Major Pathophysiological Correlations of Rosacea: A Complete Clinical Appraisal
Identifieur interne : 001B37 ( Main/Exploration ); précédent : 001B36; suivant : 001B38Major Pathophysiological Correlations of Rosacea: A Complete Clinical Appraisal
Auteurs : Ravi Chandra Vemuri [Malaisie] ; Rohit Gundamaraju [Malaisie] ; Shamala Devi Sekaran [Malaisie] ; Rishya Manikam [Malaisie]Source :
- International Journal of Medical Sciences [ 1449-1907 ] ; 2015.
Abstract
Url:
DOI: 10.7150/ijms.10608
PubMed: 26005373
PubMed Central: 4441063
Affiliations:
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<author><name sortKey="Vemuri, Ravi Chandra" sort="Vemuri, Ravi Chandra" uniqKey="Vemuri R" first="Ravi Chandra" last="Vemuri">Ravi Chandra Vemuri</name>
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<author><name sortKey="Gundamaraju, Rohit" sort="Gundamaraju, Rohit" uniqKey="Gundamaraju R" first="Rohit" last="Gundamaraju">Rohit Gundamaraju</name>
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<series><title level="j">International Journal of Medical Sciences</title>
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<front><div type="abstract" xml:lang="en"><p><bold>Background</bold>
: Rosacea is a characteristic cutaneous disorder with a diverse clinical manifestations ranging from facial vascular hyper-reactivity to sebaceous gland hyperplasia. Many theories on pathophysiology of rosacea were proposed over the past decade, however the pathogenicity is poorly understood.</p>
<p><bold>Aim: </bold>
To review the evidence on different pathophysiological correlations of rosacea.</p>
<p><bold>Methods: </bold>
A literature search was conducted for studies published between 1990 to March 2014. The inclusion criteria was pathophysiology, randomized controlled trials, controlled trials on rosacea.</p>
<p><bold>Results: </bold>
Out of 5141 articles, 14 high quality studies met all the selection criteria. Of 14 articles, 5 are randomized control trials (RCTs), 2 are controlled trial, 3 comparative trials, 2 observational trials, 1 prospective and 1 diagnostic trial. The studies were categorized into two groups: the trigger factors and sub-types & symptoms. Of 7 high quality studies, 4 provided strong evidence that immune responses causing disease triggered by external/internal factors such as sunlight, food and chemical agents, 3 trials provided significant evidence of microorganisms as causative agents. The remaining trials did not provide significant evidences on pathophysiology.</p>
<p><bold>Conclusion: </bold>
Vasculature, chronic inflammatory responses, environmental triggers, food and chemicals ingested and microorganisms either alone or in combination are responsible for rosacea. Many promising drugs are under various phases of clinical trials and interestingly, probiotics could also possibly be used as one of the treatment option.</p>
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<affiliations><list><country><li>Malaisie</li>
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<tree><country name="Malaisie"><noRegion><name sortKey="Vemuri, Ravi Chandra" sort="Vemuri, Ravi Chandra" uniqKey="Vemuri R" first="Ravi Chandra" last="Vemuri">Ravi Chandra Vemuri</name>
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