Rosacea Review - Newsletter of the National Rosacea SocietyRosacea Review - Newsletter of the National Rosacea Society

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Rosacea Occurs with Seborrheic Dermatitis

According to a new study, rosacea is the most common facial skin disorder overlapping with seborrheic dermatitis (SD), a chronic and recurring inflammatory condition characterized by a red, scaly or itchy rash often found in the creases around the nose, the inner eyebrows or as dandruff on the scalp. Dr. James Del Rosso, clinical assistant professor of dermatology at the University of Nevada, found that 26 percent of rosacea patients had facial SD and 28 percent had SD of the scalp.1

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Study Finds Most Common Effects of Ocular Rosacea

A recent study by researchers at the University of California, Davis identified the most common eye effects of subtype 4 (ocular) rosacea found by ophthalmologists during patient examinations.1

In the study of 88 ocular rosacea patients, 85 percent had meibomian gland dysfunction. These glands secrete a fatty substance that helps keep the eye from drying out, and plugging of these glands may result in dry eye or styes.

Rosacea Signs May Be Common Beyond the Face

Skin signs of rosacea outside the central face may be more common than is widely recognized, according to a new study presented by Dr. Joel Bamford, associate professor of family practice, University of Minnesota - Duluth, during the annual meeting of the Society for Investigative Dermatology.

"Almost everyone thinks of rosacea as being a facial condition," Dr. Bamford said. Yet, in a study of 94 patients with rosacea, he found that 42 to 84 percent showed skin signs beyond the face.

Mite Infestation Mimics Rosacea

A severe infestation of microscopic skin mites may mimic rosacea but fail to respond to standard therapy, according to a presentation by Dr. Martin Schaller, assistant professor of dermatology at Ludwig-Maximilians University in Munich, Germany, during the annual meeting of the American Academy of Dermatology.

The tiny mites, known as Demodex folliculorum, are normal inhabitants of human skin. Studies have found an elevated incidence of Demodex in rosacea patients, but it is uncertain whether this is a contributing factor or a result of the disorder.

Some Drugs May Worsen Rosacea

Certain medications themselves can trigger or aggravate rosacea signs and symptoms, according to Dr. John Wolf, chairman of dermatology at Baylor College of Medicine.

"Rosacea can worsen for some patients from taking vasodilator drugs because of their ability to dilate the blood vessels," he said. "Beta blockers and niacin (vitamin B3) may also cause blood to rush to the face, resulting in a rosacea flare-up."

Immune System May Trigger Onset of Rosacea Symptoms

Whether certain proteins made by the immune system may trigger the onset of rosacea is the subject of a study sponsored by a National Rosacea Society research grant and conducted by Dr. Richard Gallo, associate professor of dermatology and pediatrics at the University of California - San Diego and Dr. Masamoto Murakami, postdoctoral scientist, Veterans Medical Research Center. While acting to protect the body, the proteins also may trigger some of rosacea's symptoms, the researchers hypothesize.

Rosacea Affects Skin of Color

While rosacea is thought to be most common in fair-skinned individuals, it may simply be more difficult to diagnose in those of African American, Asian and Hispanic heritage, said Dr. Fran Cook-Bolden, associate director, The Skin of Color Center, St. Luke's Roosevelt Hospital Center in New York City, during a recent meeting of the American Academy of Dermatology.

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