Rosacea is a chronic skin condition that affects the skin of the face (generally, to the greatest extent near the center), the eyelids, and, sometimes, the neck, and upper back and chest.
Symptoms mostly occur in sun-exposed areas, and consist of redness, acne-like pustules and papules (but not comedones, or blackheads), visible blood vessels (telangiectasias), and swelling of the skin. Dramatic facial flushing may occur after consuming alcohol, hot drinks, or spicy foods, or after exposure to excessive sunlight or extremes of hot or cold. In the eye, acne rosacea produces symptoms known as
. Over time, rosacea may cause the nose to become enlarged.
Treatment of rosacea involves avoiding stimuli that worsen the disease, as well as using medications similar to those used for acne. Laser treatment can remove unsightly blood vessels and reduce flushing.
Proposed Natural Treatments for Rosacea
A substantial (246-participant) 12-week double-blind study found that a cream containing 1%
significantly improved rosacea symptoms as compared to placebo.
In another placebo-controlled study, a combination of
topically applied by 46 subjects for 1 month appeared to be effective for rosacea.
Weaker evidence hints that cream containing
might be helpful.
One preliminary study, available as yet only in abstract form, found some evidence that a cream made from
may provide benefits as well.
Some alternative practitioners believe that rosacea is caused by poor digestion and recommend use of
or apple cider vinegar to increase stomach acid. In addition, they may recommend
. However, there is no meaningful scientific evidence to indicate that use of these treatments will reduce symptoms of rosacea.
Syed A. AAD 63rd Annual Meeting: Poster 19. Presented February 20, 2005.
Rigopoulos D, Kalogeromitros D, Gregoriou S et al. Randomized placebo-controlled trial of a flavonoid-rich plant extract-based cream in the treatment of rosacea.
J Eur Acad Dermatol Venereol
Draelos ZD, Ertel K, Berge C et al. Niacinamide-containing facial moisturizer improves skin barrier and benefits subjects with rosacea.
Berardesca E, Cameli N, Cavallotti C, et al. Combined effects of silymarin and methylsulfonylmethane in the management of rosacea: clinical and instrumental evaluation.
J Cosmet Dermatol.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a