Guide

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"...Tiger Grass soothes, hydrates, and evens the tone of an inflamed complexion. It’s a skin-care treatment, not a cosmetic, replacing the role of a daily face moisturizer. The green formula undergoes a bit of a transformation when it’s rubbed into skin, turning beige and then clear. Because the texture is light and dries matte, oily complexions can handle its moisturizing heft....Rosacea sufferers might find relief in its color-correcting prowess, and those with acneic skin might find that the pink glow of a pimple can be muted with a small dab" A Magical Color-Correcting Cream for Your Gross, Sick Face, by Ashley Weatherford, The Cut, NY Mag The RRDi is an Amazon Affiliate. By clicking below on the image and purchasing the item, the RRDi receives a small fee. Thanks. Please post your experience using this product in this thread.

Calm Rosacea “Similar to acne, it’s about adjusting that internal balance within,” Goldstein says. “Rosacea in Chinese medicine is often about digestion—by clearing up the internal digestive issues, it really helps to minimize redness and irritation in the skin tissue.” 5 Surprising Beauty Benefits of Acupuncture, by EVIANA HARTMAN, Vogue

See Bacteria Theory

"Bacillus oleronius is a gram-negative bacterium whose role has emerged since it was first cultured from demodex mites of patients with rosacea. The majority of patients with rosacea demonstrated the serum reactivity to 62-kDa and 83-kDa proteins from B. oleronius, suggesting that it might be implicated in rosacea. " [1] End Notes [1] Int J Mol Sci. 2016 Sep; 17(9): 1562.Published online 2016 Sep 15. doi: 10.3390/ijms17091562, PMCID: PMC5037831Rosacea: Molecular Mechanisms and Management of a Chronic Cutaneous Inflammatory ConditionYu Ri Woo, Ji Hong Lim, Dae Ho Cho, and Hyun Jeong Park, Chris Jackson, Academic Editor Positive correlation between serum immuno-reactivity to Demodex-associated Bacillus proteins and Erythematotelangiectic Rosacea. O'Reilly N, Menezes N, Kavanagh K. Br J Dermatol. 2012 Jun 18. doi: 10.1111/j.1365-2133.2012.11114.x. Demodex-associated Bacillus proteins induce an aberrant wound healing response in a corneal epithelial cell line (hTCEpi). O'Reilly N, Gallagher C, Katikireddy K, Clynes M, O'Sullivan F, Kavanagh K. Invest Ophthalmol Vis Sci. 2012 Apr 24. The potential role of Demodex folliculorum mites and bacteria in the induction of rosacea. Stanislaw Jarmuda, Niamh O'Reilly, Ryszard Zaba, Oliwia Jakubowicz, Andrzej Szkaradkiewicz and Kevin Kavanagh. Journal of Medical Microbiology, 2012 DOI: 10.1099/jmm.0.048090-0 Article at PubMed Mite-related bacterial antigens stimulate inflammatory cells in rosacea.Lacey N, Delaney S, Kavanagh K, Powell FC.Br J Dermatol. 2007 Sep;157(3):474-81. Epub 2007 Jun 26

"The result of the course of treatment was visible, but just not worth the pain. A few months later I spoke to a friend who recommended trying the rather less extreme exercise of drinking warm water with a slice of lemon every morning. The result is the clearest skin I’ve ever had." Dominique McMullan, The Irish Times

The RRDi is please to announce that Ronald P. Drucker, D.C., has volunteered to serve on the RRDi MAC. Dr. Drucker has written an article about rosacea you may want to read.

Recently rosacea has been associated with other diseases. A new study just ruled out cardiovascular diseases for now: "In this large study of patients with rosacea, atopic dermatitis, and psoriasis, we did not detect an increased 1-year risk of cardiovascular disease after adjusting for confounders." Dermatol Ther (Heidelb). 2016 Sep 22. Cardiovascular Disease Outcomes Associated with Three Major Inflammatory Dermatologic Diseases: A Propensity-Matched Case Control Study.Marshall VD, Moustafa F, Hawkins SD, Balkrishnan R, Feldman SR Full Article For more information see Theories Revisited

"In patients presenting with both marked background erythema and telangiectasias, initial treatment with brimonidine 0.33% gel to target the erythema followed by laser/light-based therapy for the telangiectasias has been shown to be an effective combination in clinical practice." J Clin Aesthet Dermatol. 2016 Jul;9(7):30-9. Epub 2016 Jul 1. Improving Treatment of Erythematotelangiectatic Rosacea with Laser and/or Topical Therapy Through Enhanced Discrimination of its Clinical Features. Micali G, Gerber PA, Lacarrubba F, Schäfer G.

Nurs Stand. 2010 Nov 17;25(11):33. I live with rosacea without feeling depressed about it. Boole L. Abstract In her dermatology focus on the effect of skin conditions on patients' quality of life (learning zone November 3), Liz Green refers to rosacea as a condition that can cause problems.

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"While many clinical trials of rosacea exist, the lack of consensus in outcome reporting across all trials poses a concern." Trials. 2016 Sep 1;17(1):429. doi: 10.1186/s13063-016-1554-3. Development of a core outcome set for clinical trials in rosacea: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey. Iyengar S, Williamson PR, Schmitt J, Johannsen L, Maher IA, Sobanko JF5, Cartee TV, Schlessinger D, Poon E, Alam M.

"Topical interventions: metronidazole, azelaic acid, ivermectin, brimonidine or other topical treatments. Systemic interventions: oral antibiotics, combinations with topical treatments or other systemic treatments, i.e. isotretinoin. Several studies evaluated laser or light-based treatment.The majority of studies (57/106) were assessed as 'unclear risk of bias', 37 'high risk ' and 12 'low risk'. Twenty-two studies provided no usable or retrievable data i.e. none of our outcomes were addressed, no separate data reported for rosacea or limited data in abstracts. Eleven studies assessed our primary outcome 'change in quality of life', 52 studies participant-assessed changes in rosacea severity and almost all studies addressed adverse events, although often only limited data were provided." Cochrane Database Syst Rev. 2015 Apr 28;(4):CD003262. doi: 10.1002/14651858.CD003262.pub5. Interventions for rosacea. van Zuuren EJ, Fedorowicz Z, Carter B, van der Linden MM, Charland L.

A Rare Disease Has Woman's Nose Forever Growing, Rare Disease Report

"Our results suggest a correlation between IBS and DED. DED symptoms can cause further complications in patients with IBS, and should be considered in their management. However, further research is needed to establish a possible pathophysiologic association." Irritable bowel syndrome might be associated with dry eye disease

Irritable bowel syndrome might be associated with dry eye disease

"Our results suggest a correlation between IBS and DED. DED symptoms can cause further complications in patients with IBS, and should be considered in their management. However, further research is needed to establish a possible pathophysiologic association." Ann Gastroenterol. 2016 Oct-Dec; 29(4): 487–491. Published online 2016 Jun 16. doi: 10.20524/aog.2016.0064 PMCID: PMC5049556 Irritable bowel syndrome might be associated with dry eye disease Ioannis Asproudis,a Anthoula T. Tsoumani,a Konstantinos H. Katsanos,b Aristeidis H. Katsanos, Vasileios Theopistos,b Konstantinos A. Paschidis,a Epameinondas V. Tsianos, and Dimitrios Christodouloub

Probiotic Approaches for the Treatment and Prevention of Ophthalmic Diseases

"Further investigation of the ocular surface microbiome, as well as the microbiome of other areas of the body such as the oral mucosa and gut, and their role in the pathophysiology of diseases is a significant, emerging field of research, and may someday enable the development of novel probiotic approaches for the treatment and prevention of ophthalmic diseases" Yale J Biol Med. 2016 Sep; 89(3): 325–330. Published online 2016 Sep 30. PMCID: PMC5045141 Human Microbiota and Ophthalmic Disease Louise J. Lu and Ji Liu

Generally speaking, rosacea is confined to the facial area in what has been described as the Butterfly or T-Zone. Some cases have been reported to spread to the neck, ears and scalp but are uncommon. Why does rosacea not spread to other parts of the skin? Some have theorized that since the facial skin is more sensitive and thinner, is more prone to sun damage due to exposure, the fact that blushing or flushing is associated with this condition, and having more active sebaceous glands (particularly the meibomian glands about the margins of the eyelids) makes this area more prone to rosacea. Rosacea Spread to Other Skin Areas? "In most cases, rosacea only affects the face." What Is Rosacea? NIAMS "The redness usually affects the cheeks, nose and chin, but may spread to other areas, such as the forehead, neck and chest." NHS "...some persons experience symptoms on their necks, backs, scalp, arms, and legs." encyclopedia WebMD reports, "In some cases, rosacea appears on the chest, back, or neck. It can affect the eyes, causing them to feel irritated and to appear bloodshot or watery." Your Skin and Rosacea, WebMD Patient is another source who reports that "However, other areas, such as your neck, chest and ears can sometimes become involved," but cites no authority or clinical paper showing that rosacea spreads to the chest. However, it is possible that these two sources are correct and it may spread to the chest, but again such cases are uncommon. Rosacea is rarely, if ever spread to the chest, back, arms or legs. WebMD fails to cite any actual cases of rosacea spreading to the chest or back, and begins the article that rosacea "mainly affects skin on the face." "However, rosacea is believed to be unable to spread to the other body parts." Can rosacea spread to other parts of body? Wound Care Society "If it is possible to get rosacea on your arms, it would be incredibly unusual. Keratosis pilaris might be the more likely culprit, since keratosis pilaris usually affects the arms. (Keratosis pilaris is a very common skin condition in which keratin protein forms hard plugs within hair follicles). Keratosis pilaris can get red, dry and irritated (usually from scratching it), it is commonly misdiagnosed as rosacea on the face....Another possibility is eczema that can crop up anywhere, and one of the common areas is top of the arms. Eczema also goes misdiagnosed quite commonly as rosacea." Does rosacea only affect the face? ZocDoc The NRS reports, "Although it is not a common feature of rosacea, symptoms have been reported to appear beyond the face. In a National Rosacea Society survey, rosacea patients reported experiencing symptoms on the neck, chest, scalp, ears and back." Can you get rosacea on other parts of your body? NRS FAQs However, these are anecdotal reports collected by the NRS, not clinical papers. Wikipedia parrots the NRS on this. This question still needs more research. Please post in this thread what you know about this.

The RRDi is an Amazon Affiliate. By clicking below on the image and purchasing the item, the RRDi receives a small fee. Thanks. Please post your experience using this product in this thread. If you would like to understand why it is important to have good gut flora to help your rosacea, read this article. This video which is promoting a different brand of probiotics is compelling evidence that we need to improve all over all health by eating healthy and taking probiotics. The above iFlora probiotics is less expensive and has 16 different strains of good bacterial and 32 billion cells per serving.

The RRDi is an Amazon Affiliate. By clicking below on the image and purchasing the item, the RRDi receives a small fee. Thanks. Please post your experience using this product in this thread.

The RRDi is an Amazon Affiliate. By clicking below on the image and purchasing the item, the RRDi receives a small fee. Thanks. Please post your experience using this product in this thread.

By Dr. Maria Simbra, CBS Pittsberg

"No one is able to maintain much confidence their skin looks blotchy, so those who deal with rosacea often feel self-consciousness and embarrassed." 5 Simple Things You Can Do to Mimimize Rosacea, Julie Peirano, Cheatsheet