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Hern&#225;ndez-Mart&#237;n recommended a single 250<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;kg dose of oral ivermectin leading to complete remission of the rosacea lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> However&#44; the Author did not demonstrate by skin scraping or standardized skin surface biopsy neither the presence nor an excessive number of <span class="elsevierStyleItalic">Demodex folliculorum</span> &#40;DF&#41; mites in the pilosebaceous units to justify the oral antiparasitic therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> It is known that patients with papulopustular rosacea may have a higher density of DF mites on their faces than controls&#46; However&#44; in the absence of any qualitative and quantitative information on DF&#44; it could be hypothesized that ivermectin may have operated through immunomodulating mechanism rather than through a true acaricidal action&#46; The immunomodulatory effect of ivermectin has been reported long ago in mice&#44;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> and very recently confirmed by Schaller et al&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> who found&#44; in 20 Caucasian patients with moderate to severe rosacea treated with topical ivermectin for &#8805;12 weeks&#44; that the gene expression levels LL-37&#44; HBD3 and TNF-&#945; was significantly reduced after and during treatment&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Regrettably&#44; Hern&#225;ndez-Mart&#237;n<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> neglected that also a DF-related bacterium&#44; <span class="elsevierStyleItalic">Bacillus oleronius</span>&#44; may express antigens that stimulates an inflammatory immune response<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> and that other different triggers may contribute in the pathogenesis of rosacea&#44; more specifically gastrointestinal disorders like <span class="elsevierStyleItalic">Helicobacter pylori</span> &#40;HP&#41; infection and small intestine bacterial overgrowth &#40;SIBO&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">6&#44;7</span></a> In two previous studies&#44; we reported our experience on 60 rosacea patients that were followed up for 3 years&#44; in which we have investigated the prevalence of three possible trigger agents&#58; DF &#40;through SSSB on rosacea lesions &#91;test was considered positive for density &#62;5 mites&#47;cm<span class="elsevierStyleSup">2</span>&#93;&#41;&#44; HP infections &#40;through urea breath test&#41; and SIBO &#40;through lactulose breath test&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> Recently&#44; we completed the study with a 5-year follow up&#46; Shortly after enrolment&#44; DF was the agent most frequently found &#40;75&#37;&#41; followed by SIBO &#40;67&#37;&#41; and HP infection &#40;13&#37;&#41;&#46; HP infection prevailed in patients with erythrosis&#44; SIBO in patients with papulo-pustular rosacea whereas DF was not associated with specific rosacea types&#46; DF was found as the only trigger in 16 patients whereas 29 patients were positive for more than one trigger agent &#40;23 patients had DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>SIBO&#44; 4 patients DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>HP and 2 patients DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>HP<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>SIBO&#41;&#46; Patients that proved positive for more than one triggering agent were treated in the following order&#58; DF acaricidal treatment &#40;crotamiton cream once&#47;daily associated with azelaic acid gel once&#47;daily for 3 weeks&#41;&#59; antibiotic therapy for SIBO &#40;rifaximin 1200<span class="elsevierStyleHsp" style=""></span>mg&#47;daily for 10 days&#41;&#44; antibiotic therapy for HP &#40;rabeprazole 10<span class="elsevierStyleHsp" style=""></span>mg<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>amoxicillin 1000<span class="elsevierStyleHsp" style=""></span>mg<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>metronidazole 250<span class="elsevierStyleHsp" style=""></span>mg twice&#47;daily for 2 weeks&#41;&#46; The topical therapy for DF was effective in reducing its population and in improving the cutaneous lesions but only 26&#37; of the patients remitted&#46; The 23 patients positive for both DF and SIBO underwent acaricidal treatment but the majority of them &#40;74&#37;&#41; remitted only after rifaximin treatment&#46; Among the 40 exclusively SIBO positive patients treated with rifaximin&#44; 31 remitted&#44; 8 improved and 1 did not&#46; Overall&#44; most of our patients &#40;61&#37;&#41;&#44; treated in accordance with the specific causal agent&#44; cleared and had no relapsed in the following 5 years&#44; confirming our previous studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> In conclusion&#44; we emphasize that the eradication of the underlying trigger agents in rosacea may be crucial in improving the disease and in maintaining the clinical remission over time&#46; However&#44; the search for the presence of SIBO should be done in rosacea patients since its treatment seems to be relevant in improving the disease and maintaining the clinical remission&#44; also when more than one microorganisms are still present&#46;</p></span>"
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Letter to the Editor
The Possible Combined Action of Different Trigger Agents in Rosacea
Posible acción combinada de los diferentes agentes desencadenantes en la rosácea
G. Ciccarese
Autor para correspondencia
giuliaciccarese@libero.it

Corresponding author.
, A. Parodi, A. Rebora, F. Drago
DISSAL, Department of Dermatology, IRCCS San Martino IST, Genoa, Italy
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the paper entitled &#8220;Oral ivermectin to treat papulopustular rosacea in a immunocompetent patient&#46;&#8221; by Hern&#225;ndez-Mart&#237;n<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> that prompted us to make some observations and to report our experience&#46; The Author described a patient with papulopustular rosacea that has been considered immunocompetent but it was not specified whether laboratory examinations have been performed to investigate the immune status of the patient &#40;as complete blood count&#44; human immunodeficiency virus test&#41;&#46; Moreover&#44; the Author stated that the past medical history of the patient included topical immunomodulators&#44; but without defining the specific drug&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> Due to the only partial and&#47;or transient rosacea improvement after several topical and systemic treatments&#44; Hern&#225;ndez-Mart&#237;n recommended a single 250<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;kg dose of oral ivermectin leading to complete remission of the rosacea lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> However&#44; the Author did not demonstrate by skin scraping or standardized skin surface biopsy neither the presence nor an excessive number of <span class="elsevierStyleItalic">Demodex folliculorum</span> &#40;DF&#41; mites in the pilosebaceous units to justify the oral antiparasitic therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> It is known that patients with papulopustular rosacea may have a higher density of DF mites on their faces than controls&#46; However&#44; in the absence of any qualitative and quantitative information on DF&#44; it could be hypothesized that ivermectin may have operated through immunomodulating mechanism rather than through a true acaricidal action&#46; The immunomodulatory effect of ivermectin has been reported long ago in mice&#44;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> and very recently confirmed by Schaller et al&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> who found&#44; in 20 Caucasian patients with moderate to severe rosacea treated with topical ivermectin for &#8805;12 weeks&#44; that the gene expression levels LL-37&#44; HBD3 and TNF-&#945; was significantly reduced after and during treatment&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Regrettably&#44; Hern&#225;ndez-Mart&#237;n<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> neglected that also a DF-related bacterium&#44; <span class="elsevierStyleItalic">Bacillus oleronius</span>&#44; may express antigens that stimulates an inflammatory immune response<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> and that other different triggers may contribute in the pathogenesis of rosacea&#44; more specifically gastrointestinal disorders like <span class="elsevierStyleItalic">Helicobacter pylori</span> &#40;HP&#41; infection and small intestine bacterial overgrowth &#40;SIBO&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">6&#44;7</span></a> In two previous studies&#44; we reported our experience on 60 rosacea patients that were followed up for 3 years&#44; in which we have investigated the prevalence of three possible trigger agents&#58; DF &#40;through SSSB on rosacea lesions &#91;test was considered positive for density &#62;5 mites&#47;cm<span class="elsevierStyleSup">2</span>&#93;&#41;&#44; HP infections &#40;through urea breath test&#41; and SIBO &#40;through lactulose breath test&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> Recently&#44; we completed the study with a 5-year follow up&#46; Shortly after enrolment&#44; DF was the agent most frequently found &#40;75&#37;&#41; followed by SIBO &#40;67&#37;&#41; and HP infection &#40;13&#37;&#41;&#46; HP infection prevailed in patients with erythrosis&#44; SIBO in patients with papulo-pustular rosacea whereas DF was not associated with specific rosacea types&#46; DF was found as the only trigger in 16 patients whereas 29 patients were positive for more than one trigger agent &#40;23 patients had DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>SIBO&#44; 4 patients DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>HP and 2 patients DF<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>HP<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>SIBO&#41;&#46; Patients that proved positive for more than one triggering agent were treated in the following order&#58; DF acaricidal treatment &#40;crotamiton cream once&#47;daily associated with azelaic acid gel once&#47;daily for 3 weeks&#41;&#59; antibiotic therapy for SIBO &#40;rifaximin 1200<span class="elsevierStyleHsp" style=""></span>mg&#47;daily for 10 days&#41;&#44; antibiotic therapy for HP &#40;rabeprazole 10<span class="elsevierStyleHsp" style=""></span>mg<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>amoxicillin 1000<span class="elsevierStyleHsp" style=""></span>mg<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>metronidazole 250<span class="elsevierStyleHsp" style=""></span>mg twice&#47;daily for 2 weeks&#41;&#46; The topical therapy for DF was effective in reducing its population and in improving the cutaneous lesions but only 26&#37; of the patients remitted&#46; The 23 patients positive for both DF and SIBO underwent acaricidal treatment but the majority of them &#40;74&#37;&#41; remitted only after rifaximin treatment&#46; Among the 40 exclusively SIBO positive patients treated with rifaximin&#44; 31 remitted&#44; 8 improved and 1 did not&#46; Overall&#44; most of our patients &#40;61&#37;&#41;&#44; treated in accordance with the specific causal agent&#44; cleared and had no relapsed in the following 5 years&#44; confirming our previous studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> In conclusion&#44; we emphasize that the eradication of the underlying trigger agents in rosacea may be crucial in improving the disease and in maintaining the clinical remission over time&#46; However&#44; the search for the presence of SIBO should be done in rosacea patients since its treatment seems to be relevant in improving the disease and maintaining the clinical remission&#44; also when more than one microorganisms are still present&#46;</p></span>"
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                    0 => array:2 [
                      "titulo" => "Tratamiento con ivermectina oral en un paciente inmunocompetente con rosacea p&#225;pulo-pustulosa"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin scrapings versus standardized skin surface biopsy to detect Demodex mites in patients with facial erythema of uncertain cause &#8211; a comparative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Bunyaratavej"
                            1 => "C&#46; Rujitharanawong"
                            2 => "P&#46; Kasemsarn"
                            3 => "W&#46; Boonchai"
                            4 => "C&#46; Muanprasert"
                            5 => "L&#46; Matthapan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/0378-6323.174423"
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                        "tituloSerie" => "Indian J Dermatol Venereol Leprol"
                        "fecha" => "2016"
                        "volumen" => "82"
                        "paginaInicial" => "519"
                        "paginaFinal" => "522"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26858058"
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                  ]
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                      "titulo" => "Effect of ivermectin on the immune response in mice"
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                          "autores" => array:2 [
                            0 => "B&#46;R&#46; Blakley"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Vet Res"
                        "fecha" => "1991"
                        "volumen" => "52"
                        "paginaInicial" => "593"
                        "paginaFinal" => "595"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1828942"
                            "web" => "Medline"
                          ]
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                ]
              ]
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                0 => array:2 [
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                      "titulo" => "Dual anti-inflammatory and antiparasitic action of topical ivermectin 1&#37; in papulopustular rosacea"
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                            2 => "K&#46; Belge"
                            3 => "C&#46; Braunsdorf"
                            4 => "R&#46; Nordin"
                            5 => "A&#46; Scheu"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/jdv.14437"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
                        "fecha" => "2017"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0070"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mite-related bacterial antigens stimulate inflammatory cells in rosacea"
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                          "autores" => array:4 [
                            0 => "N&#46; Lacey"
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                            2 => "K&#46; Kavanagh"
                            3 => "F&#46;C&#46; Powell"
                          ]
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                      ]
                    ]
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                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "157"
                        "paginaInicial" => "474"
                        "paginaFinal" => "481"
                        "link" => array:1 [
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                        "tituloSerie" => "Am J Clin Dermatol"
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                        "paginaFinal" => "303"
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                        "link" => array:1 [
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Información del artículo
ISSN: 00017310
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 15 8 23
2024 Octubre 92 60 152
2024 Septiembre 92 27 119
2024 Agosto 113 47 160
2024 Julio 124 39 163
2024 Junio 95 37 132
2024 Mayo 80 33 113
2024 Abril 88 27 115
2024 Marzo 77 34 111
2024 Febrero 73 42 115
2024 Enero 95 38 133
2023 Diciembre 71 24 95
2023 Noviembre 84 32 116
2023 Octubre 99 41 140
2023 Septiembre 95 94 189
2023 Agosto 156 18 174
2023 Julio 114 30 144
2023 Junio 88 29 117
2023 Mayo 166 41 207
2023 Abril 65 29 94
2023 Marzo 106 32 138
2023 Febrero 111 26 137
2023 Enero 73 21 94
2022 Diciembre 79 41 120
2022 Noviembre 109 34 143
2022 Octubre 104 45 149
2022 Septiembre 92 43 135
2022 Agosto 81 56 137
2022 Julio 71 50 121
2022 Junio 49 40 89
2022 Mayo 51 52 103
2022 Abril 70 44 114
2022 Marzo 82 50 132
2022 Febrero 62 33 95
2022 Enero 77 44 121
2021 Diciembre 46 41 87
2021 Noviembre 62 49 111
2021 Octubre 40 42 82
2021 Septiembre 28 32 60
2021 Agosto 32 40 72
2021 Julio 21 41 62
2021 Junio 30 39 69
2021 Mayo 42 30 72
2021 Abril 75 94 169
2021 Marzo 69 26 95
2021 Febrero 80 37 117
2021 Enero 44 22 66
2020 Diciembre 46 15 61
2020 Noviembre 37 20 57
2020 Octubre 29 25 54
2020 Septiembre 30 21 51
2020 Agosto 43 23 66
2020 Julio 44 15 59
2020 Junio 55 39 94
2020 Mayo 31 13 44
2020 Abril 50 14 64
2020 Marzo 49 18 67
2020 Febrero 3 0 3
2019 Diciembre 5 0 5
2019 Septiembre 9 2 11
2019 Julio 1 0 1
2019 Mayo 2 1 3
2019 Abril 2 0 2
2019 Marzo 1 0 1
2019 Febrero 3 2 5
2019 Enero 1 0 1
2018 Diciembre 5 2 7
2018 Noviembre 7 0 7
2018 Octubre 4 0 4
2018 Septiembre 3 0 3
2018 Junio 3 0 3
2018 Abril 4 1 5
2018 Marzo 1 1 2
2018 Febrero 52 44 96
2018 Enero 57 67 124
2017 Diciembre 0 19 19
2017 Noviembre 0 19 19
2017 Octubre 0 37 37
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