Cart

Your cart is empty

Continue shopping now

All About Rosacea

Sporty & Rich Wellness - All About Rosacea

 

By: @dermahealthnutrition

 

Rosacea is a chronic, inflammatory skin disease affecting nearly 15 million Americans, mainly between the ages of 30 and 50. Rosacea is typically localized on the nose, cheeks, chin, and forehead, usually sparing the area around the mouth. It usually evolves over decades and the clinical features typically include red, dilated blood vessels in the central area of the face called telangiectasias, flushing, and inflammatory episodes with pustules and papules. In severe cases, Rosacea may result in a swelling of the nose, ears, or chin. These special forms called phymas are almost exclusively seen in males. 

 

Multiple factors are involved in the occurrence of Rosacea, including alterations in skin barrier function, genetics, increased inflammation, aberrations of vascular reactivity and a disturbed skin microbiome with an overpopulation of Demodex mites. Rosacea skin easily responds to temperature changes, aggressive face washing and psychological stress. One of the most critical inducers of Rosacea is UV exposure, especially UV-B which triggers flares.

 

According to recent findings, Rosacea is often associated with gut and eye symptoms. For example, a study including nearly 50,000 Rosacea patients and 4 million healthy controls demonstrated a higher presence of celiac disease, Crohn's disease, ulcerative colitis, bacterial overgrowth within the gut and irritable bowel syndrome in Rosacea patients.

 

Despite ongoing research efforts, findings on the impact of nutrition on Rosacea is still limited, especially compared to acne. Generally, a varied, plant-focused diet is regarded as health promoting. According to recent studies, coffee does not appear to be associated with an increased incidence of Rosacea. Spicy and hot foods may contribute to clinical exacerbation, with increased redness of the skin and inflammatory eruptions through the activation of cellular channels, which leads to dilation of blood vessels. According to an epidemiological study with more than 82,000 Rosacea patients, alcohol appears to be a dose-dependent predictor for an increased prevalence. Lately, alcohol-induced changes of the gut microbiome have been proposed as a possible causal connection.

 

The first step of every Rosacea treatment should be based around the prevention of individual triggers: adequate sunscreen, avoiding excessive heat and cold, improving skin barrier function with hydrating emollients, avoiding skin irritants, a balanced diet and reducing emotional stressors. Prior to pharmacological therapy, a physician should always address these preventive steps to mitigate Rosacea flares. If necessary, pharmacologic interventions range from topical to systemic medications and laser treatments with the ideal treatment choice dependent on individual symptoms and severity.

 

Contrary to common believe, Rosacea:

- Does not only affect the face but also the neck, décolleté and scalp

- Is not only a skin disease but may affect the eyes and the gut

-Is easily differentiated by acne through the absence of sebum-occluded follicles called comedones

- Is common, however often underdiagnosed

- Has many special forms including lupoid Rosacea, Rosacea fulminans, gram-negative Rosacea,  and Morbihan’s disease

- Should not be treated with corticosteroids

 

References:

Van Zuuren, E.J. Rosacea. N Engl J Med 377, 1754-1764 (2017).

Schaller, M., et al. Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel. Br J Dermatol 182, 1269-1276 (2020).

Clanner-Engelshofen, B.M., et al. S2k guideline: Rosacea. J Dtsch Dermatol Ges 20, 1147-1165 (2022).

Daou, H., Paradiso, M., Hennessy, K. & Seminario-Vidal, L. Rosacea and the Microbiome: A Systematic Review. Dermatol Ther (Heidelb) 11, 1-12 (2021).

Marson, J.W. & Baldwin, H.E. Rosacea: a wholistic review and update from pathogenesis to diagnosis and therapy. Int J Dermatol59, e175-e182 (2020).

Haber, R. & El Gemayel, M. Comorbidities in rosacea: A systematic review and update. J Am Acad Dermatol 78, 786-792 e788 (2018).

Drago, F., et al. The role of small intestinal bacterial overgrowth in rosacea: A 3-year follow-up. J Am Acad Dermatol 75, e113-e115 (2016).

Yuan, X., et al. Relationship between rosacea and dietary factors: A multicenter retrospective case-control survey. J Dermatol 46, 219-225 (2019).

Li, S., et al. Association of Caffeine Intake and Caffeinated Coffee Consumption With Risk of Incident Rosacea in Women. JAMA Dermatol 154, 1394-1400 (2018).

Drago, F., Ciccarese, G., Herzum, A., Rebora, A. & Parodi, A. Rosacea and alcohol intake. J Am Acad Dermatol 78, e25 (2018).

Sharma, A., et al. Rosacea management: A comprehensive review. J Cosmet Dermatol 21, 1895-1904 (2022).

Previous
Next

The Wellness Club

The Health Benefits of Ghee

The Health Benefits of Ghee

Translation missing: en.blogs.article.by Taylor Davis

By: @islandem_ Ghee, or clarified butter, is the product of slowly heating cow’s butter to 100°C until the fat, milk protein (casein), and sugar (lactose) separate. The protein and milk are...

Read more
The Power of Napping

The Power of Napping

Translation missing: en.blogs.article.by Taylor Davis

By: @inceipek1 In today's fast-paced world, where work schedules are demanding and screens keep us connected around the clock, finding time to rest and rejuvenate has become increasingly challenging. However, one simple yet highly effective practice that offers us a potential solution is napping. Often underestimated, napping holds a plethora of benefits for both physical and mental health. The Science Behind Napping

Read more
Should You Workout on an Empty Stomach?

Should You Workout on an Empty Stomach?

Translation missing: en.blogs.article.by Taylor Davis

By: @coreflexpilates founder Chris Bardawil  This is a topic that has so many variables but this article will give you some real world experience and ideas on how you can come to your own conclusion when it comes to working out on an empty stomach. The first thing to consider...

Read more
5 Mental Health Benefits of Exercise

5 Mental Health Benefits of Exercise

Translation missing: en.blogs.article.by Taylor Davis

By: @coreflexpilates founder Chris Bardawil  Most of us know about the physical benefits of exercise: improved posture, weight management, increased energy, looking stronger...but what about the psychological benefits of exercise? Here are five key benefits your mental health will get from regular exercise.  Better Sleep: Exercise can help regulate our circadian rhythm which is our body's internal clock that influences when we feel tired and when we feel...

Read more
Nourishing The Mind: How Nutrition Impacts Mental Health

Nourishing The Mind: How Nutrition Impacts Mental Health

Translation missing: en.blogs.article.by Taylor Davis

By: @inceipek1 The saying "you are what you eat" holds more truth than we might realize, especially when it comes to our mental health. The connection between nutrition and mental well-being is a complex and intricate web, with scientific research increasingly highlighting the profound impact that our dietary choices can have on our mood, cognition, and overall mental...

Read more
Sporty & Rich Wellness

Understanding the Complexities of Histamine Intolerance

Translation missing: en.blogs.article.by Taylor Davis

By: @dermahealthnutrition Histamine plays several important roles in the body, including regulating gastric acid production, controlling blood vessel dilation, modulating immunity and response to allergens. Histamine is found in varying amounts in almost all foods. Histamine intolerance results from an imbalance between histamine intake and histamine metabolism in...

Read more
A Root Cause Approach for Treating Perioral Dermatitis

A Root Cause Approach for Treating Perioral Dermatitis

Translation missing: en.blogs.article.by Taylor Davis

By: @drmelissa.co Dermatitis is a term that describes general inflammation of the skin. While it is relatively easy to diagnose, discerning the cause can be challenging; typically there are a plethora of factors that come together to cause this condition. Perioral dermatitis (PD) is general inflammation of the skin around the mouth (“peri”...

Read more
A Look Into What a Naturopath Eats in a Day

A Look Into What a Naturopath Eats in a Day

Translation missing: en.blogs.article.by Taylor Davis

  By: @drmelissa.co What I eat in a day is a topic I consistently am asked about and I often hesitate to share because no two people are alike and I believe there is no one-size fits all approach when it comes to diet and overall health. What works for me may not work for anyone else. I...

Read more
Sporty & Rich Wellness

Adverse Reactions to Food: Allergies versus Intolerances

Translation missing: en.blogs.article.by Taylor Davis

By: @dermahealthnutrition Many food-related symptoms are mistaken for "allergies" when in fact they may be food intolerances. Food allergy and food intolerance are two distinct reactions with unique characteristics in terms of their underlying mechanisms. Accurately distinguishing between the two conditions is crucial for effective diagnosis and treatment, and ultimately for improving the wellbeing of those affected.

Read more
Sporty & Rich Wellness

5 Mental Health Benefits of Exercise

Translation missing: en.blogs.article.by Taylor Davis

By: @coreflexpilates Many of us know about the physical benefits of exercise, but what about the psychological benefits of exercise? Exercise can help ease anxiety and depression, improve your sleep and keep your memory in check. Here are five benefits your mental health will get from regular exercise. Better Sleep - E

Read more
Irregular Periods: What Do They Mean?

Irregular Periods: What Do They Mean?

Translation missing: en.blogs.article.by Taylor Davis

By: @drmelissa.co A woman’s period is a vital sign. Just like your blood pressure, heart rate, temperature, and breath rate, a woman’s cycle is indicative of her health overall. An imbalanced period indicates suboptimal health.  The menstrual cycle is incredibly complex and requires a constellation of factors to align for it to occur at regular intervals. Factors that can delay a period or cause it...

Read more
Micro-Needling with PRP for Facial Aging

Micro-Needling with PRP for Facial Aging

Translation missing: en.blogs.article.by Taylor Davis

By: @drmelissa.co Facial treatments that slow and treat the signs of ageing have become increasingly popular as an alternative to, or in conjunction with, more invasive methods like injectables and surgery. Micro-needling is one I am frequently asked about, as it can benefit the skin’s appearance, soften fine lines and improve overall texture and plumpness — but

Read more