35556 Health Library | Health and Wellness | Wellmont Health System
  • Rosacea

    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. 1 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 blepharitis . 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% Chrysanthellum indicum significantly improved rosacea symptoms as compared to placebo. 3 In another placebo-controlled study, a combination of milk thistle and methylsulfonylmethane topically applied by 46 subjects for 1 month appeared to be effective for rosacea. 5
    Weaker evidence hints that cream containing niacinamide might be helpful. 4
    One preliminary study, available as yet only in abstract form, found some evidence that a cream made from green tea may provide benefits as well. 2
    Some alternative practitioners believe that rosacea is caused by poor digestion and recommend use of betaine hydrochloride or apple cider vinegar to increase stomach acid. In addition, they may recommend digestive enzymes . However, there is no meaningful scientific evidence to indicate that use of these treatments will reduce symptoms of rosacea.
    Other natural treatments sometimes recommended for rosacea, but that also lack scientific support, include aloe , aromatherapy , burdock , chamomile , Chinese herbal medicine , food allergen avoidance , red clover , rose hips , selenium , vitamin B-complex , vitamins C , D , and E , yellow dock , and zinc .
    For rosacea symptoms that affect the eye, see the article on Blepharitis .

    Herbs and Supplements to Use Only With Caution

    Various herbs and supplements might interact adversely with drugs used to treat rosacea. For more information, see the individual drug article in the Drug Interactions section of this database.

    References

    1 National Rosacea Society. Available at: http://www.rosacea.org . Accessed: March 17, 2003.

    2Syed A. AAD 63rd Annual Meeting: Poster 19. Presented February 20, 2005.

    3 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 . 2005;19:564-568.

    4 Draelos ZD, Ertel K, Berge C et al. Niacinamide-containing facial moisturizer improves skin barrier and benefits subjects with rosacea. Cutis . 2005;76:135-141.

    5 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. 2008;7:8-14.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.