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Environmental and Lifestyle Triggers of Rosacea
Abizairie Sánchez-Feliciano1, Sherry Ershadi1, John S Barbieri1
1Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts. Abizairie Sánchez-Feliciano also is from the School of Medicine, Case Western Reserve University, Cleveland, Ohio.
Abstract:
Rosacea is a chronic inflammatory skin condition characterized by facial erythema, flushing, telangiectasias, papules, and pustules. Its pathophysiology involves a multifactorial interplay of genetic, immune, microbial, and neurovascular factors contributing to inflammation and vascular dysregulation. Environmental and lifestyle triggers are important contributors to disease exacerbation. In this review, we highlight 4 major modifiable triggers-UV radiation exposure, temperature fluctuation, skin care practices, and diet-and their roles in rosacea pathogenesis and management. Lifestyle modifications targeting these triggers combined with topical, oral, and/or laser therapies can improve disease control. A holistic, patient-specific approach to treatment that involves education on environmental influences and tailored management strategies is essential.
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