A new patient survey by the National Rosacea Society (NRS) confirmed that communication between doctors and patients is generally good, while suggesting certain opportunities for improvement.

While most rosacea patients know the importance of following their doctor's orders when it comes to daily medication, another critical component of effective rosacea management is often overlooked: an appropriate facial cleansing routine. Dr. Jonathan Wilkin, chairman of the National Rosacea Society's medical advisory board, advises that people with rosacea should always try to avoid irritation, which may be considered the cornerstone of appropriate facial care for rosacea patients. "The key is to avoid anything that burns, stings or irritates your face," he emphasized.

Q: Should I avoid day spa treatments such as facials, exfoliation and steaming if I have rosacea?

The incidence of rosacea may be higher than widely believed, according to a preliminary study presented at the recent rosacea research workshop, sponsored by the National Rosacea Society (NRS) during the annual Society for Investigative Dermatology meeting. In addition, an ongoing Irish study found similar prevalence rates of subtype 2 (papulopustular) rosacea in both indoor and outdoor workers.

Managing rosacea is a challenge for many people, but Sylvia Hasson has an added difficulty: Her treatment options are limited by multiple allergies, including an allergic reaction to oral antibiotics. Nevertheless, Sylvia, who was well into her 60s before she suffered her first rosacea flare-up, said she has been able to cope with the help of her dermatologist.

In a preliminary study presented during a poster session at the American Academy of Dermatology annual meeting this year, Dr. Richard Burroughs and colleagues of Walter Reed Army Medical Center noted antibiotics may be effective in treating rosacea because of their action against yet-to-be identified bacteria.

The increase in body temperature brought about by exercise may lead to a flare-up for many rosacea sufferers. Yet abandoning an exercise routine is not the answer to this dilemma. Here are tips for minimizing exercise-induced flare-ups:

• Watch the forecast. In warm weather, outdoor exercise should be limited to early morning or evening hours to avoid the midday heat and sun. For activities such as walking or cycling, look for shaded trails instead of hot asphalt. Don't forget to wear sunscreen (SPF 15 or higher).