SECOND OPINION | MYTH OR MEDICINE | Rosacea | BCBS

SECOND OPINION | MYTH OR MEDICINE | Rosacea | BCBS


ANNOUNCER: BLUE CROSS BLUE SHIELD IS A PROUD
SPONSOR OF SECOND OPINION. LIVE FEARLESS ANNOUNCER: IF YOU HAVE ROSACEA, YOU MAY HAVE
NOTICED THAT A WARM CUP OF COFFEE OR TEA CAUSES YOU TO FLUSH. IT’S IMPORTANT TO KNOW YOUR TRIGGERS. DOES THIS MEAN YOU’LL HAVE TO GIVE UP THAT
MORNING CUP OF COFFEE OR SWITCH TO DECAF? DOES CAFFEINE CAUSE ROSACEA FLARE-UPS? IS THIS MYTH OR MEDICINE? DR. SHERRIF IBRAHIM: “CAFFEINE CAN CAUSE ROSACEA
FLARE-UPS” — THAT’S A MYTH, AND I’LL TELL YOU WHY. I’M SHERRIF IBRAHIM. I’M AN ASSISTANT PROFESSOR OF DERMATOLOGY
AT THE UNIVERSITY OF ROCHESTER. THE EXACT CAUSE OF ROSACEA IS UNKNOWN. WE DO KNOW THAT PATIENTS WITH ROSACEA HAVE
AN INCREASED NUMBER OF SMALL BLOOD VESSELS LOCATED SUPERFICIALLY IN THE SKIN. THESE VESSELS ARE PRONE TO DILATION FROM A
VARIETY OF SOURCES. CAFFEINE, ONCE THOUGHT TO BE A STRONG TRIGGER
OF ROSACEA, MAY OR MAY NOT NECESSARILY BE SO. ONE INTERESTING STUDY FOUND THAT PATIENTS
WHO WERE GIVEN A BEVERAGE AT ROOM TEMPERATURE THAT WAS CAFFEINATED DID NOT HAVE ANY KIND
OF FLUSHING RESPONSE. HOWEVER, IF THEY RAISED THE TEMPERATURE OF
THE BEVERAGE TO 140 DEGREES, WHETHER THIS WAS COFFEE OR JUST PLAIN WATER, THESE PATIENTS
ALL HAD A FLUSHING REACTION OF SIMILAR TYPE AND INTENSITY. SO, IN REALITY, IT MAY NOT BE THE TEA OR THE
COFFEE THAT YOU’RE DRINKING, BUT THE TEMPERATURE OF THE HEATED BEVERAGE THAT YOU’RE INGESTING. AND THAT’S MEDICINE. ANNOUNCER: NOT SURE IF IT’S MYTH OR MEDICINE? CONNECT WITH US ONLINE. WE’LL GET TO WORK AND GET YOU A SECOND OPINION. ANNOUNCER: BLUE CROSS BLUE SHIELD IS A PROUD
SPONSOR OF SECOND OPINION. LIVE FEARLESS

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