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NYC Cosmetic Dermatologist Dr. Schweiger contributes to an EverydayHealth.com expert panel on Rosacea

Everyday Health: What do you think is the cause of rosacea? Do you think Demodex mites play a role in rosacea development? Eric Schweiger, M.D.: Rosacea is a chronic condition characterized by central facial redness, and occasionally pimples. The etiology of rosacea appears to be multifactorial with some people having a genetic predisposition. Environmental triggers can contribute, and flares can occur after emotional distress, drinking alcohol, or eating certain foods. In addition, some studies have indicated that people with rosacea have an increased number of Demodex mites on their skin and overgrowth of bacteria in their gut. Everyday Health: What role, if any, does H. pylori play in rosacea development? Eric Schweiger, M.D.: Several microorganisms have been associated with rosacea including H. pylori. Currently the role of pathogenic microorganisms in the development of rosacea is undetermined and somewhat controversial. Additional studies are needed to clarify the role of H. pylori in rosacea. Everyday Health: Are there situations when you would recommend antibiotics for rosacea treatment, or are you concerned about overuse and antibiotic resistance? Eric Schweiger, M.D.: Antibiotic use can be very helpful for inflammatory and papular (bumpy) rosacea. I use them frequently for patients with deep red cheeks and acne-like lesions with success, as long as we limit the course of antibiotics in patients with rosacea to three months or under, or as long as we think it is safe and effective. Everyday Health: Many people with rosacea swear by Accutane, but there's a risk of severe side effects. What's your opinion on low-dose Accutane treatment? Eric Schweiger, M.D.: Due to the potential side effects, I only consider Accutane in patients with severe pustular, acne-like rosacea that is non-responsive to oral and topical antibiotics and laser therapy. In patients with rosacea who require Accutane therapy, we usually do the standard dose for six months. It is very challenging to do Accutane at low doses currently because blood monitoring and patient visits are required every month. Most of my rosacea patients don't have time to for doctor visits and blood testing monthly for two years or longer. Everyday Health: Is there such a thing as a diet that helps reduce or cure rosacea? Are there any natural or alternative treatments for Rosacea that you would recommend? Eric Schweiger, M.D.: As far as diet is concerned, it is important to avoid known triggers. Most patients are very good at noticing what can flare their rosacea. (Sometimes they have trouble avoiding flares, though.) Common triggers include alcohol, spicy foods, very hot (temperature) foods, marinated meats, and occasionally even certain fruits or vegetables. Everyday Health: What is the best way to make rosacea redness less noticeable? Eric Schweiger, M.D.: I find the best treatment for the redness of rosacea is laser therapy. The vascular lasers (KTP laser and pulsed-dye laser) are very effective at eliminating the tiny blood vessels and matted telangiectasias, which are responsible for the redness in rosacea. Usually about three to four treatments are needed for best results To read more about Rosacea on Everydayhealth.com featuring Dr. Schweiger, click here.

Schweiger Dermatology

110 East 55th Street
New York, NY 10022
212.283.3000
contact@schweigerderm.com

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