Use of probiotics in the treatment of erythematotelangiectasic and papulopustular rosacea
DOI:
https://doi.org/10.33448/rsd-v13i5.45755Keywords:
Rosacea; Probiotics; Microbiome; Skin.Abstract
Background: The interaction between the gut and skin microbiota is linked to skin diseases. It is believed that through the use of oral probiotics it is possible to modulate the intestinal microbiota and regulate skin diseases. Objective: The study aims to analyze the efficacy of oral probiotics in the treatment of erythematotelangiectatic and papulopustular rosacea through the theory of the relationship between intestinal and skin microbiota. Methods: The study consisted of a randomized, controlled, double-blind, experimental clinical trial with comparative efficacy. The study sample (n=25) was divided into two groups: the experimental group received the oral probiotic plus a topical cream of Adapalene 1mg and the control group received the placebo and the same topical cream of Adapalene 1mg. To assess the effectiveness of the treatment, two questionnaires were proposed regarding the impact of rosacea on the patients' lives before and after one month of treatment. Results: In the experimental and control groups, the sum of the RosaQol and DLQI questionnaire scores decreased compared to before the treatment was applied. There was no significant difference between the results before and after treatment with probiotics and placebo. Conclusion: Both groups showed slight clinical improvement, with no superiority of probiotics. However, more clinical trials are needed due to the limitations of the study, such as the small sample size and the interference of the winter climate in the southern region of the country, which may have interfered with the clinical and statistical analysis of this study.
References
Amatuzzi, M. L. L., Amatuzzi, M. M., & Leme, L. E. G. (2003). Metodologia científica: o desenho da pesquisa. Acta Ortopédica Brasileira, 11(1), 58–61. https://repositorio.usp.br/single.php?_id=001295151&locale=pt_BR
Arck, P. C., Slominski, A., Theoharides, T. C., Peters, E. M. J., & Paus, R. (2006). Neuroimmunology of Stress: Skin Takes Center Stage. Journal of Investigative Dermatology, 126(8), 1697–1704. https://doi.org/10.1038/sj.jid.5700104
Arck, P., Handjiski, B., Hagen, E., Pincus, M., Bruenahl, C., Bienenstock, J., & Paus, R. (2010). Is there a “gut-brain-skin axis”? Experimental Dermatology, 19(5), 401–405. https://doi.org/10.1111/j.1600-0625.2009.01060.x
Bowe, W., Patel, N. B., & Logan, A. C. (2014). Acne vulgaris, probiotics and the gut-brain-skin axis: from anecdote to translational medicine. Beneficial Microbes, 5(2), 185–199. https://doi.org/10.3920/bm2012.0060.
Buddenkotte, J. & Steinhoff, M. (2018). Recent advances in understanding and managing rosacea (Avanços recentes na compreensão e no gerenciamento da rosácea). Vol. 7, F1000Research. F1000 Research Ltd.
Diretrizes éticas internacionais para pesquisas relacionadas a saúde envolvendo seres humanos Preparado pelo Conselho das Organizações Internacionais de Ciências Médicas (CIOMS) em colaboração com a Organização Mundial da Saúde (OMS). (n.d.). https://cioms.ch/wp-content/uploads/2018/11/CIOMS-final-Diretrizes-Eticas-Internacionais-Out18.pdf
Jung, G. W., Tse, J. E., Guiha, I., & Rao, J. (2013). Prospective, Randomized, Open-Label Trial Comparing the Safety, Efficacy, and Tolerability of an Acne Treatment Regimen with and without a Probiotic Supplement and Minocycline in Subjects with Mild to Moderate Acne. Journal of Cutaneous Medicine and Surgery, 17(2), 114–122. https://doi.org/10.2310/7750.2012.12026
Lee, J., Seto, D., & Bielory, L. (2008). Meta-analysis of clinical trials of probiotics for prevention and treatment of pediatric atopic dermatitis. Journal of Allergy and Clinical Immunology, 121(1), 116-121.e11. https://doi.org/10.1016/j.jaci.2007.10.043
Lima, D. V. M. de. (2011). Desenhos de pesquisa: uma contribuição para autores. Online Brazilian Journal of Nursing, 10(2). https://doi.org/10.5935/1676-4285.20113648
Merchán-Hamann, E., & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiologia E Serviços de Saúde, 30(1). https://doi.org/10.1590/s1679-49742021000100026
Moroi, M., Uchi, S., Nakamura, K., Sato, S., Shimizu, N., Fujii, M., Kumagai, T., Saito, M., Uchiyama, K., Watanabe, T., Yamaguchi, H., Yamamoto, T., Takeuchi, S., & Furue, M. (2010). Beneficial effect of a diet containing heat-killed Lactobacillus paracasei K71 on adult type atopic dermatitis. The Journal of Dermatology, 38(2), 131–139. https://doi.org/10.1111/j.1346-8138.2010.00939.x
Niccoli, A. A., Artesi, A. L., Candio, F., Ceccarelli, S., Cozzali, R., Ferraro, L., Fiumana, D., Mencacci, M., Morlupo, M., Pazzelli, P., Rossi, L., Toscano, M., & Drago, L. (2014). Preliminary Results on Clinical Effects of Probiotic Lactobacillus salivarius LS01 in Children Affected by Atopic Dermatitis. Journal of Clinical Gastroenterology, 48(Supplement 1), S34–S36. https://doi.org/10.1097/mcg.0000000000000233
Parodi, A., Paolino, S., Greco, A., Drago, F., Mansi, C., Rebora, A., Parodi, A., & Savarino, V. (2008). Small Intestinal Bacterial Overgrowth in Rosacea: Clinical Effectiveness of Its Eradication. Clinical Gastroenterology and Hepatology, 6(7), 759–764. https://doi.org/10.1016/j.cgh.2008.02.054
Rosacea associated with increased risk of generalized anxiety disorder: a case-control study of prevalence and risk of anxiety in patients with rosacea. (2019). Anais Brasileiros de Dermatologia, 94(6), 704–709. https://doi.org/10.1016/j.abd.2019.03.002
Schechter, B. A., Katz, R. S. & Friedman, L. S. (2009). Efficacy of topical cyclosporine for the treatment of ocular rosacea (Eficácia da ciclosporina tópica no tratamento da rosácea ocular). Advances in Therapy. 26(6), 651-9
Sharma, N., Srivastav, A. K., & Samuel, A. J. (2020). Ensaio clínico randomizado: padrão ouro de desenhos experimentais - importância, vantagens, desvantagens e preconceitos. Rev. Pesqui. Fisioter, 512–519. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1224118
Simpson, P. J., Stanton, C., Fitzgerald, G. F., & Ross, R. P. (2005). Intrinsic tolerance of Bifidobacterium species to heat and oxygen and survival following spray drying and storage. Journal of Applied Microbiology, 99(3), 493–501. https://doi.org/10.1111/j.1365-2672.2005.02648.x.
Tannus, F. C., Picosse, F. R., Soares, J. M., & Bagatin, E. (2018). Rosacea-specific quality of life questionnaire: translation, cultural adaptation and validation for Brazilian Portuguese. Anais Brasileiros de Dermatologia, 93(6), 836–842. https://doi.org/10.1590/abd1806-4841.20187192
Vemuri, R. C., Gundamaraju, R., Sekaran, S. D. & Manikam, R. (2015). Major pathophysiological correlations of rosacea: A complete clinical appraisal. Vol. 12, International Journal of Medical Sciences. Ivyspring International Publisher. 12(5), 387-96. 10.7150/ijms.10608.
Yamasaki, K. & Gallo, R. L. (2011). Rosacea as a disease of cathelicidins and skin innate immunity (Rosácea como uma doença das catelicidinas e da imunidade inata da pele). In: Anais do Simpósio do Journal of Investigative Dermatology. J Investig Dermatol Symp Proc. 15(1), 12-5. 10.1038/jidsymp. 2011.4.. 12-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ana Luisa Kersting Klasener; Nathalia Kaminski Della Libera; Gabriela Martins Fim; Sofia Trein; Karine Kerber; Isabel Caroline Zanatta Pedon; Alexandra Brugnera Nunes de Mattos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.