazon Humdifiers Reply to this Topic There is a reply to this topic button somewhere on the device you are reading this post. If you never heard about this topic and you learned about it here first, wouldn't it be a gracious act on your part to show your appreciation for this topic by registering with just your email address and show your appreciation with a post? And if registering is too much to ask, could you post your appreciation for this topic by finding the START NEW TOPIC button in our guest forum where you don't have to register? We know how many have viewed this topic because our forum software shows the number of views. However, most rosaceans don't engage or show their appreciation for our website and the RRDi would simply ask that you show your appreciation, please, simply by a post.

In 1967, the zoologist Desmond Morris1 declared that “Flawless skin is the most universally desired human feature,” explaining the primordial human need to “advertise” health, well being, and fertility with an even-toned, clear, and radiant complexion. In the quest to achieve perfect skin, consumers of all ages are constantly searching for the “best” skincare products. Whether they shop at drug stores, department stores, or online, consumers are faced with a paradox of choice. They look to their friends, physicians, or favorite bloggers for independent recommendations, often purchasing expensive products that fail to live up to their reputed benefits. Plast Reconstr Surg Glob Open. 2016 Dec; 4(12 Suppl): e1152. Published online 2016 Dec 14. doi: 10.1097/GOX.0000000000001152 PMCID: PMC5172479 Skincare Bootcamp: The Evolving Role of Skincare Katie Rodan, MD, Kathy Fields, MD, George Majewski, and Timothy Falla, PhD

"There is some newer data showing that there is bacterial overgrowth that is linked with irritable bowel syndrome (IBS) and it’s also linked with rosacea. They’ve found that rosacea gets better with treatment for IBS. The same with gluten and dairy, et cetera—even though you might not truly have Celiac disease or be positive for the antibodies, there are a lot of people that swear that changing their diet, avoiding gluten and sugars, can definitely affect the skin and acne and rosacea and inflammation." Dr. Monica Bedi (Dermatology Associates) "Stress levels lead to a cortisol release, which can certainly make people break out, with acne and rosacea." Dr. Emily Arsenault (Arsenault Dermatology) Skin Deep, Go below the surface with expert local dermatologists. BY AVIEL KANTER, SRQ MAGAZINE | JANUARY 2017 IN HEALTH & WELLNESS

Other anecdotal reports using this treatment for rosacea "To give a quick update, I have been using the compound cream 2x daily so far (started last Thursday evening, only four applications thus far), and I have no doubt that it is already helping my skin." BVokey post #s 82, 85, 90 and more "The only thing out of 25 or so drugs/medications that worked is a cream base that contains... Ampitriptyline 1.0%/ Ketamine 0.5% cream in a 1 to 1 ratio. In just one week I went from being a tomato to a piece of paper and finally my skin can heal. If you are suffering from Rosacea this might be an amazing/safe treatment for you! Please see your derm." charles delacruz

Watch out for rosacea. Rosacea can also be exacerbated by cold, dry weather. Rosacea causes small blood vessels in your face, scalp, neck and ears to swell, making the skin look flushed. While rosacea never goes away, you can fight the inflammation with prescription antibiotic or retinoid creams and light therapy. Fighting Dry Skin: 10 Tips for Beating the Itch of Winter, By Lynn Allison, NewsMax Media

She had seen various doctors over the past two years. Most of them had told her she had eczema and prescribed steroid-based creams that did help, but not for long. When she stopped applying them, the flushing returned with a vengeance. There was nothing wrong with the creams - it was the diagnosis that was incorrect. Once, a doctor told her she had acne. The topical medication that was given to her made her redness and sensitivity worse. This is the classic history of a person who is suffering from rosacea, which is often mistaken for other skin diseases. A rosacea patient may be misdiagnosed and wrongly treated for years. Don't be red-faced over rosacea, Lynn Teo, The Strait Times, Singapore

We have published the results of the 2016 Rosacea Survey. Thanks for everyone who participated in the survey.

Aren't they Cute? image courtesy of Huffington Post Australia "In most cases there should be no symptoms. However, these mites are sometimes linked to skin conditions, especially rosacea. We still don't know if mites can cause rosacea, or just do really well with people with rosacea." "People with suppressed immune systems can also suffer from these mites, with a condition called demodicosis. One of the better and fairly safe treatments for mites seems to be tea-tree oil, which causes mites to evacuate their follicles and roam -- and when a mite leaves the safety of its home, it's highly vulnerable to being washed or scrubbed off," Seeman said. There Are Tiny Little Mites Living On Your Eyelashes, Leigh Campbell, Huffington Post Australia Edition For more information on mites and rosacea.

J Eur Acad Dermatol Venereol. 2016 Mar;30(3):428-34. doi: 10.1111/jdv.13556. Prevalence of rosacea in the general population of Germany and Russia - The RISE study. Tan J, Schöfer H, Araviiskaia E, Audibert F, Kerrouche N, Berg M; RISE study group. Abstract BACKGROUND: There is an unmet need for general population-based epidemiological data on rosacea based on contemporary diagnostic criteria and validated population survey methodology. OBJECTIVE: To evaluate the prevalence of rosacea in the general population of Germany and Russia. METHODS: General population screening was conducted in 9-10 cities per country to ensure adequate geographic representation. In Part I of this two-phase study, screening of a representative sample of the general population (every fifth person or every fifth door using a fixed-step procedure on a random route sample) was expedited with use of a questionnaire and algorithm based on current diagnostic criteria for rosacea. Of the subjects that screened positive in the initial phase, a randomly selected sample (every third subject) t`hen underwent diagnostic confirmation by a dermatologist in Part II. RESULTS: A total of 3052 and 3013 subjects (aged 18-65 years) were screened in Germany and Russia respectively. Rosacea prevalence was 12.3% [95%CI, 10.2-14.4] in Germany and 5.0% [95%CI, 2.8-7.2] in Russia. The profile of subjects with rosacea (75% women; mean age of 40 years; mainly skin phototype II or III, majority of subjects with sensitive facial skin) and subtype distribution were similar. Overall, 18% of subjects diagnosed with rosacea were aged 18-30 years. Over 80% were not previously diagnosed. Within the previous year, 47.5% of subjects had received no rosacea care and 23.7% had received topical and/or systemic drugs. Over one-third (35% Germany, 43% Russia) of rosacea subjects reported a moderate to severe adverse impact on quality of life. CONCLUSION: Rosacea is highly prevalent in Germany (12.3%) and Russia (5.0%). The demographic profile of rosacea subjects was similar between countries and the majority were previously undiagnosed. © 2016 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

In a recent study from our department 7/54 adult atopic dermatitis patients treated with systemic immunosuppressants were referred by ophthalmologists because of severe ocular involvement keratoconjunctivitis with or without keratoconus associated with milder skin symptoms (2). We report the case of a woman affected by atopic dermatitis and asthma in childhood who developed at 63 years of age conjunctivitis associated with blepharitis without causative contact allergen identification at skin testing. She received multiple topical and systemic treatments including cyclosporine 2mg/kg/day stopped after 4 days because of digestive adverse effects. Azathioprine-induced rosacea. J Eur Acad Dermatol Venereol. 2016 Dec 20; Richard M, Seneschal J, Taïeb A ResearchGate

Young woman with the typical butterfly rash found in lupus Image courtesy of Wikimedia Commons Rosacea and Lupus can co-exist. There are a number of anecdotal reports in this in this thread. Lupus should be differentiated from rosacea in a differential diagnosis.

In Lima’s YouTube and QVC demonstrations, the pitch works like this: She appears before the camera looking impeccable, without a blemish or a hair out of place. Then she takes a face wipe and rubs it on her right cheek (always the right cheek). “Hello, rosacea!” Lima says genially as she uncovers a patch of skin as red and bright as a burn. The Beauty Queen of QVC Jamie Kern Lima sells confidence for $39.95, brush included. By LINDA WELLS, TheCut, Cover Story, NYMag "SHE was once a news anchor and thought that would be her lifelong career path. But things took a different turn for Jamie Kern Lima, co-founder and CEO of IT Cosmetics when she developed hereditary rosacea in her 20s." Covered, on many fronts, BY MEERA MURUGESAN, NEW STRAITS TIMES PRESS

Dr Sandra Lee - known around the world as Dr Pimple Popper - is an expert in dermatology, and spoke to Express.co.uk about the do’s and don’ts for rosacea sufferers. Rosacea: Dermatologist Dr Sandra Lee explains how YOU can minimise symptoms, Dr. Sandra Lee, Express.co.uk

Most who receive treatment get to a stable state with fairly minor symptoms, but in a few it is more severe and progressive needing ongoing aggressive treatment. So if you have some of the telltale symptoms that may be rosacea, get it checked out early. Rosacea can worsen with alcohol use, exercise, Andrew Smith, MD, The Daily Times, Maryville, TN

CONCLUSION: This study suggests that the AIF and BF supplements provide significant clinical benefits in the reduction of facial erythema and hyperpigmentation. Plast Reconstr Surg Glob Open. 2016 Sep; 4(9 Suppl): 25-26. Published online 2016 Sep 16. doi: 10.1097/01.GOX.0000511256.60478.59 PMCID: PMC5147057https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5147057/ Abstract: The Efficacy of Two Melon-Derived Superoxide Dismutase/Wheat Gliadin Oral Formulae in the Treatment of Facial Skin Hyperpigmentation and Erythema Cory S. Goldberg, BSc, MD, MASc and Joshua T. Gauci, MSc We need more research on this.

Ketamine 0.5% and Amitriptyline 1% Topical Compounding Formula (Announcement in Rosacea in the News) If you have tried this topical treatment please post your results in this thread.

Truth Vitality Lux renew is FDA-cleared for the treatment of facial wrinkles and acne. It is a handheld at-home device combining ultrasound technology with red and blue LED light therapy. Lux Renew safely delivers anti-aging treatments to help firm and smooth skin.

The Soolantra seems to be improving my skin after 45 days. Still some redness showing but it is definitely improving. Hope this keeps working.

"Anecdotal results of reduced erythema and acne with the use of OnabotulinumtoxinA (Botox®, Allergan, Irvine, CA, USA) for cosmetic purposes led Dayan et al to experiment further in 13 patients with rosacea. Over the course of 2 years, patients received intralesional microdroplet injections (0.05 mL) of onabotulinumtoxinA in a dilution of 7 mL of saline solution per 100 units. The results indicated significant reduction in erythema and flushing of the affected area 2–4 weeks after treatment. Their predecessors reported similar results after a 26-year-old male was injected with 10 units of onabotulinumtoxinA at 1 cm intervals into one cheek." Clin Cosmet Investig Dermatol. 2015; 8: 159–177.Published online 2015 Apr 7. doi: 10.2147/CCID.S58940PMCID: PMC4396587Update on the management of rosaceaAllison P Weinkle, Vladyslava Doktor, and Jason Emer We need more studies on this.

"Finally, a formulation of low molecular weight hyaluronic acid sodium salt 0.2% cream (Bionect® Cream, Innocutis Holdings, Charleston, SC, USA) applied twice daily for 8 weeks showed a statistically significant reduction in papules, erythema, burning, stinging, and dryness in a small study. Along with excellent tolerability, a reduction in papules, erythema, burning/stinging, and dryness was clearly apparent by week 4 and remained by the final visit at week 8. Notably, erythema was reduced by the greatest amount, with an approximate 50% improvement by week 2. This study demonstrates the importance of skin barrier maintenance and repair in the pathogenesis of rosacea. With a hydrophilic structure, low molecular weight hyaluronic acid penetrates the stratum corneum where it interacts with fibrin and collagen to support remodeling of the extracellular matrix. This mechanism, along with induction of the antimicrobial peptide β-defensin 2 release from keratinocytes, ultimately accelerates re-epithelialization and reduces pain and edema." Clin Cosmet Investig Dermatol. 2015; 8: 159–177.Published online 2015 Apr 7. doi: 10.2147/CCID.S58940PMCID: PMC4396587Update on the management of rosaceaAllison P Weinkle, Vladyslava Doktor, and Jason Emer We need more studies on this.

Quassia amara image courtesy of Wikimedia Commons "In another single-center, open-label study, a group of 30 patients with rosacea of variable severity were treated with 4% Quassia amara extract topical gel for 6 weeks. Reportedly, Q. amara possesses antiparasitic and anti-inflammatory properties that have the capability to decrease the inflammatory response with few complications. Efficacy comparable with that of first-line topical treatments like azelaic acid and metronidazole was observed after Q. amara treatment, with superb tolerability." Clin Cosmet Investig Dermatol. 2015; 8: 159–177. Published online 2015 Apr 7. doi: 10.2147/CCID.S58940 PMCID: PMC4396587 Update on the management of rosacea Allison P Weinkle, Vladyslava Doktor, and Jason Emer We need more studies about this.

"Long story short, a dermatologist diagnosed with rosacea. Which doesn’t have a cure. Oh yeah and is treated “simply” with 2 doses of an antibiotic daily, and 2 applications of a medicated cream daily. Sigh....But I was desperate to start looking like myself again. So I looked into this “It.” Turns out it is sold in Ulta, and, after viewing their videos, my God, their products really do fight the good fight against rosacea, meaning it covers up the damn redness. (Sorry for doubting you, Ma)." Me, Rosacea, And It Cosmetics April 29, 2016 by lifesucksinastraplessbra

Anecdotal reports of rosacea clearance on a vacation anon24 reports that going to the beach improved his rosacea. CrabbyCathy » Wed Oct 20, 2010 1:53 am (sixth post in the thread) posts, "My skin has calmed down nicely--partly, I think, because I am on vacation! No joke." ________________ Mister88 (also nat007 post #8, Acne Rosacea Support post #9, maroon5 post #10): post no 1: "I clearly nailed down my triggers;-) and sun is Ok! not sure why my face cleared up but I think it's one of these, dr said don't use rosula( sulfar wash) while on vacation.. maybe the sulfar causes more harm? I also introduced accilophodus+ hcl digestive supplements. Or it could be that the sun helped?" post no 8: "I heard so many stories from rosacea friends dreading their holidays as their skin is in a bad state, and I have had the same situation plenty of times, and almost always they go with dread and find their rosacea is way less bad during the vacation! It must be the emotional factor, being relaxed, and warmer temperatures might play a role too!" post no 9: "I tend to agree, when I go on vacation my symptoms don't seem to be as bad." post no 10: "Also tend to agree my skin is generally clearer on holiday - although I'm very careful with my face and would never risk getting burnt." ------------------------------------------ People's Pharmacy Comments confirms similar results for Tracy, Dave, Lynn and her husband: Tracy: "I’ve just returned from the seaside and all my rosacea has cleared . I was only there for 2 days" Dave: "That being said, in January I went on a weeklong trip to the Virgin Islands. During that week I snorkeled several times, probably for 2 hours total. I was convinced beforehand that the saltwater would irritate my skin (anything irritates my skin). I couldn’t have been more wrong, my skin looked better than it had for 3 months using all types of medicine from the dermo." Lynn and husband: "Both my husband and I also have Rosacea. We too have noticed when we return from a trips from Florida or Hawaii, the Rosacea has cleared up." -------------------------------------- Nick [nfaieta] (and BVokey see post #2) writes, "Why did my skin clear up on vacation? Why is it that my skin pretty much cleared up when I spent a week in Florida recently. When I got home it went right back to being red and irritated. Is it just because I got some sun and it looked more tan? My face did not get irritated by the sun, it actually felt way better." BVokey posts: "The exact same thing happened to me while in Hawaii recently and also happens whenever I am staying in a warm climate. I was there for two weeks and my Rosacea cleared up almost completely however slowly returned once I got back home to the cold weather and back to the grind." RaymondS post #8: "No stress....come back to normal life and things get worse, my skin looked amazing in Thailand. Very humid / was in the water a lot. But it's hot here in summer and I swim and my skin is not amazing? Thinking stress less" ---------------------------------- tifer (post no 1) reports, "there’s only 1 thing that COMPLETELY eliminates my seb derm (AND dandruff): going on vacation. and whats mind blowing is the fact that my scalp goes back to normal 100% within 3-5 days. it’s unbelievable. ‎Lee-Ann Findlater‎, Rosacea Tips and Support Group, posts, "i thought the sun is meant to make rosacea worse. I've came on holiday thinking the worst as its all new to me. and its a actually cleared it up a good bit?? its definitely rosacea." Seb91 [post no 6] reports, "I went to Central America last year travelling for 4 months. I went to visit my girlfriends family in Canada on the way and my skin was so bad whilst I was there that I said to her "I don't think I am going to last 2 weeks in Central America," I was dreading it. I got to C, America and after 3 days my skin started to improve. I was in the sea surfing, my skin started to burn less, sensitivity went down, even had a few drinks that I hadn't had for years without a flare up. Whether its a combination of stress, humidity, surf, sea, sun, I don't know, but it showed me that it CAN get better. It might not always seem the case, much like the period that I am going through now, I need to remind myself, last year I went to C, America in 30C heat and it was manageable." Seb91 [post no 34] didn't mention the South Pacific or a beach but did say this: "I went to Mexico for 4 months with my girlfriend 2 years ago, a trip I was absolutely dreading because my skin was in a bad place, and I ended up being absolutely fine and having the best time, without much pain, sensitivity, and redness. Not sure why? Maybe it was because I was doing something I love (surfing), humidity, the air quality, I really don't know. But seeing my skin on that trip said to me that this isn't the result of lasers, this is a result of an environmental change." BVokey [post no 1] reports, "Honorable mention: going to the beach and swimming in the ocean, warm/hot showers, hot tubs, etc all actually reduce my redness for a short time. I think it's related to my entire body getting water. The biggest healer of the above is swimming in the cool ocean saltwater - it drastically reduces my redness to an almost pale pink. Being out in the sun as much as possible as long as I am wearing sunblock,,,"