I was on accutane for six months about a year ago and after getting off I was put on minocycline which I took from then on until about six weeks ago. Last November I started to get facial redness/flushing on the sides of my face and nowhere else. The main trigger that causes my redness/flushing is heat and my face seems to be extremely sensitive to any heat and I can even flush in temperatures of 65F. At first I thought it was just due to dry skin, but my skin hasn't been dry for months and I still suffer from this problem. My dermatologist had no idea what was wrong with me and she had me stop taking minocycline to see if that helped. I noticed a marked improvement once I stopped taking the minocycline, but I still have facial redness/flushing six weeks later. The minocycline was definitely making things worse, but the biggest change I have seen since stopping it is in the intensity of flushing I get. When I was on the minocycline my face felt like it was on fire and now, even though I still flush, it isn't to the same intensity as before. When my face starts to feel hot my cheeks feel sticky even though my skin still feels smooth to the touch so I guess it is like an internal problem. I am not sure what that means, but I think that maybe my skin doesn't produce enough oil after accutane or something? I used to have pretty oily skin and now I don't have oily skin at all. The only product I am using right now is klaron, but I don't think that it has any connection with flushing and it has been really effective in keeping me acne free. I was hoping to get some advice if anyone had any?

Introduction to Rosacea

Rosacea is a relatively common skin disorder which can include:

1. Facial redness
2. Telangiectasia (dilated blood vessels which are red and can be thread-like in
appearance)
3. Unusually reactive skin
4. Uneven skin texture (lumps and bumps)
5. Flushing
6. Acne-like lesions (papules, pustules, and nodules)
7. Burning sensations
8. Swelling
9. Rhinophyma (a deformity more frequently occurring in men which is characterized
by redness, inflammation, and excess tissue growth around the nose)
10. Chronic ocular redness, scaling or crusting of the eyelids and lashes, and eye
irritation

The exact causes of rosacea are unknown, though genetics and environmental damage are thought to be factors. Some research indicates that the demodex mite could be responsible for rosacea symptoms, while other research suggests rosacea is caused by a chronic bacterial infection in the gastrointestinal system.
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Rosacea Subtypes

There are five different subtypes of rosacea. A person can have a combination of more than one subtype at a time.

1. Erythematotelangiectatic Rosacea:

Primarily involves facial redness in the central portion of the face and frequent flushing. Telangiectasia commonly can occur in those with this rosacea subtype. The skin tends to be unusually reactive and stinging and burning sensations often occur, as well as facial roughness.

2. Papulopustular Rosacea:

Involves chronic central facial redness and short-lived papules and/or pustules that tend to resemble acne. Stinging and burning sensations are not unusual.

3. Phymatous Rosacea:

Involves a thickening of the skin on the nose, nodules, and strange tissue growth. Although rhinophyma is the most common manifestation of this rosacea subtype, phymatous rosacea can be seen elsewhere such as on the chin, forehead, cheeks, and ears.

4. Ocular Rosacea:

A rosacea subtype occurring in the eye area which affects over half of those with other rosacea subtypes. Symptoms include watery, bloodshot eyes, the feeling that a foreign object has made its way into the eye, burning and/or stinging, dryness, itching, sensitivity to light, blurry vision, and telangiectasia of the eye and lid. Blepharitis (inflammation of one or both eyelids), conjuctivis (inflammation of the conjunctiva, the mucous membrane which covers the internal portion of the eyelid and is attached to the cornea), and irregularity of the eyelid margins can also sometimes be seen.

5. Neuropathic Rosacea:

A rosacea subtype which has yet to be officially recognized yet is thought to be the most severe. It involves fits of burning in the central facial region, often lasting for longer than a half hour, as well as pain following exposure to rosacea triggers (see below section). Severe cases can semi-permanently or permanently activate sensory nociceptors (pain receptors).

If you think you have rosacea, it is very important not to self-diagnose and to get a professional opinion from a dermatologist. The reason being is that some symptoms that appear to be caused by rosacea can actually be indicative of other, more serious conditions. For example, one symptom of lupus (an autoimmune disease) is what appears to be a red rash spread over the nose and cheeks that is often mistaken for rosacea. Also, many of the symptoms of rosacea cannot be addressed by over-the-counter products and require medical intervention.
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Rosacea Triggers:

Rosacea flare-ups are often worsened by various things (triggers) which are unfortunately not always easy, or even possible, to avoid. These triggers vary from person to person. Below some possible triggers are listed.

Emotional Triggers:

Anxiety
Concentration
Crying
Embarrassment
Excitement
Intimacy
Laughing
Stress

Environmental Triggers:

Cold Climates
Heat
Sun
Wind
Hormonal Triggers:
Birth control pills
Estrogen
Perimenopause
Premenstrual
Postmenopause

Foods:

Large meals
Spicy foods
Hot foods

Beverages:

Alcohol
Hot beverages

Physical Triggers:

Exertion (light or heavy)
Lying down
Migraines
Overheating
Pain

Oral Medications:

Vasodilating drugs (drugs which widen blood vessels and can therefore worsen rosacea) used for the treatment of cardiovascular disease

Topical Triggers:

Products containing skin irritants (see section below)
Exfoliants
Moisturizers
Sunscreens containing synthetic sunscreen agents

Other Triggers:

Spontaneous (if you suspect something is triggers a flare-up, avoid it if possible)
Fluorescent lighting
Computers
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Irritants Commonly Found in Cosmetics

Here is a list of common skin irritants you may wish to avoid:

Alcohols. Ethanol (grain alcohol), denatured alcohol, ethyl alcohol, methanol, benzyl alcohol, isopropyl, and SD alcohol should be avoided. (Exceptions: Ingredients like cetyl alcohol or stearyl alcohol are fatty alcohols. Some alcohols like SD alcohols can be used in small amounts. An ingredient is in a small amount if it appears at the end of an ingredients list).
Ammonia
Arnica
Balm mint
Balsam
Bar cleansers and soaps
Bentonite (can be used in the occasional clay mask, but avoid frequent use or formulations which contain other "actives")
Benzalkonium chloride (if it is one of the main ingredients)
Benzyl Alcohol (if it is one of the main ingredients)
Bergamot
Camphor
Cinnamon
Citrus juices and oils
Clove
Clover blossom
Coriander
Cornstarch
Essential Oils
Eucalyptus
Eugenol
Fennel
Fennel oil
Feverfew
Fir needle
Fragrance (may be listed as "Parfum")
Geranium
Ginger
Grapefruit
Horsetail
Jasmine
Lavender
Lemon
Lemongrass
Lime
Linalool
Marjoram
Melissa (lemon balm)
Menthol, Menthyl Acetate, and Menthyl PCA
Mint
Oak bark
Orange
Oregano
Papaya
Peppermint
Phenol
Rose
Sandalwood oil
Sodium C14-16 olefin sulfate
Sodium lauryl sulfate
TEA-lauryl sulfate
Thyme
Wintergreen
Witch hazel
Ylang-ylang

If you are uncertain about an ingredient, information about it might be found here in this online ingredients dictionary:

http://www.cosmeticscop.com/learn/dictionary.asp?TYPE=MAIN
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Treatment Options

Rosacea can be very difficult to treat for numerous reasons. First, rosacea is not very well-understood, so only the symptoms of the disease can be addressed. Second, because rosacea increases the reactiveness of one's skin, what may work for one rosacea patient may be much too irritating for you. Third, some popular rosacea treatments, like oral antibiotics, can only be used in the short-term. Fourth, products which claim to be designed for sensitive skin or to treat rosacea often contain skin irritants. If they do contain ingredients which would be beneficial to rosacea-prone skin, those ingredients are often found in minute concentrations. And lastly, there is much disagreement among dermatologists as to what should and should not be used for the treatment of rosacea. When treating rosacea, monitor how your skin reacts. If a treatment seems to worsen facial redness and cause irritation, don't use it.

Some Prescription-Only Treaments:

Standard treatment options for rosacea involve oral antibiotics and metronidazole (found in MetroGel), a topical antibiotic effective against anaerobic bacteria and some parasites. This can be effective, but keep in mind that bacteria can become resistant against oral antibiotics, making them effective only for the short-term, and metronidazole doesn’t work for everyone. Finacea, a 15% azelaic acid gel, was approved for the treatment of rosacea in 2002. It is an antimicrobial product which has some research indicating that it is more effective for rosacea treatment than MetroGel; however, other research indicates that it is more irritating, which can cause problems for many patients. Another popular rosacea treatment is a sodium sulfacetamide and sulfur lotion (such as Rosula). It has antimicrobial properties, though irritation can occur.

Isotretinoin, found in Accutane, can be a very effective rosacea treatment (I won't say "cure," but an Accutane course can solve rosacea problems for many), though it is not understood why.

Some Over-the Counter Treatments:

Some rosacea sufferers benefit from the use of benzoyl peroxide, an antibacterial treatment commonly used for acne sufferers that is effective against anaerobic bacteria. However, this is recommended with caution since benzoyl peroxide can be extremely irritating to rosacea patients and ultimately make the skin worse. Tea tree oil exhibits antimicrobial properties and is thought to be less irritating than benzoyl peroxide, but again is recommended with caution. One should use between a 5 and 15% concentration; anything more might be too irritating and anything less might be ineffective. The only leave-on tea tree oil treatment (I don't recommend medicated cleansers because the treatment gets rinsed away) I know of is Derma E Tea Tree and E Antiseptic Cream, which contains 5% tea tree oil. Salicylic acid, a chemical exfoliant, may be beneficial to rosacea sufferers as well since it has some antimicrobial and anti-inflammatory properties; however, most salicylic acid products are poorly formulated and contain unnecessary skin irritants like drying alcohols. Exfoliants of any kind can aggravate rosacea symptoms, so again approach the use of salicylic acid cautiously. The best and most economical salicylic acid products are those made by Paula's Choice. Topical hydrocortisone treatments can be beneficial for relieving rosacea-related irritation and inflammation, but these should be used sparingly as long-term use can thin the skin and actually exasperate rosacea symptoms.

Many skincare lines are coming out with products marketed to rosacea sufferers. They might be advertising that their products calm and cool the skin. Usually products claiming to cool the skin use ingredients like menthol and peppermint to produce the sensation of coolness. This cooling sensation is actually a sign of irritation, so it's best to avoid these products. You may have heard of the Aveeno Ultra-Calming and Eucerin Redness Relief lines. The Ultra-Calming line by Aveeno uses feverfew as its active ingredient, which acts as an anti-inflammatory agent when taken orally but a skin irritant when applied topically. The Ultra-Calming Foaming Cleanser is probably OK to use since the feverfew is in contact with the skin for only a short time, but otherwise one should avoid this line. Eucerin's Redness Relief line uses licorice extract, which does act as an anti-inflammatory agent when applied topically. However, Eucerin's products don't contain that much of it. Your best bet is to use products featuring anti-inflammatory ingredients without the use of unnecessary skin irritants like fragrance. You don't have to stick to just one product line.

Laser Treatments:

Although many of the above-mentioned treatments can help with some rosacea symptoms, particularly those which resemble acne, they tend to be ineffective against telangiectasia and facial redness overall. Avoiding rosacea triggers can help with these problems, they are usually inevitable in the long-run. Laser treatments, like V-Beam, can be very effective for treating telangiectasia and overall facial redness. Consult with your dermatologist on this matter if you are interested.

Additionally, combinations of laser treatments are being used in new ways to treat facial redness, flushing, swelling, and neuropathic pain that other treatment options have not been able to address. You can read more about this here:

http://www.drnase.com/rosacea_photoderm.htm

Ocular Rosacea Treaments:

Treating ocular rosacea can be tedious. Hygienic ocular care is essential. Many rosacea patients find the use of artificial tears beneficial (though don't use products like Visine, which will ultimately make the dryness and redness of the eye worse). You can read more about ocular rosacea treatments here:

http://lycos.cs.cmu.edu/info/rosacea--ocular-rosacea.html

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Other Important Information:

WEAR SUNSCREEN. Sun damage is thought to play a role in the development of rosacea because it is a vasodilator. Make sure your sunscreen is broad-spectrum, meaning that it provides sufficient protection from both UVA and UVB rays. If your sunscreen does not contain titanium dioxide, zinc oxide, avobenzone, mexoryl sx, and/or tinosorb, it does not provide sufficient UVA protection and is not broad-spectrum. Synthetic sunscreen ingredients can be irritating to those with rosacea, so look for sunscreens using the physical sunscreen ingredients of titanium dioxide and zinc oxide.

This article discusses the importance of sun protection and proper sunscreen application:

http://www.cosmeticscop.com/learn/sun.asp?ID=163
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Recommended Websites:

http://www.drnase.com/
http://www.rosacea.org/index.php
http://www.nlm.nih.gov/medlineplus/rosacea.html
http://www.about-rosacea.com/

I have been reading this forum for a year and half, and I have been a member for almost one year. I joined because I started Accutane therapy to control/stop steriod induced rosacea. Steriod induced rosacea is currently the only curable form of rosacea. I have also suffered from acne since puberty and today I am 43. It was in trying to fix my acne that I ended up with a form of rosacea.

Since I have been here I have seen what I think is a horrible trend. There have been several members of this board whose skin has developed rosacea like symptoms and they attribute this to oral and topical isotretinoin. I believe they are suffering greatly, I believe their suffering is related to isotretinoin, but I also believe their experiences are very uncommon. And now their posts have been leading many visitors to this board - terrified that if they use isotretinoin this will happen to them.

The fact remains that isotretinoin both oral and topical has helped many people over come acne. It has controlled rosacea for many as well. In my case it cured my rosacea and I was for the record taking 120 mg a day, 2mg per kg of my weight for the last three months of my therapy. If I believed what I read on here, than I should have a horrible rosacea and I don't.

The rosacea forum has three good stickies that contain awesome, well written information detailing rosacea. However, each day more and more people start posts asking if they have rosacea. These are people who have red skin, that is caused by one, several or all of the following: 1) inflammed acne, 2) topicals which are aggravating their skin, 3) topicals which naturally produce redness during the beginning of treatment until tolerance is built up, and or 4) the common side effect of redness that occurs during oral isotretinoin treatment and naturally subsides anywhere from 3 to 6 months after stopping treatment.

This forum is a godsend of information for many people. I for one have learned a lot on here and it helped my 7 month course of Accutane be a lot less scary. It is a shame that for all the good information on here, people are getting terrified by a few members whose experiences are uncommon and purely anecdotal. I am not asking for those who are having problems to stop posting. But, everytime I read this forum and I see a post by a terrified newbie, I want to comfort and inform them - but I don't have the time to do that with everyone. I really wish that one of the moderators on this board could put up a warning about this so that people are not unnecessarily alarmed by something they have no reason to be alarmed about.

Jessica,
I did a bit of online research last spring after someone here said his/her derm mentioned Demodex mites as a possible cause of his acneiform eruptions.

To show your hubby & make you feel better about those $100, here's a list of research papers I copied from a Rosacea site. The mites are implicated in the papulopustular form of Rosacea, the kind that looks very much like acne. The latest mite/Rosacea news is that the mites harbor a Gram negative bug of the bacillus genus (I've forgotten the exact name) that might be the actual irritant. The interesting thing about this is that the old sulfa drugs Bactrim and Septra, which many derms now consider the last resort/big guns before accutane, actually work best against Gram negative bugs.

I'll be reading your (and Queen's) journals with interest.

Quote
The clinical importance of demodex folliculorum presenting with nonspecific facial signs and symptoms.
Karincaoglu Y, Bayram N, Aycan O, Esrefoglu M.

In vitro and in vivo killing of ocular Demodex by tea tree oil.
Gao YY, Di Pascuale MA, Li W, Baradaran-Rafii A, Elizondo A, Kuo CL, Raju VK, Tseng SC. MD, PhD, Ocular Surface Center, 7000 SW 97 Avenue, Suite 213, Miami, FL 33173, USA. stseng@ocularsurface.com.

Topical application of 1-methylnicotinamide in the treatment of rosacea: a pilot study.
Wozniacka A, Wieczorkowska M, Gebicki J, Sysa-Jedrzejowska A.
Department of Dermatology, Medical University of Lodz, Poland. wozniacka@bmp.net.pl

Could matrix metalloproteinase-9 be a link between Demodex folliculorum and rosacea?
Bonamigo RR, Bakos L, Edelweiss M, Cartell A.


Density of Demodex folliculorum in perioral dermatitis.
Dolenc-Voljc M, Pohar M, Lunder T.
Department of Dermatovenereology, University Medical Centre Ljublana, Zaloska 2, SI-1525 Ljublana, Slovenia.

Demodecidosis in a patient infected by HIV: successful treatment with Ivermectin
Clyti E, Sayavong K, Chanthavisouk K.
Service de Dermatologie, Institut Guyanais de Dermatologie Tropicale, Hopital de Cayenne, Guyane Francaise.

The role of HLA A2 and Cw2 in the pathogenesis of human demodicosis.
Mumcuoglu KY, Akilov OE.
Department of Parasitology, Hebrew University-Hadassah Medical School, Jerusalem, Israel. kostam@cc.huji.ac.il

Demodicosis and rosacea: epidemiology and significance in daily dermatologic practice.
Forton F, Germaux MA, Brasseur T, De Liever A, Laporte M, Mathys C, Sass U, Stene JJ, Thibaut S, Tytgat M, Seys B.

Studies of di-n-butyl phthalate-OP emulsion in the treatment of demodicidosis
Xia H, Hu SF, Ma WJ, Ge JH.
Department of Microbiology and Parasitology, Bengbu Medical College, Bengbu 233003, China.

A clinico-pathological approach to the classification of human demodicosis.
Akilov OE, Butov YS, Mumcuoglu KY.
Department of Dermatology, Cosmetology Hospital "Aesthetics", Ekaterinburg, Russian Federation.

Efficiency of benzoyl peroxide-erythromycin gel in comparison with metronidazole gel in the treatment of acne rosacea.
Ozturkcan S, Ermertcan AT, Sahin MT, Afsar FS.
Department of Dermatology, Medical Faculty of Celal Bayar University, Manisa, Turkiye.

Rosacea: a clinicopathological approach.
Aroni K, Tsagroni E, Lazaris AC, Patsouris E, Agapitos E.
Department of Dermatopathology, School of Medicine, National and Kapodistrian University of Athens

Relationship between the Demodex and bacteria infection in human rosacea
Hu Q, Wang Y, Tong L.
Department of Parasitology, Medical college of Inner Mongolia National University, Tongliao 028041, China.

Facial demodicosis.
Zomorodian K, Geramishoar M, Saadat F, Tarazoie B, Norouzi M, Rezaie S.
Div. of Molecular Biology, Dept. of Medical Mycology & Parasitology, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, P.O. Box 14155, 64410 Tehran, Iran.

Immune response in demodicosis.
Akilov OE, Mumcuoglu KY.
Department of Dermatology, Cosmetology Hospital 'Aesthetics', Ekaterinburg, Russian Federation.

Treatment of human Demodex folliculorum by camphor oil and metronidazole.
El-Shazly AM, Hassan AA, Soliman M, Morsy GH, Morsy TA.
Departments of Parasitology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Demodex abscesses: clinical and therapeutic challenges.
Schaller M, Sander CA, Plewig G.
Department of Dermatology and Allergology, University of Munich, Germany

Eucalyptus globulus (camphor oil) in the treatment of human demodicidosis.
Morsy TA, Morsy GH, Sanad EM.
Department of Parasitology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt

Association between human demodicosis and HLA class I.
Akilov OE, Mumcuoglu KY.
Department of Dermatology, Cosmetology Hospital Aesthetics, Ekaterinburg, Russian Federation.

The management of rosacea.
Rebora A.
Department of Endocrinological and Metabolic Diseases, Section of Dermatology, University of Genoa, Genoa, Italy.

Demodicidosis revisited.
Baima B, Sticherling M.
Department of Dermatology, University of Leipzig, Germany

Rosacea and the pilosebaceous follicle.
Powell FC.
Regional Centre of Dermatology, Mater Misercordiae Hospital, Dublin, Ireland

Rosacea: I. Etiology, pathogenesis, and subtype classification.
Crawford GH, Pelle MT, James WD.
Department of Dermatology, University of Pennsylvania Medical Center, USA.

Facial demodicosis.
Zomorodian K, Geramishoar M, Saadat F, Tarazoie B, Norouzi M, Rezaie S.
Div. of Molecular Biology, Dept. of Medical Mycology & Parasitology, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, P.O. Box 14155, 64410 Tehran, Iran.

Induction of rosaceiform dermatitis during treatment of facial inflammatory dermatoses with tacrolimus ointment.
Antille C, Saurat JH, Lubbe J.
Department of Dermatology, University Hospital, Geneva, Switzerland.

Is permethrin 5% cream effective for rosacea?
Swenor ME.
Harrisburg Family Practice, Residency Program, PinnacleHealth Hospitals, Pa, USA

Permethrin 5% cream versus metronidazole 0.75% gel for the treatment of papulopustular rosacea. A randomized double-blind placebo-controlled study.
Kocak M, Yagli S, Vahapoglu G, Eksioglu M.
Department of Dermatology, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.

Effects of intense pulsed light on sun-damaged human skin, routine, and ultrastructural analysis.
Prieto VG, Sadick NS, Lloreta J, Nicholson J, Shea CR.
Department of Pathology, UT-MD Anderson Cancer Center, Houston, Texas 77030, USA.

The pathogenesis of Demodex folliculorum (hair follicular mites) in females with and without rosacea.
el-Shazly AM, Ghaneum BM, Morsy TA, Aaty HE.
Department of Parasitology, Faculty of Medicine, Mansoura University, Egypt.

Increased density of Demodex folliculorum and evidence of delayed hypersensitivity reaction in subjects with papulopustular rosacea.
Georgala S, Katoulis AC, Kylafis GD, Koumantaki-Mathioudaki E, Georgala C, Aroni K.
National University of Athens, Department of Dermatology and Venereology, A. Sygros' Hospital, Greece

Rosacea-like demodicidosis associated with acquired immunodeficiency syndrome.
Jansen T, Kastner U, Kreuter A, Altmeyer P.
Department of Dermatology and Allergology, Ruhr-University Bochum, Gudrunstrasse 56, 44791 Bochum, Germany.

Is demodex really non-pathogenic?
Pena GP, Andrade Filho JS.
Laboratorio Distrital Centro-Sul, Prefeitura de Belo Horizonte, Minas Gerais, Brasil

Rosacea, acne and other diseases of the seborrheic spectrum
Boni R.
Dermatologische Klinik, UniversitatsSpital Zurich.

Treatment of rosacea-like demodicidosis with oral ivermectin and topical permethrin cream.
Forstinger C, Kittler H, Binder M.
Department of Dermatology, Division of General Dermatology, University of Vienna Medical School, Austria

Limitations of standardized skin surface biopsy in measurement of the density of Demodex folliculorum. A case report.
Forton F, Song M.
Clinic of Dermatology, Universite Libre de Bruxelles, Saint Pierre University Hospital, Brussels, Belgium

Demodex mites in acne rosacea.
Roihu T, Kariniemi AL.
Department of Dermatology, Helsinki University Central Hospital, Finland.

Unilateral demodicidosis.
Pallotta S, Cianchini G, Martelloni E, Ferranti G, Girardelli CR, Di Lella G, Puddu P.
Department of Immunoderma-tology, Istituto Dermopatico Dell Imma-colata, IRCCS, Via dei Monti di Creta 104, 00167 Rome, Italy.

The significance of Demodex folliculorum density in rosacea.
Erbagci Z, Ozgoztasi O.
Department of Dermatology, Faculty of Medicine, Gaziantep University, Turkey.

A study on Demodex folliculorum in rosacea.
Abd-El-Al AM, Bayoumy AM, Abou Salem EA.
Department of Dermatology, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo

Pilocarpine gel for the treatment of demodicosis--a case series.
Fulk GW, Murphy B, Robins MD.
College of Optometry, Northeastern State University, Tahlequah, Oklahoma, USA.

Rosacea-like demodicosis in an HIV-positive child.
Barrio J, Lecona M, Hernanz JM, Sanchez M, Gurbindo MD, Lazaro P, Barrio JL.
Dermatology, Service, Hospital General Universitario Gregorio Maranon, Madrid, Spain.

Demodicidosis or rosacea: what did we treat?
Hoekzema R, Hulsebosch HJ, Bos JD.
Department of Dermatology, Academisch Medisch Centrum, University of Amsterdam, The Netherlands.

Acne rosacea complicated with demodicosis
Bobrov VM.

Demodex mites in rosacea.
Diaz-Perez JL.


Rosacea
Decauchy F, Beauvais L, Meunier L, Meynadier J.
Service de dermatologie allergologie et photobiologie, hopital Saint-Charles, Montpellier.

The Demodex mite population in rosacea.
Bonnar E, Eustace P, Powell FC.
University Department of Ophthalmology, Mater Misercordiae Hospital, Dublin, Ireland.

Granulomatous rosacea associated with Demodex folliculorum.
Amichai B, Grunwald MH, Avinoach I, Halevy S.
Department of Dermatology, Soroka Medical Center of Kupat Holim, Beer-Sheva, Israel.

Rosacea: a study of clinical patterns, blood flow, and the role of Demodex folliculorum.
Sibenge S, Gawkrodger DJ.
Department of Dermatology, University of Sheffield, Royal Hallamshire Hospital, U.K.

The possible role of skin surface lipid in rosacea with epitheloid granulomas.
Basta-Juzbasic A, Marinovic T, Dobric I, Bolanca-Bumber S, Sencar J.
University Department of Dermatology, Medical Faculty, University of Zagreb, Croatia.

Topical steroid induced chronic demodicidosis.
Sakuntabhai A, Timpatanapong P.
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Rosacea: histopathologic study of 75 cases
Ramelet AA, Perroulaz G.
Service de dermatologie et de venereologie, CHUV, (Centre Hospitalier universitaire vaudois), Lausanne, Suisse.

The hair follicle mites (Demodex spp.). Could they be vectors of pathogenic microorganisms?
Wolf R, Ophir J, Avigad J, Lengy J, Krakowski A.
Department of Dermatology, Ichilov Medical Center, Tel-Aviv, Israel.

T-cell subsets in acne rosacea lesions and the possible role of Demodex folliculorum.
Rufli T, Buchner SA.


Ultrastructural study of demodex infestation of the face in healthy subjects and acne rosacea patients
Crosti C, Menni S, Piccinno R, Sala F.

Nosologic position of demodicidosis in humans
Bardach HG, Raff M, Poitschek C.

Demodicosis of ophthalmic concern.
English FP, Nutting WB.

Metronidazole and Demodex folliculorum.
Persi A, Rebora A.

Demodex folliculorum and rosacea: experimental and immunological studies
Grosshans E, Dungler T, Kien TT, Kremer M.

Perioral dermatitis--an allergic disease?
Arutjunow V.


Pyroglyphid mites, xerophilic fungi and allergenic activity in dust from hospital mattresses.
v d Lustgraaf B, Jorde W.

Pathogenesis associated with hair follicle mites (Demodex spp.) in Australian Aborigines.
Nutting WB, Green AC.

Demodecidosis and rosaceiform dermatitis
Hojyo Tomoka MT, Dominguez Soto L.

Demodex folliculorum in rosacea.
Ayers S Jr, Mihan R, Marks R, Harcourt-Webster JN.


The role of the acarid Demodex folliculorum in ophthalmology.
English FP.

The role of demodex mites in the development of acne rosacea
Kiselev OA.

Demodex folliculorum in patients with rosacea
Baksht BP.

Demodex folliculorum and rosacea. A clinical and histological study.
Robinson TW.


Demodectic eruptions (demodicidosis) in the human. 30 years' experience with 2 commonly unrecognized entities: pityriasis folliculorum (Demodex) and acne rosacea (Demodex type).
AYRES S Jr, AYRES S 3rd.

Rosacea: the role of demodex folliculorum.
BRODIE RC.

Rosacea and the pilosebaceous follicle.
Powell FC.
Regional Centre of Dermatology, Mater Misercordiae Hospital, Dublin, Ireland. 1974

Unquote


Feel better now? :-)

perhaps the cause of their rosaceous (or redness) one is this: POLIGLOBULIE

more red blood cells of the normal thing. this cause red skin in body and face. the only treatment is simple, to do extractions of blood every some months and not to eat foods with iron,

it is only a possibility is but I believe that perhaps much people whom she has rosaceous are so that she has poliglobulie, consults to their doctor.

pd:sorry my bad english.

I’ve been using benzoyl peroxide (Dan’s regimen) for about 1 year. Most of the dryness and redness that people experience when starting the regimen subsided, but recently my face has become VERY dry and red again. It often stings and burns and sometimes shows rosacea-like symptoms (my cheeks often flush in one area and become very warm and red for no reason).

About a month ago, it got so bad that I quit using BP. However, by two weeks off Dan’s Regimen, my face was an oily mess covered in so much acne that it hurt to move my face. I tried oatmeal masks, tomato juice, lemon juice, baking soda, and even garlic (which burnt my face) to clear up the acne and oil, but none of it helped.

I’m now back on Dan’s regimen and am mostly acne-free (I still have light acne and a lot of acne scars) but am really struggling with redness, dryness, and burning! At times this is very painful. I just want to have even-toned, softer, less red skin that doesn’t burn and flare up!

Has anyone had a similar experience with benzoyl peroxide? Does anyone have any suggestions to decrease the irritation, redness, and dryness? Any help would be greatly appreciated!

By the way, my current regimen looks like this:

Gently wash with Basis sensitive skin bar
Apply jojoba oil all over face
Apply 1 pump of acne.org benzoyl peroxide
Apply 2 pumps of Neutrogena moisturizer for combination skin
(I do this twice a day, 12 hours apart.)

I occasionally use aloe vera gel or alpha hydroxy acid.

When this winter started this year I had my first case of rosacea, I went to the dermatologist and was given a steroid cream... I have mild acne as well and am doing 2 PDT/IPL treatments for the acne. The first IPL session hasnt done anything noticable yet to my acne but 3 days after my first IPL session my rosacea was gone and hasnt shown any signs yet of coming back!

So if you got a couple hundred dollars to drop you might wanna try a session of IPL and see if it works!

God, I can't even tell you how frustrating this is.
It's red like this, ALL THE TIME.
Has anyone had the same problem or know how to fix this?
Thanks in advance guys

Hey, I had acne for some years and it seems to be going away(crossing fingers), what made a huge difference was BP 10% and Retin A Mirco, although most of my active acne, clogged pores, and marks have gone away, my skin is always very red throughout the day like I just came out of taking a hot shower. Along with those perscriptions I use asprin masks for fading blemishes as well. My red skin is cleary my main problem now and would love any advice on how to get rid of it. Thanks

hi,

this condition is weird, it may not even be a condition and it might just be really really bad skin. ive had this for a while and at first i thoguht it maybe my acne coming back, due to an increase in spots. but now im not sure. there basically tends to be alot of dicolouration which is in the form of red and brown patchiness, my pores are really big, the skin is more loose and saggy and has a orange reel/leathery look instead of being firm and tight, the texture of my skin tends to be more bumpy/rippley, plus my skin will get quite oily aswell and so i'll have a shiny look to it. i do eat good and stay away from processed/junk food, i drink water and juice and dont drink alcahol or fizzy drinks. not all the brown marks can beseen in the photos, these tend to be more visible in flouresent/white light(this is a nightmare when im bar and i look in a mirror. a flash from a camera or direct sunlight on my face tends to hide it, but the problem is there and it really gets me down. i would go to the derm, but im travelling around australia(im from the uk) and so doing stuff like that is a little hard.

i was just wondering if this could be a condition of some sort. i really dont know how to improve the look of my skin. i have tried alot of fash washes and over creams etc, but have gotten no where with them, this is why i think it maybe more than just bad skin.

anyhelp would be great, thanx

Is there a connection you think?? I havent dermarolled for quite some time, and my flushing wasn't bad at all, until I had a dermarolling session...I think withinn the first month after a dermaroll flushing is increased becaused of that dermarolling perhaps increases blood flow?

Any opinions on this matter?

Hi guys,
I am 21 and have been struggling with acne since my late teen years up to now in college. i have been on Accutane for just under two months now. First month was 40mg a day and the second month I was moved to 80mg a day(40mgX2). My face definitely seems 100% drier than when I started. Before accutane, I would wash my face every hour because it felt too oily. I no longer have the urge now that I am on accutane; actually, I moisture instead of washing to combat the dryness.

My question: Will my face return to a normal "skin" color when I am all done with my treatment. My skin is smooth to the touch, but the redness is still there. Will my cheeks ever be totally smooth and skin colored? I know its impossible to say "yes" or "no" but any feedback would be much appreciated.

i've had SD on my face for a month now. last week i finally went to my derm because nothing else was working. he prescribed nizoral cream. i know i've only been using it for about a week, but i'm still anxious about my results. for a couple days it was starting to peel off, but last night it came back full-blown and i'm getting really depressed because i finally cleared my skin up recently and i thought i wouldn't have to deal with this "feeling-too-ugly-to-leave-the-house" nonsense anymore. from what i can tell the peeling helps but as my skin is sensitive i don't want to use any harsh potions to induce peeling.

my doc said i could go back and see him if the nizoral cream didn't work within two weeks, and i'm glad he's willing to help me combat this aggressively, but i've done some googling and i'm getting scared because i'm hearing these horror stories of people having to deal with the same SD patch for years.

i'm currently using nizoral and pine tar soap and also taking acidophilus, biotin, zinc, and vitamin c. anyone else know something i can do? i heard that washing your face with head and shoulders and leaving the lather on for a few minutes helps?

I suffer from dry skin and a combination of it being winter here and the topicals I am using (Differin and Aczone), my face is extremely dried out. Whenever I put on moisturizer, my face burns very, very badly. I've tried different brands to see what doesn't burn, but they all do. I only have this problem when my face is dried out, but nothing I put on it seems to help.

Any solutions for a burning/dry face? thanks!

hello!

I read a couple of years ago in some silly women's magazine that dairy products cause acne. So I have, off and on, eliminated dairy from my diet to see if that would "cure" me of rosacea. It seems to help but I'm not sure.

To give up anything that has dairy would be almost the equivalent of going vegan for me. (My husband is vegetarian and to make life simple, I cook vegetarian 99% of the time.) I'd love to hear feedback from anyone and everyone on these questions:

(1) Do you think giving up dairy helps?

(2) If so, do you think it's necessary to give up everything dairy ... for example, pancakes have buttermilk in them -- does that mean I shouldn't eat pancakes?

(3) What about things like sour cream and yogurt? (I really like yogurt.)

(4) A quick perusal of this forum seems to indicate a lot of people think cheese is the culprit. Do you agree? (If it's just cheese I have to give up that wouldn't get so bad methinks.)

(5) Is it just dairy from cows that's the problem or can goat milk and goat cheese also be a problem? (Any thoughts about buffalo mozzarella or yogurt?)

Many, many thanks for taking the time to share your experiences and thoughts!

I was on Accutane for 6 months and when completed, my dermatologist perscibed me Retin-A to help make sure the acne doesnt come back and to get rid of minor scars, etc. It's great and I rarely ever break out but throughout the day my face gets as red as a tomato! My dermatologist said to back off the Retin-A to once every three days, but are there any products that have been successful for anyone else in the same situation? Advice?

Thanks!

I made this same post in the accutane section, but was hoping you guys would be able to help me as well
Sorry for the long post, but i realy need help


Well its been almost two months on amnesteem, in which the first month consisted of just 40mg/day, and then moved on to 60mg/day

I noticed the flushing probably two weeks into the course, but it was very mild then.
Once i started into the second month and 60mg i began to have INTENSE bouts of facial flushing for about two hours a day.
Im talking face on fire and cheeks as bright as a baboons ass....lol

For some reason, in the last week or so the flushing has subsided to moderate, but then there is also the times where my face feels like its on fire, but there is no redness.
As i type i feel my face burning, but i just asked my brother and he said i looked perfectly normal

Spoke to the derm about it and he "never heard of such a thing"

I have been doing some research on this, but all i ever get are post accutane rosacea experiences.

Im not sure whether to stop the course all together, or try and find a way to reduce the flushing?

I want to continue because i want to get a "perfect face", but am too confused on what to do.

If ANYONE has ANY advice please, please help me out here

thanks in advance

Just wanted to know is this available in the uk?
If not, can anyone suggest any other similar washes that contain both sodium sulfacetamide 10% and sulfur 5% in it as i have read may good reviews about these products for sd or general redness.
Plus if any other products you feel would be beneficial for this, it would be very helpful too.

Thanks in advance.

I waited months to goto hammersmith, All to be told that my flushing is normal and I have to deal with it, In other words, theres nothing that can be done...

I was prescribed doxycycline, But I think this was for my spots, Can any1 tell me if this would help with flushing too?

Thanks

Right, basically Im pretty sure I have accutane induced rosacea, I was on a 40/60mg course of accutane about 2 years ago, and then Ive been on a low dose (10mg) course on and off up until about 3 weeks ago. The main reason I decided to stop taking accutane (It has kept me clear all this time) was the fact that I have accutane induced rosacea and Im hoping that stopping the tane will mean the rosacea will go away.

The thing is, my cheeks are very scarred from a severe bout of acne 3 years ago (before I ever went on tane), and when my rosacea flares up (which seems to be all the time these days) these old scars really really stand out and make me feel self conscious. It would be much much easier to deal with if it was just facial redness with smooth scarless skin, but the rosacea combined with the scarring makes it almost as hard to deal with as active acne!

Another poster on here posted this picture up describing their redness, but it basically sums up mine aswell - http://i32.tinypic.com/33vg3ns.jpg - Except the redness is the worst on the scar tissue (which cover most of my cheeks)

I know they are not red marks since Ive had days where my skin has been colourless and looks great, and plus they have been there for 3 years.

Anyways Im pretty much 100% sure it is accutane induced rosacea as I have all the classic symptoms, general persistant redness of the cheeks with a rare day or two where there the skin is free from colour, flushing easily when angry, excited or embarrassed, common rosacea triggers such as hot weather, sun exposure, even eating a hot meal.

I guess what I am looking for is reassurance, I know alot of people here have experienced the same thing as me, but Im hoping it might have got better for some of you after you stopped accutane, Ive only been off it for 3 weeks so my skin is still nowhere back to normal, and I try to irritate it as little as possible, I only use jojoba oil to keep it moisturized and I dont use any topicals really (they all trigger my rosacea, even stuff designed for gentle skin).

Basically I dont think I can live the rest of my life like this, the ony time I ever feel comfortable in my own skin is when I am outside in fairly (but not blisteringly) cold weather as it drains all the colour from my cheeks and my scars are barely noticable, or when Im in a cold environment (unfortunately the downside to cold weather is extremeley hot and dry heated indoors). The constant heat and sunshine in Summer which basically makes my rosacea really bad kind of turns me into a bit of a hermit.

I havent tried anything to help the rosacea really so any suggestions would be great, the only thing I have tried is propranolol and it does work to a certain degree, obviously with its physical properties of slowing blood flow, but also psychologically because it makes me 'not really care', but I cant take propranolol alot because I train/workout alot for a sport, and training on propranolol is horrible, no energy and makes you extremely weak.

I guess what Im asking is
1. Will the accutane induced rosacea eventually go away now that Ive stopped accutane, or will it at least subside a little over time, or am I pretty much stuck with it for the rest of my life?

2. What kind of treatments are available? (ive seen Metrogel mentioned) Are traditional rosacea medications ok to use with accutane induced rosacea? Is it too early to start trying rosacea treatments or is it better to look into it early?

Im 21, male and chinese if that helps.

Thanks in advance, sorry for the long post.


EDIT: Oh yeah something that does kind of help is having a cold bottle of water on me at all times, I guess just the psychological feeling of something cold going into me helps me a bit.
Also sticking strictly to having cold showers instead of hot or even warm showers seems to help a bit.

never passage by this subforum, always I walk in the one of acne scars. but today it happens this way and I see that nobody speech than it was for my the best solution


clorhidrate of oximetazolina 50 mg



they can obtain like ' nasal drops descongestiv' he is powerful a vasoconstrictor one does not generate resistance if it is applied in the face, according to a study that I am realised to people with rosaceous, for my works perfectly.
they investigate in google the studies on this product and the rosaceous one. I only gave the key them, investigate and depends on you to prove it.

Ahhhhhhhhhh. Finally letting out a sigh of relief. After years of testing out washes and srubs and drinks and vitamins and fruits and vegetables I've finally got my acne down to a minimum. I can honestly say I'm about 90% acne free and damn proud of it.

Where my beard grows I'm 100% acne/blackhead/blemish/HIP free. I love this part of my skin. It looks wonderful when I shave or buzz my baerd off. But when you move up to my cheeks...ugh...

My cheeks are staill full of blackheads and redmarks/redness. I have ONE scar on my cheek, right in the front...it's flat and smooth but looks like a red scratch. I've come to realize that, that mark might never fade, but I can deal. Though next to it is a very hard lump that is also a little red. That lump is from me being VERY stupid and trying to force out a pimple years ago, and totally the wrong way. I'll regret these two marks for the rest of my life, unless there's some kind of surgery to remove them...maybe plastic surgery? Now on the other cheek, I can feel headless/almost poreless looking pebbly bumps. They're small but you can see them raised in different lighting angles. I've tried BHA on my cheeks but my skin was WAY too dry during the day and I dispise using moisturizer on my face during the day because it makes my skin look nasty and red.

So I wash with Purpose gentle facial cleanser and couldn't ask for a better cleanser. The only problem is that my face gets pretty dry and flaky it after I wash my face in the shower in the morning. I was wondering if anyone could answer this question...I hate using mosturizer in the morning BUT, what if I use it at night after I wash, before bed...will that help hydrate my skin for the morning as well, so that it won't be so dry after I shower and wash my face in the morning?

I also wanted to know if AHA works well for blackheads and/or redness like HIP or scars.

Basically...my skin is clear but my cheeks look very flushed/blemished. I hate how you can clearly see a difference from my beard area to the center/front of my face. It bothers me SO much. I just want my cheeks to even out with the rest of my skin so it's normal looking. I hate when I smoke weed or drink alcohol is gets flushed grossly in my cheeks and makes it look like I'm breaking out. I barely smoke/drink but when the weekend comes RARELY I do that with my friends, so yeah...I need something to regain my old skin in my cheeks.

I'm sorry for this long post, but if ANYONE could give me some tips, or some products or supplements to check out, I would greatly appreciate it.

My regimen before people reccomend any of this stuff:
Wash with Purpose Gentle Cleanser Morning and Night
Every now and then I wash with St. Ives Scrub with SA
Also use Queen Heleene's Mask every now and then

3-4 Fish Oils a day
Mulitvitamin
1-2 Zinc
1-2 Vitamin C
1-2 Swigs of ACV
8 oz. glass of Carrot Juice before bed (when available)

As of this week, I'm cutting down my intake to just multivitamins, fish oils, and ACV...hoping that I'm finally growing out of my acne naturally.

Thanks for your patience and please help me. :]

Hey everyone, this morning before school after a warm shower I looked in the mirror and there was this dry white thing sticking out my cheek so i squeezed it, unfortunatly I didnt know it would somewhat enlarge the pore it's not gigantic or anything but I'm just wondering will it eventually tighten? I mean I've squeezed before but RARELY do the pores become enlarged. It looks like its tightened since this morning but it's still a tiny bit larger than my other pores and I tried putting ice cube on it after school for several minutes I did this several times. So, can someone plz help me is it eventually going to tighten, I'm only 18 by the way. Thanks in advance for answers.

I am 28 years old and never had acne or any skin problems ever until 6 months ago. I looked in the mirror one evening and it looked like I had sun burn on my inner cheeks next to my nose . I saw a doctor and he said it was nothing to worry about and gave me hydrocortisone. To make a long story short it kept getting worse and I saw 3 different dermotologist's eventually being diagnosed with seborrheic dermatitis. I have been on Protopic, Desonide, xolgel, ketoconaszole metro cream, cutivate , cloderm , Elidel and oracea . The scaling is spreading and I don't know what to do. Elidel lightened up the redness a little but the scaling and puffiness does not go away and the redness keeps coming back. I have to go back and see my doc next month but its the same story every time I go. Does anyone know what I can do? Can laser surgery get rid of this ? Also I started taking propeica six months prior to this could there be a connection?

i know occuring redness and drying is normal side effect but face stiffing that it feels uncomfortable to move your mouth is that normal ?

ok so about 3 years ago i had SB on my scalp and between my eyebrows, i used selsun blue shampoo and it went away and i have been clear since then, but 2 days ago i got this similar looking flare up that's pinkish-red on the corners of my mustache area close to my lips and when i stretch the skin i see very tiny flakes almost unoticeable though, maybe it's SB due to my past history but im not really sure so i wonder if anybody here has had it on this same place or is this some other skin probelm like psiorisis, ezcema? it usually takes me 1-2 weeks to schedule a derm appintment so i wanna get some input from you people.
i dont have a camera right now so i cant post pics but any input would be appreciate it. thx

Everytime Ive tried zinc my face has always gone red a couple of hours after ingesting it, does this happen to anyone else?

I've just recently started the Acne Regimen using All of DK's products excluding the moisturizer. I read the FAQ and it said that I should be expecting redness and irritation and slight stinging but I can't help but question what I've been experiencing lately while starting the Regimen.

The first few days that I started on the regimen, I noticed that there were red blotches on my left cheek and bottom right cheek. I didn't pay attention to it much because I was expecting it; being new to using Benzoyl Peroxide. But what really surprised me was how painful those red patches were.

I wanted to say that it was the BP, but I started noticing the patches become more inflamed and painful everytime I would clean my face with Dan's cleanser the follwing morning/evening. The patches started to become extremely dry and somewhat flaky and "rough" on Day 6.

The stinging sensation and burning occurs everytime I try to apply any product, whether it be the Complex 15 Theraputic Moisturizer or Dan's BP Treatment, or even trying to wash my face!

So what im asking is, is there any way to stop this? Or if you've experienced it yourself, what did you do? Im giving this another week or two and if the stinging pain continues, I'll probably quit using Dan's Products or something, I don't know.



Oh, my skin ususally never dried or has red patches like this before; ever. It's somewhat mixed and usually never oily either, just maybe sometimes when its humid or warm outside. (:

Hi,
I'm new to this webstite and I'm hoping some of the more experienced members will be able to answer some of my questions.
I have been taking Prednisolone for several years, but recently due to having a thymectomy I had to increase my steriods to double the amount, this new dosage started at the beg of Oct 2009, a few weeks later I noticed a red lumpy rash on my forehead, which later spread across my nose and both cheeks, then on my chin. I initially thought it was a lupus rash, as I was diagnosed with Lupus several months ago; however after a recent appointment with my consultant, he believes it's steriod induced acne. I have an appointment scheduled with a dermotologist, but until then I wanted to get some answers: Is steriod incuded rosacea the same as steriod induced acne? If not, how do I know what condition I have, are there ways to tell the difference?
Are there certain types of foods that aggrevate the conditions? I don't smoke and drink about 2 units a week, if that; I have a pescatarian diet, and eat lots of fruit and veg, drink plenty of water etc etc and exercise regulaly.
i use manuka honey soap and cream on my face, is that good or bad? It makes no difference to the condition of my skin, i.e. it hasn't improved the acne, but I wasn't expecting it to, just wanted to make sure I'm not doing more harm than good?

Any advice/help would be really appreciated, it's always better to hear from people that are going through the same, as I don't believe doctors really understand or care how soul distroying acne can be, especially for women.



Thanks
Debbie

Hello Fellow Sufferers,

My name is Kenny. I am 30 years old and have unfortunately suffered from acne for as long as I can remember. Recently (in the last 3 months), I started taking 6 Holland & Barrett - Timed Release Pantothenic Acid (500mg) tablets a day and my acne has almost completely disappeared. I didn't change my diet, or start to do more exercise, just took these tablets.

Such as life a new problem arose (which I have had in the past) - dermatitis. I'm not 100% sure if it is Seborrheic or Perioral, but it sure is nasty. In the past when it has reared it ugly head I have been given oxytetracyline and this has always worked.

However, just recently I got another dose of the nasty stuff and my doctor refused to give me the oxytetracycline because I had been taking it too often. Soooo, I was stuck. Thankfully, I have managed to find an alternative method of effectively removing the dermatitis.

A combination of E45 emollient wash and Simple Derma Intensive Relief Cream. Start with E45 wash (don't wet your face), massage into affected areas (do this for a few minutes with quite a bit of pressure), then rinse off with luke warm water. Dry, then apply the relief cream. Repeat this every couple of hours (so probably best to try at a weekend if you work office hours). After a couple of days the dermatitis begins to dry out (only this time it doesn't instantly reappear). I'm glad to say that after 1 week of doing this I am almost completely acne and dermatitis free.

This worked for me. I know we are all different so others may not have as good a result as I have, but I thought it was only fair to share my findings. If one person is helped by this, then that's good enough for me. I understand what a socially crippling disease this can be so I wish everyone all the best of luck.

Please let me know if anyone tries this and has success. Let me know if you have any questions.

Kenny