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Re: Rosacea

From: Catalin (anonymous@obgyn.net)
Mon, 26 May 1997 19:14:08 +0300 (GMT+0300)


On Sun, 25 May 1997, Joanne Bartling wrote:

> Catalin,
> Oh I'm so thrilled to see a dermatologist with the group. I have a
> question.
> I have rosacea. I have been using metrogel twice a day, for a couple of
> years, with great success.

You're right. Metrogel is considered to be one of the most effective topical treatments of rosacea. Most authorities consider that a person with rosacea should be treated with metrogel for the *rest* of their life (although it might be possible to reduce the dosage to once daily or once every 1-2 days). For those experiencing local irritation, burning, etc nowadays there is also available Metrocream (better tolerated than the gel).

> I've noticed since I had my hysterectomy 13 days ago, my face never
> looked better. I no longer have the reddish flush, I always have, and no
> acne at all. I'm sure it's a combination of things, that has caused
> this.

Rosacea is a very fluctuating and "curious" disease and it's difficult to say exactly which thing made your face look better.

> Up to the day of surgery, despite my dermatologists advice, I was a
> coffee addict. Many cups a day, I consumed. It's hard working on a busy
> med/surg unit, to not drink loads of coffee. Anyway, I lost the taste of
> coffee, post op, so I guess that's good. Also I've added Evening
> Primrose Oil and a Vit.E capsule daily for a total of slightly over
> 800I.U. of vit E daily, to help with the menopausal symptoms. Plus I'm
> eating lots of fresh fruits and veggies, and taking a lot of vitamins
> for wound healing.

Dietary factors are a matter of controversy and it's difficult to say precisely if and how they worsen rosacea. You can find lists with hundreds of items to avoid but following those lists rarely, if ever, cures the disease.

I usually reccommended to my patients to avoid only those things that they've noticed to aggravate their condition. If cofee is not one of them, why not drinking a good cup?

Be careful with vitamines: I've read a case-report of a woman with rosacea aggravated by vit B1.

> My question: With me doing so well, and my skin so good, I'm really
> hesitant to begin ERT. Are there any that won't affect my skin?

Difficult answer. I doubt that you may remain without any treatment for rosacea for the rest of your life. But if things are going so well, why not take a break (it will not affect the general evolution of the disease).

Sorry but I don't know what ERT stands for.

> Thanks and welcome.
>
> Joanne Bartling RN in NJ
>

With pleasure.

--
Catalin Popescu

------------------------------------------------------------------------------- Catalin Mihai Popescu, MD, Dermatologist, Colentina Hospital, Bucuresti ------------------------------------------------------------------------------- str Marcu M Ruxandra 6 bloc A3 sc A ap 17 --- 77306 BUCURESTI, ROMANIA ------------------------------------------------------------------------------- Tel/Fax: +40 1 7265703 e-mail: <anonymous@obgyn.net> -------------------------------------------------------------------------------

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