Guide

"In conclusion, we have found that LCs are essential for maintaining subbasal nerve health and for regulating ocular surface inflammation in DE disease."

PLoS One. 2017; 12(4): e0176153.
Published online 2017 Apr 25. doi:  10.1371/journal.pone.0176153
PMCID: PMC5404869
Langerhans cells prevent subbasal nerve damage and upregulate neurotrophic factors in dry eye disease
Eun Young Choi, Hyun Goo Kang, Chul Hee Lee, Areum Yeo, Hye Mi Noh, Nayeong Gu, Myoung Joon Kim, Jong Suk Song, Hyeon Chang Kim, and Hyung Keun Lee

"While many people may find their skin gets sensitive and red at times, for people with rosacea these symptoms are more serious and permanent."

BEAUTYGLOSSARY: WHAT IS ROSACEA?, Bazaar

Kristin Chenoweth Launches RHOFADE Campaign

"Allergan plc, (NYSE: AGN), a leading global pharmaceutical company, announced that Emmy® and Tony® award-winning actress and singer, Kristin Chenoweth will kick off the "Less Red, More You" campaign today at an exclusive event in New York City. As part of the campaign, Ms. Chenoweth, who suffers from rosacea, will ignite a nationwide conversation about the typically underserved condition while raising awareness for RHOFADE™ cream, a new product indicated for the topical treatment of persistent facial erythema associated with rosacea in adults."

Kristin Chenoweth Kicks Off 'Less Red, More You' Campaign To Launch RHOFADE™ (Oxymetazoline HCL) Cream, 1%, PR Newswire

Image courtesy of Wikipedia

Famous Rosaceans

"When treating rosacea, I always prescribe topical agents first and, if necessary, add an oral medication. I wean my patients off of oral medication as soon as possible and use a maintenance topical regimen to keep their skin clear," says Carin H. Gribetz, MD, assistant clinical professor of dermatology at Mount Sinai Hospital in New York.

A Side-by-Side Look at the Most Common Rosacea Treatments, by Elizabeth Szaluta, MPH, Medscape

A Link to One Type in Particular Has Been Established. Patients with rosacea often experience flushing and paroxysmal burning of the face and chest—a phenotype termed "neurogenic rosacea." Intriguingly, patients with neurogenic rosacea also may have a higher prevalence of migraines (recurrent headaches and nausea, triggered by light or sound).

Graeme M. Lipper, MD, Medscape, News & Perspective > Viewpoints

Prevalence and Risk of Migraine in Patients With Rosacea: A Population-Based Cohort Study
Egeberg A, Ashina M, Gaist D, Gislason GH, Thyssen JP
J Am Acad Dermatol. 2017;76:454-458.

Thought I would update my Soolantra thread. I stopped Soolantra as you can review on February 13. I then got some samples from my dermatologist with the following prescription  treatments: 

Avar-e Green Color Corrective Emolilent Cream (sodium sulfacetamide 10%, sulfur 5%)

Ovace Plus Cream (sodium sulfacetamide 10%)

Ovace Plus Lotion (sodium sulfacetamide 9.8%)

My dermatologist gave me a number of Soolantra samples too!

In March, April and through today I would try the above three samples alternatively as well as use Soolantra once in a while (about once a week). I have found that the Avar-e Green seems to work the best for me. However the other day I got a sunburn because I go to the beach and swim just about every day and really got burnt. Not good for rosacea. But I have enclosed some update photos. I will continue to use this thread to post my regimen since I include Soolantra once a week. 

On 2/7/2017 at 8:22 AM, Rory said:

Sorry Brady but I didn't say that those using Soolantra would notice a better improvement with a low carb diet. I was referring to the 30% of participants in the Soolantra study who failed to see any improvement. 70% of participants were clear/almost clear without any mention of a diet. Also, I have no idea what most of your last post has to do with my previous post. What exactly Soolantra does for Rosacea may very well still be a little up in the air. My previous post was specifically looking at your case, where it seems that Soolantra or ZZ cream will treat your secondary symptoms, and diet addresses the primary cause. Or maybe it's the other way round. I was hoping that Soolantra could have treated both aspects of your Rosacea, but that doesn't seem to be the case so far. 

Like I've said, there have been some people on the Soolantra thread who have reported being able to eat and drink whatever they want while using Soolantra. But I guess this may not apply to all of us.

 

I see. I know that low carb/high protein helps control my rosacea. I think that Soolantra works for some just like every other treatment for rosacea. I do think it is worth trying out since so many say it works for them. Soolantra is definitely one of the treatments in the armamentarium for rosacea. 

"Rosacea can be referred to as “adult acne” and this is a different entity altogether – rosacea is an inflammatory condition that can cause redness and/or acne-like bumps on the face. It can be triggered by sun exposure, stress, spicy foods and alcohol. There are topical and oral treatment options available depending on disease severity."

DocTalk: Dr. Megan Joint, 
By Katie Green, Observer-Reporter

"“I immediately notice the quality of the skin and hair, which gives me tremendous insight into the patient’s diet and stress levels,” says Whitney Bowe, MD, a board-certified Dermatologist in New York City."

This Is the First Thing Your Dermatologist Notices About You
BY AUBREY ALMANZA, Reader's Digest

"At the age of 46, Pamela was suffering from an advanced form of rosacea called rhinophyma. However, the cause of this unusual growth of nose condition is unknown, but it commonly develops after rosacea begins on the face between the ages of 25 and 50. She tried every medicine prescribed by the doctor but nothing worked. She was suffering from an unfortunate medical condition. After her interview being telecasted on TV, she was offered free surgery by Dr. Ann Zedlitz to correct the growth of her nose! And today, after her surgery she looks like this now!"

HER NOSE STARTED TO GROW UNCONTROLLABLY AT AGE 15, TODAY SHE LOOKS LIKE THIS
By Akanksha Manhas, PagalParrot

More on Phenotype Phymatous

Laser is usually the preferred way to remove spider veins. Joe Niamtu, III, MD, show how he does it with the handy dandy Iridex 940 laser: 

Tom Busby, expert extraordinaire at RF, wrote "VeinWave, or the newer version, VeinGogh, will remove facial spider veins. A needle about the size of a human hair, with a small electric current, heats up the vein and coagulates the blood. Then the blood is reabsorbed and the skin is clear." 4th June 2013 03:32 AM Post #7

"Vein wave is a through the skin radiofrequency treatment for small visible veins.  This has very little recovery and little bruising and works fairly well, the main issue is to find an office that has a machine made within the last year (only 5 in US) as previous models were underpowered and may not have resulted in complete treatment." Jordan Knepper, MD 
Ann Arbor Vascular Surgeon, realself, July 26th, 2016

"There are many ways to remove surface veins. I would suggest laser therapy instead of vein wave to eliminate facial spider veins. Laser can be more powerful than RF." Dr. Karamanoukian, Los Angeles, realself, January 4, 2017

Albert Malvehy, MD, treats this unwanted occurrence using foam sclerotherapy.

Rosacea Therapeutics Market Pipeline Review H1 2017

Looks like the NRS is responding to the new phenotype classification of rosacea by the ROSCO panel with this abstract. We await the full article to view all the content. 

Importance  There is a limited therapeutic armamentarium for recalcitrant cases of childhood rosacea. 

Observations  We report the case of a 12-year-old girl who presented with severe ocular and cutaneous rosacea unresponsive to oral doxycycline, oral isotretinoin, and topical tacrolimus. A biopsy specimen showed numerous mites within the folliculosebaceous unit. Treatment with a single dose of oral ivermectin achieved resolution of her symptoms. 

Conclusions and Relevance  The causative role of Demodex folliculorum should be considered in immunocompetent children with rosacea or rosacea-like refractory eruptions. In such cases, treatment with ivermectin can be beneficial. 

Case Report/Case Series The cutting Edge
January 2014
Severe Demodexfolliculorum–Associated Oculocutaneous Rosacea in a Girl Successfully Treated With Ivermectin
Megan Brown, MD; Angela Hernández-Martín, MD; Ana Clement, MD; et al

PubMed 

"It is most important to use a nonirritating cleanser that helps to lock in moisture." Ingredients such as ceramides, hyaluronic acid, and glycerin help hydrate the skin, while it is best to avoid alcohol-based products."

Red in the face: What to do about rosacea, Ellen Warren, Chicago Tribune

bakersmt, 

Can you share your papers here in this thread?  

Allergan has announced the Rhofade Savings Card program. Just fill out the online form. 

"According to the researchers, while both the 532 and 940nm wavelength lasers are effective for facial telangiectasias, they lacked evidence to support whether one wavelength was superior to the other until now.....Given the efficacy and safety of the 940nm wavelength laser, the researchers recommend this wavelength be added to the standard treatment facial vasculature."

Better Laser For Treating Facial Spider Veins Identified By BUSM Researchers, Medical News Today

Apparently the Cadillac of these type laser machines is the V+ laser

"I have one other suggestion. One of my patients finds that when she follows a strict sugar-free diet, her facial redness fades almost completely. But if she has so much as a chocolate biscuit, the redness flares up again the next day. There’s no evidence to back this up, but I’ve seen that it works for her. Why not try it?"

How CAN I banish my embarrassing rosacea? DR MARTIN SCURR answers questions from readers, Martin Scurr, Daily Mail 

"Dermatologist Mara Weinstein says, "Rose hip oil is packed full of vitamins (vitamin A, vitamin C) and antioxidants. It has anti-inflammatory properties, which can help reduce the redness associated with rosacea and acne-prone skin, which is sensitive skin. Just make sure that whatever formulation you pick up is noncomedogenic (doesn't clog pores)."

Red in the face: What to do about rosacea, Ellen Warren, Chicago Tribune

JAAD
Alcohol intake and risk of rosacea in US women
Suyun Li, BA, Eunyoung Cho, ScD, Aaron M. Drucker, MD, Abrar A. Qureshi, MD, MPH, Wen-Qing Li, PhD

"Overall, women who drank alcohol had an elevated risk of developing rosacea and that risk increased as their alcohol consumption increased. Even just one to three drinks per month led to a 14% increased risk. Five or more in a week – the risk increased by 28 % to 49%!"

Alcohol May Increase Risk of Skin Condition in Women, By Denise Reynolds, EMaxHealth

"As if Nutella wasn't enough to take away from us (or try, it didn't work), a study conducted by the Journal of the American Academy of Dermatology has found a link between drinking white wine and the development of rosacea, a skin condition that often presents as a red rash. Although this isn't the first time alcohol has been linked to bringing on rosacea, it was previously thought that red wine was the culprit."

DO THEY HAVE TO RUIN EVERYTHING?
BY CATHY DONOHUE. Her

"Possibly bad news if your summer plans include sitting in sidewalk cafes sipping chardonnay all day: A new study just found that drinking white wine could up your risk of developing rosacea."
Studies Show Pinot Grigio Could Trigger Rosacea and We Are Extremely Sad About It, BY MACAELA MACKENZIE, Allure 

"Researchers have found that women who consume alcohol may be more likely to develop rosacea than non-drinking women, with white wine and liquor being the biggest offenders."
White wine linked to rosacea: study, New York Daily News

White wine, liquor may raise women's risk of rosacea, by Honor Whiteman, Medical News Today

Your Favorite Drink May Increase Your Risk of This Skin Condition, by Brittany Burhop, Senior Editor, NewBeauty

Drinking White Wine Raises Your Risk of Developing Rosacea
By Ashley Weatherford,The Cut, NY Mag

White wine may do no favors for a woman's skin, By CBS News, KZBK

Alcohol consumption increases rosacea risk in women, Science Daily

White Wine Raises Women's Risk for Rosacea, NewsMax

Study: Risk of Rosacea higher with White Wine, Indian Wine Academy

Like White Wine? You Might Be at a Higher Risk of Developing Rosacea, Elizabeth Chambers, Paste 

""We also tell our patients to avoid certain ingredients in skin care and cosmetics, such as retinol, alpha hydroxy acids, and beta hydroxy acids, which can be too harsh for sensitive rosacea-prone skin." Concerned your skin care might be making symptoms worse? Read up on the signs your products are secretly damaging your face.""

Got Rosacea? These Makeup Tricks Will Make It Disappear, by Lindsay Cohn, Readers Digest

"We found white wine and liquor were significantly associated with a higher risk of rosacea," said study senior author Wen-Qing Li. He's an assistant professor of dermatology and epidemiology at Brown University.

White wine may increase risk for rosacea in women, study says, By Kathleen Doheny, HealthDay News, UPI