O que há de novo e o “velho” que funciona na ROSÁCEA

Cosmeceuticals are the union between cosmetics and pharmaceutical products, with a formulation that contains a powerful combination of active ingredients that truly improve the condition and health of the skin. This new generation of products, which emerged in the early 1980s, undergoes scientific studies and laboratory tests and usually offers solutions for reducing signs, acne, rejuvenation, sun protection, etc. They are capable of correcting skin damage, replacing elements lost with aging (such as hyaluronic acid) and have a preventive function. Rosacea is a chronic inflammatory vascular disease, with remissions and exacerbations, also erroneously called “acne rosacea”, since acne is a disease of the sebaceous gland, completely different from rosacea, whether due to the cause or age, or due to the clinical aspects and characteristics in general. Rosacea occurs in 1.5% to 10% of the populations studied. It occurs mainly in adults between 30 and 50 years of age. It is more common in women, but it affects many men and, in them, the condition tends to be more severe, continually evolving with rhinophyma (gradual enlargement of the nose due to thickening and dilation of follicles). It rarely occurs in black people. The origin of rosacea is still unknown. There is an individual predisposition (more common in white people and people of European descent) that may be familial (30% of cases have a positive family history), indicating a possible genetic basis. There is a strong influence of psychological factors (stress). Today, the participation of a mite of the normal skin flora called Demodex folliculorum, and of the bacterium Bacillus oleronius, which colonize this fungus, is considered important. The presence of erythema and telangiectasia in the central region of the face, accompanied by papules and pustules, generally does not present difficulties in diagnosing rosacea. The patient can keep a diary of worsenings (and remissions) relating this to their activities, diet, stress and other factors. There are four classic types of rosacea: Erythematous-telangiectatic – Subtype 1 Papulopustular – Subtype 2 Phymatous (Rhinophyma) – Subtype 3 Ocular – Subtype 4: can accompany any of the others and also appear alone. Symptoms Rosacea is a disease that affects the skin mainly in the central facial region. It is characterized by sensitive skin, generally drier, which begins to become erythematous (red) easily and is irritated by acids and dermatological products in general. Gradually, the redness (erythema) tends to become permanent and fine vessels (telangiectasias), papules and pustules that resemble acne appear, and edema and nodules may occur. Frequently, ocular symptoms appear, such as dry eyes and inflammation of the eyelid edges (blepharitis). In the pre-rosacea phase, there is mild erythema on the face, which worsens with flare-ups of varying duration, arising spontaneously or due to the action of the factors mentioned. Gradually, the episodes may become frequent and even permanent. One symptom may be more prominent than another, varying greatly from person to person. The lesions do not necessarily evolve. Typical signs and symptoms: Facial flushing – periods of abrupt sensation of redness and heat on the skin as if it were a flare-up of vasodilation. Telangiectasias – permanent dilation of small vessels. Persistent facial erythema. Possible facial edema Papulopustular – nodules may occur; the papules may eventually, when numerous, form granulomatous plaques (lupoid rosacea); Rhinophyma – irregular and lobulated thickening of the skin of the nose, follicular dilation, leading to enlargement and deformation of the nose. These thickenings can occur in areas other than the nose, such as the forehead, cheekbones, and earlobes. Eye changes – occur in 50% of cases (irritation, dryness, blepharitis, conjunctivitis, and keratitis). Treatment There is no cure for rosacea, but there is treatment and control, with many recent advances. It all depends on the clinical stage the patient is in. Dr. Caroline Hespanhol Dermatologist Full Member of the Brazilian Society of Dermatology CRM-SP 138574 RQE 95948 Scheduling appointments: (11) 4280-8200 (11) 99464-1412 (WhatsApp) Legal Notice The information contained in the videos is not intended to replace a consultation with a medical professional or serve as a recommendation for any treatment plan. If you have any questions, consult your doctor. Medicine is a science that is constantly changing; the videos are produced based on the most recent scientific articles to date. According to Article 8 of CFM Resolution 1974/11 on Advertising of the Medical Code of Ethics, the videos are intended solely to provide information for strictly educational purposes.