#RosaceaCommunity ? One of you lovely people on Instagram asked me to create this hastag, so that she, along with those of us suffering from rosacea, are able to follow each other, share experiences, recommendations and hopefully that way feel more comfortable in our own skin.
However, the hastag has been around on Instagram since the end of 2018, so I certainly can take credit for it. Nonetheless, it’s such a great initiative and I’m happy to be able to spread the word.
April is Rosacea Awareness Month, so the timing couldn’t be better.
The global Rosacea Consensus Panel recommends “general skincare” as a fundamental management strategy for rosacea and it consists of the holy trinity:
1) Sun protection 2) Gentle skincare 3) Trigger avoidance (see my previous post on Rosacea Triggers)
SUN PROTECTION – SUN PROTECTION – SUN PROTECTION Exposure to sun is believed to be both an initiating and aggravating factor of rosacea ☀ And there seems to be a dose-response correlation between sun exposure and rosacea severity:
The severity of the erythemato-telangiectatic subtype correlates with the degree of sun exposure. In other words, the more you’re exposed to the sun, the worse your rosacea gets.
UV light sparks inflammation and oxidative stress leading to defects in the tiny blood and lymph vessels in the skin, which is what we see as telangiectasias (also called thread veins), chronic redness and the swollen skin.
I prefer to wear a hat as much as possible, stay in the shadow and use inorganic sunscreens (aka physical filters), SPF 50+ with a tint to knock back my chronic redness ?
What’s your preferred sun protection?
REFERENCES: 1) Schaller et al. “Rosacea treatment update: recommendations from the global ROSacea COnsensus (ROSCO) panel” Br J Dermatol 2017; 176:465–471 DOI 10.1111/bjd.15173
The mechanisms behind what triggers the development of rosacea are still poorly understood, however an unfavorable inflammatory immune response to the demodex mite (normally present in our skin) is considered to play a key role.
However, when rosacea is first present in the skin certain triggers can worsen the symptoms.
FLUSHING Specific triggers (see below) can lead to rosacea flushing, which is a transitory intensification of the redness, due to dilation of the tiny vessels in the skin, with a simultaneous burning and stinging sensation. An episode of flushing can last from minutes to hours, be painful and leave the skin sore.
I’ve divided potential triggers into external and internal triggers. What triggers flushing is different to each individual. And identifying them can be a lifelong quest.
EXTERNAL TRIGGERS Sun exposure (UV light) Alcohol Hot beverages Spicy foods Tobacco Certain skincare ingredients Friction on the skin (cleansing, applying products) Season changes (especially summer/winter) Heat, cold, wind
What are your triggers and how do you manage your flushings?
REFERENCES: 1) et al. (2018). Rosacea Triggers: Alcohol and Smoking. Dermatologic Clinics, 36(2), 123-126. DOI 10.1016/j.det.2017.11.007 2) Tan et al. Updating rosacea diagnosis to improve treatment strategy: Recommendations from the Global ROSacea COnsensus (ROSCO) panel. (2017). Journal of the American Academy of Dermatology, 76(6), AB275-AB275. DOI 10.1111/bjd.15122