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

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Feel better now? :-)

For the past week or so, my face has been getting really red all over. It's not like this all day, but it comes and goes throughout the day. When it gets like this, my face gets really hot--when you touch it it feels like I fave a bad fever (but I don't), and if I happen to be somewhere warm it gets so bad that it feels like my head is giving off steam. I have no idea what this could be. I have been using BP for several years, but I did recently switch to dan's BP from the Proactiv one--could this be a reaction to the new BP?? Please help!!

all the sudden in the last two days my skin has been crazy. it feels like a sunburn at its worst and it gets red and splotchy. this has never happend before, but maybe once or twice when living in mississippi. i havnt changed anything i put on my face or eaten anything diffrently. the only thing i cant think of is iv been takeing primrose capsuls at night. can anyone help? i want to go to a derm but my mother thinks its stupid. shes not the one dealing with the uglyness and the pain though.

Hello all. I used to have really bad acne. I used to get new pimples each and every day. Those days are in the past and when I get pimples it's few and far between. Now that my face is nearly pimple free I just seem to have this reddish tint to my skin. I know it's hard to see from the pics but in sunlight or bright lighting it becomes much more pronounced. It's not beat red, but it's red enough to be noticable and I've become very self-concious over it. It's not red marks left behind from pimples, and it doesn't look like rosacea. It's mainly concentrated on my cheeks under my eyes and up to my temples. I notice that when I shave the skin underneath is my normal skin tone, and the skin that doesn't have facial hair on it has got this redness going on. I also notice that when I shower the redness is much more pronounced until about 10 minutes or so after when it subsides to its usual level. I know acne didn't cause it, because I used to have terrible acne but my skin wasn't red like this. It only started about a year ago when my acne began to calm down. All I use on my face is Cetaphil gentle skin cleanser. Could that be the culprit?? What can I do about this?? I also notice that when I get embarassed, nervous, or am put on the spot in any way my skin gets very red and flushed and it feels hot. I never used to have this problem. Somebody help me please its ruining my life I feel like I could be decent looking if my skin would just cooperate!! How do I make this go away!?!?

I was hoping that some others who have also dealt with steroid induced rosacea might be able to give me some information on the time it will take for my skin to totally heal. I developed steroid rosacea after I like many others, developed a small rash on a cheek that wouldn't clear. I initially used over the counter hydrocortisone but after it didn't go away, I sought out treatment from my regular dermatologist. She prescribed me cutivate, which I later learned is a very strong steroid with instructions to use it for 3 days then switch to elidel to finish the treatment. At first it worked pretty well, but over time, it came back and my skin developed a tolerance to it. Then the rash spread to my nose and my brow area and eventually pimples.

I have had issues with eczema and acne for years so even though I went back to my derm two more times, months after she first prescribed this stuff, she just gave me stuff for acne and told me it was ok to keep using the cutivate. Eventually at the advice of a co-worker I sought a second opinion. By this time it had been about 13 months I had been using Cutivate. I had been reading online so I kind of knew what the diagnosis would be before I even saw the new derm. He knew right away what the problem was and was surprised my other derm had prescribed me that cream for my face, let alone told me to continue using it.

I was told to expect 2-3 weeks of it getting pretty worse and 2 months before it looks better. I had horrible flare up 3 days after I stopped using it, but my skin seems much improved even now just about a week and a half in.

I guess to make my long story short, I am still dealing with slight redness in affected areas, some slight itchiness but nothing severe, skin sensitivity and my pores that were already enlarged from having oily skin, now look even larger, like an orange on my cheeks and somewhat on my forehead. I can tell my skin is not normal...very dry, no oil hardly even though I have naturally very oily skin. I look like I have aged because of my skins condition. Every wrinkle and pore looks magnified.

From anyone who has experienced steroid rosacea, will these things return to normal once my skin has totally cleared? I feel embarassed by the condition of my skin and the way it looks

Just as a note, my new derm prescribed me 100mg of doxy and Biafine cream, a cream that is used to help heal wounds faster. I read up and it was originally given to burn victims but can be used on sunburns etc. In addition, I use only cetaphil gentle cleanser and instructed to use vaseline only in addition to the biafine to help with additional moisture.

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?

Hi everyone.

I went to my Doctor asking about something on my face but she kinda skipped it and went on about blackheads... anyway, here's the description of it:

When I've just woke-up, or I'm not inflammed or anything, you can see very faint red(almost pink) in my face cheeks. It makes my skin look kinda un-even and they look like dents.

Now, when I get FLUSHED or inflammed (say from, drinking, eating something extremely sugary) my whole face cheek flushes and you can see a whole load of red 'spots' (not acne or blemish spots.. they're under the skin, and don't hurt and are not itchy) appear! There's SO many of them and some of them look quite dark red.

They disappear and lessen overtime...

Can anybody tell me what it is and what I can do about it? Thank you!

PS: Skin info:

My skin used to be normal to oily (oily t-zone though..) it isn't really that sensitive. However, after using Duac (last Friday) I'm now sensitive and dry. This 'flush rush' thing has been with me for two years.

Arghh, I've been diagnosed with it. For the first time in a while I was a little optimistic when the dermatologist told me to get Nizoral 2% cream. My skin was getting a lot better and within 5 days I only had slight scar (i dunno what to call it) after overcoming it.

Problem is that it's back now and pissing me off.

What have you guys tried?

I'm trying to steer clear of steroid creams, although my dermatologist said that 1% hydrocortisone is fine for the face. I tried apple cider vineger, I think it makes my face dry and worse. I'm going to not use it for the next nights and simply use the nizoral to see it in action.

Any ideas?

I have a red tint in the middle of my face. I'm pretty sure it's just blood flowing there, possibly inflammation. It goes away sometimes, so it's not a rash. I want an even tone, pale skin.

most of my pimples form in the same spots also. Just around the middle of my face, around the mouth. nothing on the cheeks. so I think they're related

this is the best way I can show an example. this is a young david beckham. the skin in the middle of his face is red while his cheeks and sides of his face are not:

http://news.bbc.co.uk/media/images/4006000...0397_becks1.jpg

Rosacea, broken blood vessels, telangiectasia, I keep finding all these things it could be and I don't know what to do! I can't fix it if I don't know what it is.

My derm said broken blood vessels from acne, so my mom orders this stuff called Auriderm, vitamin k oxide for spider veins. I use it for weeks with no results.

I don't know if it's rosacea, because I don't have any weird bumps in those areas, just acne like whiteheads and blackheads. I have really bad red marks too.

I have a picture in my post "What my dermatologist told me..." if you want a visual. Please help

Hello everyone. I just had a quick question about something called Avar emolient and about how often I should moisturize. I don't know if anyone's ever heard of this particular medicine before, but you might not have had to. I've been using it for about a month just in the morning after cleansing, and then at night just cleanse and moisturize. My skin doesn't feel particular dry throughout the day but I was wondering if I should start moisturizing not long after I put it on.

Kind of an odd question I know, but I was curious if just in general you should always moisturize after you apply a medicine. Thanks for any help.

my entire face is red and discolored, up to my forehead. i dont know what it is.....it doesnt look like rosacea as the skin is just complete discolored on my whole face. maybe its from being sunburned? i suspect its been messed up from acne medications i've used ....mainly benzoyl peroxide. that stuff is terrible, at least for me. ive tried everything....cetaphil, oil free acne cleansers, oxy, apricot scrub, cocoa butter stick, aloe vera gel, tea tree oil, apple cider vinegar. nothing has worked. even tried megadosing on pantothenic acid...took 100 500 mg tablets over 10 days. no change in my skin.

my skin is really sensitive. i think all these chemicals just made/make my skin worse and natural products would work better. i still get occasional breakouts but the main problem is acne scars (left from the BP?) that wont disappear and the redness. if i could get of that i'd be fine.

i went to a dermatologist twice last yr and he prescribed me clindamycin phosphate topical lotion (1%) which hasnt helped and may be making it worse. a doctor also gave me triamcinolone acetonide ointment for my scalp cuz i have seb derm (losing my hair).

im a 25 yr old male and never really had bad acne growing up. this has left me depressed not wanting to go out in public. i was an attractive guy and this has hurt my love life. i found a pic of me a few years ago and my skin was fine, now its a mess and i cant even move forward in my life.

does eucerin redness relief work? any natural products that calm effectively?

i will post some pics up later to see if anyone can determine whats wrong

xxxx

I have rosacea(papulopustular). I am on minocycline and retino for about 1 year now. When i first started this treatment combined with chemical peels i got good results and i stopped going to my derm. as she was recommending laser for better results which my parents and family doctor didnt approve.On the advice of my family doctor i continued the same treatment.But when my acne had really gone i stopped taking minoz as they are too expensive.But then i after some time i started breaking out like hell.Again i started taking those pills and now i am quiet fine.When i visited my family doc. he tells me to stop taking those minoz because he thinks i will get addicted to them and anyways now i am clear.I think i know more about acne than he does and my conscience tells me to continue minoz but my mother is on the doc's side.I don't know what to do and i am living in this fear of breaking out again due to the past bad experience.HELP!!!!

hi all,

i am just after abit of information and hopefully a solution for why my face is always red, ive had this now for at least the past 15yrs. Its no really what i would call acne, coz theres no actual spots and it tends to be on my nose around my mouth and my chin. i thought it may of been a shavin rash, which i do have on my neck, but its totally different and i dont tend to shave my nose lol. also when i touch my skin in the red area it feels smooth. i have various creams, medicines antibiotics off the doctor, but its always there. hope someone can point me in the right direction, thanks

Has anyone tried this? I started it last week and love it! I've noticed my skin looks clearer. I use it twice a day. It just came out in August.

Peace,
xander

Oops... for the seb derm, but it doesn't aggravate the rosacea either.

Long story short, I have facial redness around my mouth (perioral dermatitis) that extends up to the sides of my nose and checks spreading about an inch or so from my nose. Also, I have a circular part of my forehead that is red. When I say "red", I mean that when the skin is stretched, the skin gets irritated. I have a small amount of blackheads where the skin is read as well. I have had this for 4 years now, which each spreading a little bit more, but the tone of the redness subsides.

I have tried all sorts of antibiotics and lotions. Right now, I am using non-flouride toothpaste and warm water to wash my face in. The dermatologists always prescribe my products that seem to combat whiteheads and not this redness. I have NO whiteheads. I have tried Tazorac, Clindamycin, minocyline/tetracycline, proactive, various anit-acne OTC products, and Prascion. None of which helped this. Most of the above made my skin verrrry red and my face did not react well. And yes, I have keep on them for at least 6 weeks if not more and no results were found.

I am now thinking that maybe it is a fungus that is creating this....does anyone know anything that could work for the symptoms I have? Keep in mind that I have had this for years. The angered skin keeps on expanding a little bit at a time. It seems like I have a simple problem, but I Just can't find out what it is. BTW, I have a small strip of 'normal, healthy' skin outlining my mouth....which further points to me having Perioral dermatitis (yet, I tried all known methods of getting rid of it....still nothing)

I have had these red marks on both sides of my cheeks for almost a year now and I'm not sure what they are. I went to the derm, and a quick glance he told me broken blood vessles. Now, I have gone and had 2 laser treatments already, and they have not improved, but actually gotten worse. They itch on occasion and will react to wind, cold weather, warmth, ect. Sometimes they are extremely red, while other times they are barelly noticeable, but still there. I took a picture of what is looks it looks like when its the most red. A couple days ago I switched from tide to dreft detergent and have noticed reduced itchyness. This makes me think that it could be an allergic reaction to tide detergent or something else that comes in contact with my cheeks. Any ideas? Thanks!

hi guys . im currently using panoxyl and for the last 2 weeks, i noticed my face become darker. is this normal? is the dark become permanent or it just temporary effect? is there anyway to overome this darker facial skin?

I went to the dermatologist today for the first time in awhile, and one of the things he said was that I had broken blood vessels from acne that was causing my face to be red. Most of my redness is just under my eyes and across my nose and also on my chin...it's just red, you can't see any veiny things (cause I have one of those on my nose..) I don't know if this is rosacea or what. What do you think?

Hello everyone! I really need some help...

My face started clearing up during the summer (my acne went from severe to moderate). I thought my skin could handle microdermabrasion (and apparently so did the spa lady). But no, I was very very wrong. My face started out "purging" as normal, but then it just kept getting worse and worse. I had two microderm treatments before the spa lady told me i should see the dermatologist next door before continuing. So i did and after a failed antibiotic trial i am now on Sulfa (Ive been on it for 3weeks but it isnt helping yet). He perscribed me epiduo but it wasnt working so i switched back to my erythromycin/benzoyl peroxide topical.

My face is still reallllllyyyyyy red and very sensitive from the treatments. I know it is from the treatment because there is a clear definition between my red face and white neck!!! What can I do to lessen the redness/ help my face heal??

Why are there no reviews on this?

I think women and men of color need to be fairly represented and Black Opal along with Dr. Miracle have products designed for people of color who have acne.

I know I promised not to bother you again but I just have one more question as I'm still dealing w/ steroid induced rosacea and it's just as bad as ever. I have decided to try accutane again and am currently on 10 mgs a day, although I literally just started. I'm having an increase in redness, a constant hot/uncomfortable feel in my skin, increased flushing too.

Anyway, that's not really what I'm here to ask about, I understand that this will get worse before it gets better so I'm trying my best to gritt my teeth and bear it. I know that you were on very high dose for your course, but what was your cumulative total, and also I hate to just say, how much do you weight, as I know alot of people aren't at all comfortable with that kind of question, but I'd really appreciate if that's the case if you could instead tell me how many total mgs you recieved per kg of yor weight.

I hope you are still doing good and your skin is still OK, it looks great from your display picture, and you look very happy. Oh- one last question- I promise this is the last- do you think it might be OK to use a sulfa/sodium 10% 5% wash while on accutane to reduce some of this inflammation or would it be best to just stick to moisturizer and a gentle cleanser??

Hello to everyone. Over the past few days, I've had a really bad cold, so I've been blowing my nose constantly. The skin around my nose and even onto my cheeks has become extremely red, dry, and blotchy, and I understand why, but the skin on my forehead has done the same thing. I've recently been using liquid makeup to cover up the redness when I have to go somewhere, and then I've been using a facial cleanser, which I don't normally use, to remove the makeup at night. I'm sure my skin is just reacting to the constant nose-blowing, heavy makeup, and unfamiliar cleanser, but how can I get rid of these disgusting splotches? I'm obviously going to stop using the makeup and the cleanser when I can, but what can I do to heal the skin while I'm at home? Are there any creams I could use? I've also heard that taking a cold shower might help, but I'm not willing to try that one without more confirmation. Haha. I tried applying a scar cream containing aloe all over my face last night, but I didn't see any results.

Your help is much appreciated! Unfortunately, my skin is so dry that I can't use mineral makeup right now, so it looks like I'll have to continue using the liquid makeup for a while...

Hi
I have mild rosacea with moderate acne and I'm sick of it. I would like to try Dan's regimen to get rid of my acne but I'm afraid it will bother my rosacea.

If anyone with rosacea has used BP please let me know how it worked out for you.

Thanks

I need you guys' help. Im going to the derm again on Oct 30 and besides acne, I now have rosacea. Is there anything that helped you or heard that has helped people with acne and rosacea?