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Dr. Geoffrey Nase, PhD Rosacea Research Specialist
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Twenty-four hours in the life of a rosacea sufferer From mild to severe rosacea - the progression of my symptoms The medical research that helped me treat my rosacea The clearance of my symptoms My personal experience with rosacea sufferers Quotes from rosacea sufferers My experience with past health ailment - comparison to rosacea My professional background My curriculum vitae The goals of this book How to use this book
Chapter 1: Confusion and hopelessness
Introduction General confusion over rosacea Confusion over rosacea treatment Hopelessness for the rosacea sufferer Summary Weeding through the confusion and uncovering hope References
Chapter 2: Rosacea is a disorder of the facial blood vessels
Introduction Normal blood vessels Rosacea blood vessels What is unique about rosacea blood vessels References
Chapter 3: The stages of rosacea -- changes in facial blood vessels
Introduction Pre-rosacea Mild rosacea Moderate rosacea Severe rosacea References
Chapter 4: Facial flushing is the first symptom and primary cause of rosacea
Introduction Facial flushing is the first and universal symptom Facial flushing gets worse over time Why does facial flushing get worse over time? Why is flushing localized to the face? References
Chapter 5: Triggers for facial flushing and rosacea progression Extremely Important Triggers:
Nerves Skin irritation
Moderately Important Triggers:
Sun Environment -- heat, cold and wind Topical steroids Immune system Free radicals Stress -- neural and hormonal Menopause Oral dilators -- foods, beverages, medications and supplements Exercise
Minimally Important Triggers:
Other disease Collagen breakdown in the facial skin Gastrointestinal tract disorder H. Pylori of the stomach
Triggers That Are Not Important:
Facial demodex mites Facial bacteria Facial yeast Skin or systemic infection Sebaceous gland, skin lipid, or hair follicle disorders Bad facial hygiene Bad blood Liver disorder Psychological disturbances References
Chapter 6: Side effect of facial flushing and abnormal blood vessels
Introduction Papules and pustules Swelling Burning Rhinophyma Alterations in skin barrier function and structure References
Chapter 7: Recipe for rosacea
Introduction Rosacea is usually caused by several factors Most common combinations of triggers for rosacea development As rosacea progresses, triggers pile on References
Chapter 8: Effect of depression and anxiety on rosacea
Introduction Rosacea and depression Rosacea and anxiety Effect of depression and anxiety on rosacea symptoms References
Chapter 9: Common misconceptions that general physicians have about rosacea
Rosacea is a disorder of skin microorganisms and sebaceous glands Most rosacea sufferers are in the mild stages of the disease Rosacea does not affect people until they are in their 40's and 50's Rosacea is a trivial cosmetic disease General physicians understand what rosacea sufferers go through on a daily basis Most rosacea sufferers just have one or two triggers for flushing References Part III: Treatment Information on Facial Rosacea
Chapter 10: Rosacea treatment by therapy type
Warning Oral therapy (prescription) Topical therapy (prescription) Laser therapy Skincare therapy Nutritional & herbal therapy Surgical therapy Preventive therapy Worthless therapy Dangerous therapy References
Chapter 11: Rosacea treatment by symptom
Introduction Facial flushing Facial redness Facial papules and pustules Facial burning Facial swelling Rhinophyma Steroid-induced rosacea Rosacea fulminans Rosacea and extensive sun damage Rosacea and perioral dermatitis Rosacea and acne Rosacea and seborrheic dermatitis Rosacea and depression/anxiety References
Chapter 12: Just around the corner -- flushing therapy with topical nitric oxide blockers and nerve inhibitors
Introduction Topical nitric oxide blockers Topical and oral nerve inhibitors References
Chapter 13: Common misconceptions that general physicians have about rosacea treatment
Most rosacea sufferers are well-controlled by standard treatment regimens Topical 1% hydrocortisone is safe to use for extended periods of time Rosacea sufferers can use most dermatologist-recommended cleansers, moisturizers and sunscreens Rosacea sufferers should fight through treatment-induced irritation because their skin and blood vessels will adapt References Part IV: General Information on Ocular Rosacea
Chapter 14: General information on ocular rosacea
Introduction The basics of the eye Primary cause of ocular rosacea Secondary causes of ocular rosacea Aggravating factors in ocular rosacea Ocular rosacea terminology References Treatment Information on Ocular Rosacea
Chapter 15: Treatment information on ocular rosacea
Introduction Topical therapy (non-prescription) Topical therapy (prescription) Oral therapy (prescription) Nutritional therapy Laser therapy Surgical therapy Miscellaneous therapies References
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