Re: Little poll on acid(s)

[Guest guest]

Deryk, rosacea may well worsen from the increased skin sensitivity

resulting from aggressive treatments such as peels -- but that's the

inflammatory aspects of rosacea, the pinkness/redness from

inflammation and papules/pustules, a consequence of breakdown from

the protective skin barrier. But I don't see how increased skin

sensitivity can quickly worsen the vascular components of rosacea

such as the worsening flushing described. Does anyone?

There are several other explanations for a temporal association

between chemical peels and new/worsening rosacea. For example,

whatever worsening condition led to using a peel, such as worsening

acne, may have really been early mild rosacea. Alternatively, new or

over-attention to one's face after experiencing irritation from the

peel may lead to a diagnosis, while otherwise the early signs would

have been missed or ignored.

Finally, there are drug-induced rosacea, the mechanism of which I

don't know or understand, nor am I convinced that this condition is

properly named. Note that the NRS classification doesn't include

steroid-induced rosacea. So it is theoretically possible that an

inflammatory reaction to a drug or procedure results in a rosacea-

like condition, but that's an inflammatory reaction, not real rosacea

as NRS is now defining the term.

Marjorie

Marjorie Lazoff, MD

>

> Just wondering: I've mentioned before that my rosacea began within

> months of starting treatment for acne vulgaris. I was first

presribed

> Neostrata solution (glycolic acid). I am wondering how many of you

> can correlate their R beginnings with the use of chemical peels,

> either daily or the concentrated intensive peels.

> Deryk

[Guest guest]

Deryk, rosacea may well worsen from the increased skin sensitivity

resulting from aggressive treatments such as peels -- but that's the

inflammatory aspects of rosacea, the pinkness/redness from

inflammation and papules/pustules, a consequence of breakdown from

the protective skin barrier. But I don't see how increased skin

sensitivity can quickly worsen the vascular components of rosacea

such as the worsening flushing described. Does anyone?

There are several other explanations for a temporal association

between chemical peels and new/worsening rosacea. For example,

whatever worsening condition led to using a peel, such as worsening

acne, may have really been early mild rosacea. Alternatively, new or

over-attention to one's face after experiencing irritation from the

peel may lead to a diagnosis, while otherwise the early signs would

have been missed or ignored.

Finally, there are drug-induced rosacea, the mechanism of which I

don't know or understand, nor am I convinced that this condition is

properly named. Note that the NRS classification doesn't include

steroid-induced rosacea. So it is theoretically possible that an

inflammatory reaction to a drug or procedure results in a rosacea-

like condition, but that's an inflammatory reaction, not real rosacea

as NRS is now defining the term.

Marjorie

Marjorie Lazoff, MD

>

> Just wondering: I've mentioned before that my rosacea began within

> months of starting treatment for acne vulgaris. I was first

presribed

> Neostrata solution (glycolic acid). I am wondering how many of you

> can correlate their R beginnings with the use of chemical peels,

> either daily or the concentrated intensive peels.

> Deryk