Guder Husna, Guder Semih
Department of Dermatology, Maltepe University Faculty of Medicine, Istanbul, Turkiye.
Department of Dermatology, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkiye.
North Clin Istanb. 2024 Jan 31;11(1):27-37. doi: 10.14744/nci.2023.33410. eCollection 2024.
Skincare is a part of rosacea treatment; patients benefit from complementary dermo-cosmetic care as well as medical treatments. Some skincare habits are known to trigger and exacerbate rosacea, but there are very few epidemiological studies on this matter.
A total of 200 people, including 100 patients with rosacea and 100 controls, were included in the study. We questioned the methods used by the participants in daily facial cleansing. Sun and heat exposure, makeup habits, the history of the use of topical steroids, and outdoor working status were noted. A dermoscopic examination, a non-invasive and valuable method to evaluate the presence and severity of Demodex, was performed.
We evaluated 30% of our rosacea patients as erythematotelangiectatic rosacea, 13% as papulopustular rosacea, and 57% of our patients had mixed type, which could not be distinguished from one of these subtypes. In the case group, the proportion of people who used daily facial cleansers and daily soaps was lower than in the control group, while the proportion of those who cleaned their face with only water and those who used facial cleansers less frequently was higher (p<0.001). In the case group, while the rate of daily make-up and use of make-up products was lower (p=0.001, p<0.001, respectively), the rate of not wearing make-up was higher (p=0.001). The history of hot bath use was higher in the case group than in the control group (p=0.011). We found a significant relationship between the severity of plaque and dry appearance and the increase in Demodex density (p=0.007, p<0.001, respectively).
We recommend that patients with rosacea clean their faces daily with soap or facial cleansers and not take a bath with very hot water. Patients should be evaluated for increased Demodex mites, especially if skin dryness is accompanied.
皮肤护理是酒渣鼻治疗的一部分；患者可从辅助性皮肤美容护理以及医学治疗中获益。已知一些皮肤护理习惯会引发并加重酒渣鼻，但关于此事的流行病学研究非常少。
共有200人纳入本研究，其中包括100名酒渣鼻患者和100名对照者。我们询问了参与者日常面部清洁所使用的方法。记录了日晒和受热情况、化妆习惯、外用类固醇使用史以及户外工作状态。进行了皮肤镜检查，这是一种评估蠕形螨存在情况及严重程度的非侵入性且有价值的方法。
我们将30%的酒渣鼻患者评估为红斑毛细血管扩张型酒渣鼻，13%为丘疹脓疱型酒渣鼻，57%的患者为混合型，无法从这些亚型中区分出来。在病例组中，每日使用面部清洁剂和日常肥皂的人群比例低于对照组，而仅用水洗脸以及较少使用面部清洁剂的人群比例更高（p<0.001）。在病例组中，每日化妆和使用化妆品的比例较低（分别为p=0.001，p<0.001），而不化妆的比例较高（p=0.001）。病例组使用热水浴的历史高于对照组（p=0.011）。我们发现斑块严重程度和皮肤干燥外观与蠕形螨密度增加之间存在显著关联（分别为p=0.007，p<0.001）。
我们建议酒渣鼻患者每日用肥皂或面部清洁剂洗脸，不要用非常热的水洗澡。应评估患者蠕形螨是否增多，尤其是伴有皮肤干燥的情况。
