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Excessive cleansing: an underestimating risk factor of rosacea in Chinese population

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Abstract

Appropriate skincare is essential in the prevention and management of rosacea. We sought to investigate whether cleansing habits, the initial step of skin care, would influence the onset and progression of rosacea and their associations with clinical features of rosacea in the Chinese population. We analyzed the daily cleansing habits data collected from 999 rosacea cases and 1010 skin-healthy controls from China. Overall, the high frequency of cleansing (more than once daily) (OR = 1.450) and the large amount of cleansers (> 5 pieces/year) (OR = 1.612) presented a positive correlation with rosacea occurring. The cleansing duration and types of cleansers appeared not to be correlated with the onset of rosacea in this study. Significant risk factors also included the deep cleansing habits, such as the overuse of cleansing tool (more than four times/week) (OR 2.179) and oil control and exfoliating behaviors via daily used products (OR 2.435), facial mask (OR 1.459) or projects in beauty salons (OR 2.688). The analysis of the clinical features of rosacea showed that patients who prefer deep cleansing were more prone to present an initial symptom of papule and pustule (OR 1.63–3.15). What is more, using daily exfoliating products presented a positive correlation with the progression of the symptoms from flushing to erythema (OR = 2.01), papule and pustule (OR = 2.28) and telangiectasis (OR = 2.14), and the affected areas from a single area to pan facial (OR = 1.650). In conclusion, excessive cleansing habits were substantial risk factors for the incidence and progression of rosacea in the Chinese population.

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Funding

This work was supported by the National Natural Science Foundation of China (No. 81502750).

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Authors and Affiliations

  1. Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China

    Guo Li, Ben Wang, Zhixiang Zhao, Wei Shi, Dan Jian, Hongfu Xie, Yingxue Huang & Ji Li

  2. National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

    Guo Li, Yingxue Huang & Ji Li

Authors
  1. Guo Li
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  2. Ben Wang
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  3. Zhixiang Zhao
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  4. Wei Shi
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  5. Dan Jian
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  6. Hongfu Xie
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  7. Yingxue Huang
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  8. Ji Li
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Correspondence to Yingxue Huang or Ji Li.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Li, G., Wang, B., Zhao, Z. et al. Excessive cleansing: an underestimating risk factor of rosacea in Chinese population. Arch Dermatol Res 313, 225–234 (2021). https://doi.org/10.1007/s00403-020-02095-w

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  • DOI: https://doi.org/10.1007/s00403-020-02095-w

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