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? :-)

Pretty much my entire face is red right now, except for my nose and right under my eyes. Even some of my neck is red. It all burns a lotttt and hurts so much ): My regimen is: (morning) gently wash face, apply 5% benzoyl peroxide, apply banana boat aloe vera gel, (night) gently wash face, apply retin-a, apply banana boat aloe vera gel.

Also, my skin is really flakey as of lately. Even after I moisturize my face, sometimes some flakes still show.

I don't know what to do, so any help would be greatly appreciated.
I can't stand this stinging/burning and red face.
It's so embarrassing..

Backstory: About a year and a half ago I started to develop red, itchy, inflamed eyelids. At first I thought it was my contact lenses so I went to an optometrist and switched my contact lens prescription. This didn't work. On a followup visit the doc suggest I see a derm. The derm prescribed me a steroid (desonide) cream to use over my eyes. This worked for awhile but never totally cured the problem. After doing some internet research and reading about the negative aspects of steroid creams, especially when applied to the facial area and also noticing thinning of the skin around my eyelids, I discontinued the topical steroid use. Went to a few other doctors but nothing they've recommended has ever totally got rid of the redness/irritation. I've tried different moisturizers, special eyelid rinse/cream, warm compresses and a host of other home brew remedies. I still have not solved the problem to this day, but I can somewhat keep it under control with my current regimen.

About 6 months ago I also started having itchy, red, dry patches of skin develop on my chest, inner elbows, inner knees, neck, and face. Went back to the derm, diagnosed with eczema, got prescribed desonide cream (again). The cream worked somewhat but the eczema always came back. I moved to DC in January. After about a month in DC my AD/eczema intensified 10 fold. I started to develop bright red, intense, extremely itchy patches in the same places as before, but much more severe. Convinced it was something chemical, I discontinued the use of every scented, non-comodogenic product that I used. Switched to Dove soap, unscented moisturizers, mild/anti-dandruff shampoo, etc. I started using the steroid cream more consistently to battle the severity of the AD/eczema. One very annoying side effect of the steroid cream was a lightening of my skin. Growing concerned about this issue I went to yet another derm and asked to be prescribed Elidel or Protopic after reading about them on the internet. The doc prescribed me Protopic. The results of using protopic seem to be erratic. Sometimes it works, sometimes it doesn't, but a very disconcerting side effect is that it causes pretty severe itchiness (wierd, since itchiness is one of the symptoms of AD/eczema and all). Since the severe eczema started when I moved to DC, thinking the climate played a major part, I moved back to Florida. The AD/eczema has become more mild again, but still persists. Where the patches used to form I have now noticed a loss of pigmentation in my skin. I have not used steroid creams in ~3 months (have used Protopic, sparingly) but the discolored patches still seem to remain. Sun exposure does not seem to have an effect.

I originally thought the steroid cream use was the main cause of the depigmentation but I also have noticed discoloration under my eyes as well. Thing is, I don't recall ever using steroid cream there.

Just wondering if anyone has ever encountered anything like this. Any advice? Any idea how to reverse the depigmentation? Is it permanent? Can I use some kind of tanning OTC product (like bronzer or something) to at least try to coverup the spots?

Thanks in advance...

Basically I got dry skin below my eyes (upper cheeks) and towards the nose. I've seemed to have gotten rid of it 2 times (one time it slowly went away, the next time I used a hydrocortisone acetate) then I feel like its slowly coming back (my face is slightly as red, but not nearly as noticeable) I've began to reapply the hydrocortisone acetate.

What's wrong with me?

Could it be Seborrheic Dermatitis?

I think it's got something to do with going off Doxycycline which I was using for 6 months before changing my medication to Minocycline (which then made me show the first signs of the redness).

Also this is the first time it's happened, as it's Winter. Could that be the problem?

Thoughts?

hey, about 2-3 months ago i started noticing that on both my cheeks (underneath eyes, toward nose) started to become red, itchy, dry and flakey with dead skin. i have no idea why this has all of a sudden appeared. i even stopped using any products on my face. the only thing i use is jojoba oil as a moisterizer to get rid of the flakeyness . i am also starting to use DANS AHA but thats for marks left from scars.

i know its not rosacea because some days it is completly gone but its driving me nuts because i cant seem to find a solution. i've been lurking around these forums and i think i might have Seborrhoeic dermatitis? can someone clear this up for me?

thanks a lot.

I was just prescribed Metronidazole cream for my acne rosacea. After paying money for the cream, I read the ingredients list and saw that it has benzyl alcohol in it.

Most every website offering info on Rosacea urges people to stay away from benzyl alcohol because it worsens your condition.

If this is true, and the consensus seems to say that it is, should I not use Metronidazole?

I have oily skin as well, but have kind of controlled spots forming, however i have red marks all over my face left after acne and it really gets me down as you all probably know.
I already use the cider vinegar (about a month now and will still continue) with, if any, very little real difference that looks noticable (to me anyway).
Ive read about the pulsed dye laser and was wondering if that would be a good option and if it works for red marks? If anyone has used it for red marks with lots of success?
This is the only thing that still bothers me (apart from the blackheads on the end of my nose) and was wondering if this would be beneficial?

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?

So I've been to 9 Dermatologists over the past nine years, and have not gotten any relief from treatments except for Accutane, which only made a slight improvement.

I've been told I have mild rosacea as well as mild seborrheic dermatitis, but to be honest I think there is something more too it that my Dermatologists are missing.

The following is a description of my symptoms:

• Red and sensitive (Nose gets more red when I eat certain foods)
• Oily (As the skin gets more oily, ie. later in the day, the face gets tighter and feels more dry)
• Itchy and tight
• Clogged pores, which pertrude from the skins surface

This occurs on my nose and around my mouth only. (upper lip and chin)

In addition to my skin problems, I also have:

• Very thick saliva and a white coated tounge
• A loss of taste when eating or drinking
• Permanantly chapped lips that get more chapped when eating
• Nose is runny, usually occurs when eating
• Inside of nose is usually itchy and clogged with unusual mucus
• Excessive burping after meals (sometimes excessive flatulence)
• Occasional heartburn after eating
• Very painful bowel movements
• Very irritated eyes, often slightly red (vision is definitely blurred)
• Eyes also look a bit swollen
• Severly dry skin on my legs and around ankles

I always thought there was a connection between my skin symptoms and the symptoms I experience in my mouth and nose, but no Doctor or Dermatologist has ever said anything.

The reason I don't think I have Seborrheic Dermatitis is because my forehead also gets very oily, but I do not have a single skin problem there. I do not have dandruff either, and my hair is often oily. I also do not have the usual "flaking" that most people suffering with seborrheic dermatitis have.

I was thinking food allergies, but when I went to an Allergist and told him my symptoms he looked at me like I was crazy and told me I don't have allergies. He didn't even want to do one test on me (I wish he checked me for allergies even though he didn't think I have any, cause I think he was wrong).

Please, if you have any suggestions please let me know.

I currently wash with Ovace Plus twice a day, and apply an oil free moisturizer afterwards.

I've been using Clearasil or Noxzema alcohol pads for many many years. It's to the point where my face doesn't feel clean without using them.
I think my skin is redder in the areas where I apply the pad. I can see that my skin looks a normal color around my lips & eyes because I avoid these areas. I can really notice this after a workout. The redness goes away in maybe 10 minutes, but I don't like the fact that I can see where I've been applying these on my skin. I know these pads can be kind of harsh, and it will be tough giving them up (I can't imagine being 50 & still using these...I'm going to have to quit sometime), but I will if you guys think they're bad.
When my face gets sweaty in the middle of the day, I try to avoid using the alcohol pads & will use 50% isopropyl alcohol on a cotton ball. I guess I just need to feel that sting to feel my skin is really clean. I don't know. If I stop using these pads now, my skin will turn back to its normal color, right?

Hey guys and gals I have a question for you.

About 8 months ago I got off of acutane and my face was flawless, i was super excited and it was the first time it had ever been clear.

Lately though my face looks like a peperroni. I dont know why but this has been here for months, it just wont go away. At first i though it was sunburn but then i saw little bits of acne in there. During spring break i stayed inside most of the time thinking it was just sunburn but it didnt go away.

What could this be...Ive started getting it under my nose too. It happens in the zones where "rosacea" is supposed to take place so im thinking it could be that. Noone in my family had that though.

Everytime i shower it becomes dry and skin seems to like peel, its bright red and it itches/burns at random times. I try not to touch it for obvious reasons but sometimes its unbearable.

Also for the first time in a while the last month or so ive started getting a bit of acne everywhere around my face...it seems to only be getting worse.

Im going to the dermatologist on the 31st and my mom is thinking maybe i should get back on acutane. At this point I dont even knwo what to do...skin creams dry it out horribly and idk if they work or not. I kind of stopped using them because of that reason.

My mom is going to give me some "noxema" to use instead of soap and see if that works but idk if thats a good idea or not. Opinions on this?

Prom is on May 8th and im really hoping theres a way to make it go away by then, i dont want to be the only guy or girl for that matter in my group with acne/red skin during the pics.

Any suggestions would be appreciated. Im so tired of this and just want it to end. Im 18 btw. I wash my face 3 times a day pretty much and try not too touch it.

Thanks

Heres 3 pics of it. Its alot redder in person then it looks in these pics

Just want to comment that I had both acne and rosacea and with my anti-inflammatory diet and supplements, my skin is never red anymore.

And I used to be red and get rosacea pimples from my chest up in the summer as heat was the worst trigger for me. Now I just get a pimple or two occasionally. And they go a way very quickly.

Also, when it used to be worse, I found aloe vera to be just about as good a treatment as the prescription metro gel I was given.

My face has a general redness to it. It's most prominent around the nostrils, the entire nose, and the forehead. It's not rosacea, and I don't think it's a sunburn. It's not too noticeable from afar, but up close you can definitely see it.

It seems to have come on all at once. I steamed my face one night over a pot of boiling water and immediately applied BP. Ever since then, my face has not gone back to normal. Does anybody know what caused this and how to treat it?

It makes me so depressed. My face is not at all dry, so I'm not sure it's irritation. It's oily and red.Strange.

Any thoughts, please?? I'm pretty desperate.

I've a spot on my face?
Like.. darker area
arouuund the mustache area
and to the side of the mouth
I don't know how it appeared
I just saw it gradually over time and it just keeps there
Applying makeup over it is annoying..
My face is clear, just that spot!?

Please help x_x I'm drowning on a bubble

I added contrast to it so it'd be more visible
It's not too visible but still bothers me...

So I got this stuff called Prosacea and been using it for two weeks and the acne I've had problems with for three years now (I am 26) has faded into nothingness. Red marks - fading fast. NO NEW BREAKOUTS.
What happened?
Proactiv and Dan's Regimen failed me. (Proactiv worked for a while though)

How was it that everybody could easily suppress acne with simple medications while I struggled with embarassing red marks and pustules?

Could it be I had ROSACEA? But a mild form of it? You look at picture examples of rosacea on the internet and the poor people look absolutely HORRIBLE. I feel really really bad for them. How could -I- have that. It only happens to my cheeks. Surely, not me. It must be hormones or something, I thought.

Wellll... I've forgotten to factor in some important things.

1) I have dandruff that is easily treated with Selsun Blue.
2) My eyes get red, puffy and itchy if I dont apply Lubriderm to that area twice a day.

I forgot because those two things were so easily treated. But if I see all three (acne, dandruff, itchy eyes) as RELATED, it sounds like I have the right symptoms to be diagnosed with ROSACEA. Not acne.

Courtesy of Rosacea.org

Any one of the following warning signs is a signal to see a dermatologist or other knowledgeable physician for diagnosis and appropriate treatment before the signs and symptoms become increasingly severe:

* Redness on the cheeks, nose, chin or forehead.
* Small visible blood vessels on the face.
* Bumps or pimples on the face.
* Watery or irritated eyes.

So like I said, this stuff Prosacea in conjunction with Delna's famous baking soda+ACV regimen for red marks (Search: Delna) has cured me within weeks. And believe me, I've been using Delna's regimen for two months without any great results. I just love how it cleans my face and keeps the oil at bay all day.

Am I jumping the gun with my conclusion here? I don't know. I could be wrong. You guys tell me.
Anyone who has tried this stuff Prosacea or any other rosacea medications PLEASE LET ME KNOW and post your thoughts. I'd love to hear from anyone with a similar experience.

i don't know if i'm going insane or not...is there redness here or do i have body dysmorphic disorder?

http://img195.imageshack.us/img195/5001/closeb.jpg
http://img39.imageshack.us/img39/3151/picture014ywk.jpg

I have used the treatment for 2 days, twice a day and I have got veryyyyyy red face and very very sensitive and dry. I stopped the treatment today coz I feel my face like into boil water. What should I do? I dont have alot acne but I would like to get a completly clear face without marks, however my skin is real very sensitive, could you please recommend me something? thanks

I'm 18 and have been getting pretty bad moderate acne since I was 12 years old. it actually in the past few months has really gotten a lot better and has gotten to the point where I get so few pimples that it doesnt even bother me anymore just because it used to be ridiculously bad. but of course once the acne started to fade my new skin problem began to surface. I just have this ugly redness like on my cheeks under my eyes it forms like a circle around my eyes and it just looks really stupid. I wish I had a picture for you guys to see but I dont unfortunately. I dont even care about the acne anymore it doesnt bother me at all now its this stupid red face. now I've seen what rosacea looks like and it doesnt look like what Ive got...its just like a light red glow but its red enough that people notice it and now im extremely self concious about it...just when I start getting out of my acne stage. I never really used to much on my skin. for a couple years all i've been using is cetaphil gentle skin cleanser once a day and nothing more. what could have caused this???

a little over a year ago I had a laserish treatment done that was supposed to cure my acne...the doctors told me it would poison the bacteria in my skin that caused acne...needless to say it didnt really work. but it did make my face red as a tomato all over severely for a few days. it calmed down but I'm curious if this could be the cause of the redness that I have now? because I just dont understand how it could just form like that when I'm not really using anything on my skin?? any ideas??

so here's the quick story...

My skin had always been a little dry around my nose, but barely noticeable except for occasional flaking after showering...So i just had used general body lotion to solve that (yes it was scented, which i now know is really bad), but I never really had a problem until like a year ago I put someone after I had been outside and was sweating...it stung pretty badly and I noticed the next day on my cheeks and nose where I had put the lotion my face was really dry/red, and felt tight. I thought this would heal up and go away in a few days, but it didn't So for the next few months this would come and go every few days, I used Cetaphil moisutrizure to try to moisturize it, but it would still be somewhat red.

So eventually I decided to see a dermatologist about this in January. He said i had sebborheic dermatitis and prescribed me with some denoside steroid cream. For the first month or so, it really helped. It especially helped tone down the dryness/flaking and toned down the redness as well. Eventually, though the redness came back and my pores seemed to be more open than usual (not too much of a big deal, im more concerned about the redness and tightness). I went back to that derm and told him and he prescribed me a different steroid, this was more like a gel, after the first few uses I could tell it was not the answer.

After reading on here that using steroids on the face may not be the best thing, I decided to stop using them for a little and bought some of the Eucerin facial redness products (the night creme, the gentle wash, and the daily green lotion). It seemed that my face was getting better for a while, but there was still noticeable redness. I went to a different derm and told him all of this, he also said I have seb dermatitis and prescribed me a hydrocortisone/antifungus cream which would supposedly make the inflammation go down. After a few uses of this I really can't tell it might be making this worse.

I'm not really sold that I have seb derm because I dont really have the scaling/flaking (other than just regular dry skin).

I'd appreciate any help, but my main questions are:

1. Should I completely avoid putting steroids on my face?? (I had used the denoside dailt for like 2 months total)

2. Is there any specific type of antiinflammatory/antiredness lotion I could find?

3. Anyother help would be great, not only is it a little embarrassing, but I can also constantly feel the slight pain in face, which is just annoying (it also doesnt help that my summer job is in your standard, air conditioning blasting office)

Thanks a lot for any help!

Can I use Aloe Vera after I use Benzoyl Peroxide on my face at night to help get rid of the redness on my face (not just from the BP, but from sun damage)?

This is directed toward MrsZ or anyone else who has or has dealt with steroid induced rosacea. Last July I ignorantly put a steroid cream on my face (mometasome furoate) in hopes that it would clear my skin, I was entirely uneducated as to what it was and an equally uneducated friend of mine gave it to me saying that they use it to spot treat. Well it did indeed clear the pimples and I got carried away and applied it all over my face. I eventually went on line to read what this "miracle" cream was and was horrified to see the side effects, so I discontinued use. Sense then in addition to moderate persistent acne I now have a permanently red face, that of which I have no idea what to do about. Will this ever go away? Supposively steroid rosacea is curable but my face has been extremely red for 9+ months now. This post will be deleted as soon as I get a reply from MrsZ, thanks.

Hello! First i want to say that my english is not so good so i hope that you will understand me . I want to know what will be best to use for my skin. I have pimples, a lot of spots and also dermatitis around my nose. From my doctor i got already so much medicines(skinoren,diferin,klicin) but not successful.
This is picture of my skin,please help me what i must do to clear my skin.
Thanks!

Please help me with the redness on my face. Someone please tell me what I have to do to get rid of this. It's annoying me very greatly. I haven't been using sunblock or moisturizer when I go out, so that probably has contributed to this.

I'm thinking of buying some Nuetrogena Oil Free Moisturizer SPF 15 to help out in the morning now (if that's even a good idea) since I'm in the sun all day. I've honestly never used moisturizer, so that's why I'm asking.

Would icing my face work at all in this situation?

Well here is a picture of me, so please tell me if this is Rosacea or if its just the aftereffects of using the 2.5% BP and not using sunblock or moisturizer (which I'm hoping).

I'm sorry I opened two threads, but I thought maybe the laser subforum isn't getting much attention (13 views in 2 days).

http://www.acne.org/messageboard/Noobie-qu...as-t239829.html

Pics are in my gallery.

Apart from rosacea, I've whiteheads all over... the photos aren't good enough to show 'em in detail, but every pore has its "gunk". They are more visible when showering... after showering my pores close and the skin tone is lighter, not as red as some of the pics... covering the right spots with my hair, it even looks like a mild tan, except for the different tone on the cheek bones (an area that looks like a semi-circle).

Any of you looked like this before having IPL or similar treatments?

Does anyone knoe of a good sunblock?