Rosacea - scalp and facial problems

Rosacea is a skin disease that causes rashes and redness on the face and scalp. The rash may disappear with treatment but will return. Basically, the disease is caused by an inflammation of the skin. It is unknown why people get rosacea but it is known that the disease is partly hereditary.

Rosacea can be divided into four stages:

  • The first stage is characterised by redness of the cheeks, nose, chin and forehead, temporary redness and permanent redness.
  • The second stage is characterized by the development of acne pimples called acne rosacea.
  • The third stage involves ruptured and dilated blood vessels that are easily visualized in the affected area.
  • The fourth stage involves the development of scar tissue called rhinophyma.

The only treatment option for the fourth stage is surgical intervention. Stages 1 to 3 can traditionally be managed by the use of topical metronidazole, oral tetracycline and oral retinoids.

Many environmental triggers are known to exacerbate rosacea.

The list includes strenuous exercise, excessive sun exposure, stress, anxiety, cold, heat, alcohol, caffeine, and foods high in histamine and spice.

Rosacea is thought to be an inflammatory condition of unknown cause.

What causes rosacea?

Many possible causes have been described as causing the disease or contributing to its manifestation.

These include genetic predisposition, abnormal vascular reactivity, changes in vascular mechanisms, Helicobacter pylori, Demodex folliculorum infestation, seborrhea, sunlight, hypertension and factors such as psychogenicity.

It has been suggested that the redness and damage of rosacea is actually caused by inflammation from hyper-sensitive sensory neurons.

This inflammation is caused by proteins and peptides in the body that are released due to the overgrowth of bacteria in the gastrointestinal tract.

A new clinical study confirms that rosacea patients have a very significant bacterial overgrowth in the small intestine.

At the same time, it shows that the eradication of this overgrowth results in complete remission of symptoms in 96% of patients without further treatments.

Successful management of rosacea requires careful evaluation of the patient and individualised treatment with appropriate variations and modifications, as the severity of the disease varies.

Dr. Choi - Rosacea treatment

Dr. Choi’s rehabilitation program involves gastrointestinal, neurological and dermatological aspects.

Relevant laboratory investigations are utilized to identify underlying imbalances such as gastrointestinal bacterial overgrowth and intestinal permeability.

Based on theoretical and clinical findings, the most appropriate medications and supplements have been used to correct underlying imbalances and to minimise gastric involvement.

Meanwhile, some active dermatological manifestations of rosacea are treated with oral medications, vascular laser and intense pulsed light therapy to improve the cosmetic appearance.

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