Rosacea Acne Eczema

One of the most frustrating problems to deal with as a teenager is not having clear skin. It’s even worse when these problems exist when you aren’t a teenager! Itchy, irritated skin, acne, dermatitis, eczema, and rosacea and skin issues all have a similar root cause.

Think about all potential treatment options a dermatologist has given for a skin related abnormality. They will fall into one of these 3 categories stated above. Many girls get put on the birth control pill for acne. The pill is hormones, thus, the reason for the skin problem is a hormonal imbalance. Other patients get put on an anti-inflammatory cream which means the reason for their skin problem is inflammation such as Psoriasis, Rosacea or even

Eczema. Other patients get put on an antibiotic. If an antibiotic clears up the skin it means the outbreak is coming from a bacteria or a gut microbe!

Eczema, Rosacea And Psoriasis

According to the Environmental Working Group, women use an average of 12 products a day, containing 168 different chemicals. Men use fewer products, but still put 85 chemicals on their bodies[i].  This trend along with hormonal differences make this an issue more commonly found in women than in men.

The skin is a major organ of detoxification. When chemicals are not processed correctly the body will often excrete them through the skin in order to cleanse the body. One of the largest natural chemicals your body needs to detoxify is the sex hormones (particularly in women). Patients can certainly have reactions to a number of synthetic chemicals in the environment.   For this reason, many patients with skin problems undergo questions and possibly testing in our office for their hormones, toxic chemical exposure, heavy metal exposure, and the strength of their detoxification pathways.

The second major category that causes skin irritation is inflammation.  The most famous treatments in this category include anti-histamines, topical corticosteroids, prednisone, and biologic anti-inflammatory drugs like Humira for Psoriasis.  This is common in patients who have an autoimmune disease like Psoriasis, Celiac Disease, or Hashimoto’s.  While these anti-inflammatory interventions can be helpful, most of them are not great long-term solutions.  True healing often involves finding lifestyle triggers that are constantly aggravating the immune system and driving the inflammation.  What are the common triggers?

Rosacea Or Something Else?

Identifying which of these triggers (and it can be more than 1) is driving the inflammation is vital to solving a skin problem.

Unless we identify the root cause and remove it, the symptoms will keep coming back! Skin Problems and Eczema Coming from infections and the Gut

Most people are aware that various infections can cause skin outbreaks.  Chicken pox, for example, is a common viral infection that cause skin outbreaks.  Lyme disease and other tic born infections also can cause a rash.  For the most part this is an acute or short lived experience that comes as we get ill and resolves once we get better.  However, some microbial imbalances can perpetuate for longer in our body and cause chronic skin outbreaks.

Rosacea Vs. Psoriasis Vs. Eczema: What's The Difference?

Our gut houses 40-100 trillion microscopic organisms that live in a symbiotic relationship with us. When these bugs get disturbed it can wreak havoc on the body. An imbalance of bacteria, yeast, parasites, etc. often leads to what is called “leaky gut”. The scientific word is intestinal permeability which means the intestines have holes in it that allows partially digested food into the blood stream.  With this pattern patients can have symptoms from the direct microbe imbalance dumping toxins into their system, or they can also have symptoms from the leaky gut the microbe imbalance causes allowing food into their system which they then become reactive to.

In our office, we typically work on balancing out the gut microbes, repairing the leaky gut, and then move onto food sensitivity testing if it is needed afterwards. The reason for this is if you have a gut infection (such as candida) it creates leaky gut. When we have a leaky gut from a bug you will react to pretty much whatever you eat.  If you change your diet but still have a leaky gut, in about 6 months you will react to the new food you are eating.  By removing the offending bacteria and healing the gut lining food reactions can be at least reduce and optimally eliminated.

Remove phase includes removing bad bugs like yeast, bacteria, parasites that are not part of the healthy microbiota.  This also includes the removal of aggravating foods such as gluten, grains, and dairy. The Repair phase includes nutrients to aid in the health of the intestinal epithelial cells and promote healing from any leaky gut accompanied by a microbial imbalance.  The Replace phase is adding in digestive enzymes to aid in digestion. The Re-inoculate phase involves restoring healthy bacteria to the system after the removal phase.

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We cycle or “pulse” anti-microbials during the Remove phase because many yeast and some bacteria such as clostridia have a spore phase which protects them.  By taking a few days off the removal phase of gut repair it allows the spores to germinate and then they are vulnerable again to being removed. This has been shown to be more effective than straight antimicrobial courses with no breaks.A red bump or pus-filled pimple may seem like run-of-the-mill acne, but sometimes it’s a sign of another skin condition. So if you have acne along with redness, you might be wondering if you have rosacea.

Rosacea, sometimes called acne rosacea, is a chronic inflammatory disease of the skin. Those affected tend to blush, or flush, more easily than others.

Rosacea can be mild or severe. Over time, the redness can spread from the cheeks and nose to the chin and forehead. (1) Rosacea can also cause thickening or enlargement of the skin around the nose.

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Rosacea is most common in people with fair skin, particularly those of Celtic or Scandinavian descent. (2) It also occurs in other skin types, but it’s less noticeable in people with darker skin. In fact, rosacea can be underdiagnosed or flat-out missed in every other ethnicity, says Erum Ilyas, MD, a board-certified dermatologist based in the Philadelphia area.

“I routinely have patients of color who have seen numerous other doctors, but have had their diagnosis missed simply because their skin type didn’t show the classic ‘rosy cheeks, ’” continues Dr. Ilyas.

Approximately half of all people with rosacea also develop eye problems or ocular rosacea. (3) “This is a form of rosacea that affects the eyes, and it occurs in about 50 to 70 percent of patients with rosacea, ” notes Ilyas. “It may or may not be associated with rosacea of the skin.”

Understanding Common Skin Conditions: Acne, Eczema, Psoriasis

Symptoms of ocular rosacea include chronic tearing and eye dryness, a gritty sensation in the eye, flaking at the base of the eyelashes (called blepharitis), and recurring styes. (4)

People with rosacea typically have sensitive skin and can’t tolerate a variety of skin products. What’s more, rosacea often worsens with certain environmental triggers, including temperature extremes and sun exposure.

The exact cause of rosacea is unknown, but scientists do know that the blood vessels within the skin of people with rosacea are unstable and more reactive than those who don’t have the condition. (2, 3) Some experts believe rosacea could be due to a dysregulation of the immune system as well as a genetic predisposition.

Acne, Rosacea, Eczema

Also, Demodex mites — microscopic organisms that normally inhabit hair follicles in low numbers — appear to be more numerous in those with rosacea, explains Anna D. Guanche, MD, a board-certified dermatologist based in Calabasas, California. On average, these patients have more Demodex mites per pore, says Dr. Guanche. This may contribute to the red bumps of rosacea.

Acne develops when small pores in your skin become clogged with oil and dead skin cells. Symptoms can vary from person to person, but may include red lumps or spots, tiny white bumps, and dark spots with open pores. (5)

Acne typically occurs in younger people, triggered by hormone fluctuations that cause excess oil secretion. But older people can get zits, too. In fact, some women develop problems with acne in middle age. (5) The telltale sign that distinguishes acne from rosacea is the presence of whiteheads or blackheads, called comedones. Though acne and rosacea can be present at the same time, only acne is associated with comedones.

Natural Remedies For Rosacea, Eczema + Sensitive Skin

Lupus is another skin condition that can be mistaken for rosacea. This chronic autoimmune disease causes inflammation in different parts of the body, including the skin. (6)

Inflammation results from the immune system attacking healthy cells and tissues. One distinct symptom of lupus is a red, facial rash. This rash can cover both cheeks and usually has a butterfly shape. (7)

Along with rosy cheeks, the rash can cover the bridge of the nose. But while a rosacea rash may look like lupus, the difference is that a lupus rash doesn’t have red bumps that are typical of rosacea, although the rash can be raised. (8)

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Other symptoms that may accompany a lupus rash include fever, fatigue, joint pain and stiffness, headache, dry eyes, and shortness of breath.

This skin condition is often found on the scalp, causing red patches and dandruff. It can also