Focus on: rosacea

Skin Analysis
2 May 2014

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Rosacea is a chronic skin disease that can affect the cheeks, nose, eyes, chin and forehead. It is characterized by reoccurring episodes of skin flushing, erythema (redness), papules (pimples), pustules and telangiectasia (permanent distended blood capillary vessels with a spidery appearance).

Symptoms of rosacea
Rosacea is generally classified into four sub-types and one variant, as follows:

? Sub-type 1 – Erythematotelangiectatic rosacea. Symptoms include flushing and persistent central facial erythema (redness) with or without telangiectasia.

? Sub-type 2 – Papulopustular rosacea. This is characterised by persistent central facial erythema with transient, central face papules or pustules, or both.

? Sub-type 3 – Phymatous rosacea. Thickening of the skin is seen with irregular and enlarged surface nodularities. This may occur on the nose (rhinophyma), chin, forehead, cheeks or ears.

? Sub-type 4 – Ocular rosacea. This is characterised by ocular involvement, including inflammation of different parts of the eye and eyelid. It can be found in up to 58% of cases of rosacea, but is frequently undiagnosed.

? Variant – Granulomatous rosacea. This is non-inflammatory and characterised by hard, brown, yellow or red cutaneous papules, or nodules of uniform size.

Rosacea primarily affects the face and therefore often leads to psychological problems. The persistent red, raised rash on the face can cause embarrassment, anxiety, low self-esteem and lack of confidence, and may even lead to depression, social anxiety disorder or body dysmorphic disorder. If there is eye involvement it can be quite severe and this may produce significant additional discomfort.

What causes rosacea?
The cause of rosacea comes down to a number of factors, with both genetic and environmental factors ? such as heat, sunlight, stress and high fat and sugar foods – playing a role. Other factors include abnormalities of the small blood vessels, epidermal barrier defect, childhood sties and sun damage to the surrounding connective tissue.

Other possible triggers are gastrointestinal tract diseases such as intestinal bacterial and yeast overgrowth, a yeast overgrowth of the skin by the Malassezia furfur yeast, or an infestation with Demodex folliculorum.

Recent studies have demonstrated that antigenic proteins related to a bacterium (Bacillus oleronius), isolated from a Demodex folliculorum mite, exacerbate an inflammatory response in papulopustular rosacea. People with rosacea are also known to express abnormally high levels of cathelicidin (an antimicrobial protein).

Rosacea usually happens in the second or third decade of life, with up to 10% of the population affected by the condition. It is reportedly more common in fair-skinned people of Celtic and northern European heritage and women appear to be more often affected than men. However, a proportionately larger number of men develop skin changes including thickened skin and irregular and enlarged surface nodularities.

How to treat rosacea
As with most chronic skin diseases, rosacea requires long-term treatment, with therapy depending on the form of underlying cause identified.

At the Claudia Louch Natural Skin Clinic we analyse the rosacea using our cutting-edge Skin Analyser to assess the severity of the papules and/or pustules, erythema and general skin dryness and condition. The Skin Analyser provides us with a detailed and personalized insight for us to then advise on a customized treatment plan.

Our management strategies for people with rosacea are tailored to the specific variant of rosacea. This includes topical management through a customized medicinal plant and mineral-based regime to address the bacterial or yeast overgrowth, and an internal medicinal plant-based management to address possible internal yeast or bacterial overgrowths.

We also provide dietary advice and avoidance of some of the triggers, in particular those that cause flushing, i.e. certain foods and beverages, sunlight and some types of cosmetics.

Other rosacea treatments we offer at The Claudia Louch Natural Skin Clinic
The vascular manifestations of rosacea appear to respond fairly effectively to light-based therapies such as the Claudia Louch in-house UVB light treatments, in conjunction with our bespoke customized in-house rosacea facial treatments.

Personalised natural skin care and treatments at the Claudia Louch Natural Skin Clinic
All products and treatments we offer at the Claudia Louch Natural Skin Clinic are made in our own pharmacy, which formulates medicinal plant and mineral-based products to each patient?s individual requirements and skin complaints.

To find out more about how to treat rosacea at the Claudia Louch Natural Skin Clinic, click here to make an appointment enquiry or call us on 020 7467 1539.

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