Rosacea Books

This book is designed with physicians in mind and is full of a wonderful mixture of color illustrations of nineteenth century artists along with the author's own modern color photographs of his patients. Powell points out the 'great detail that the dermatologists of a former era paid to describing and illustrating this condition."

Even though this book is not designed for laymen like myself, I found the book fairly easy to understand and insightful and learned a great deal which I will detail in this review. Dr. Powell's book is, as he says, "not intended to be an in-depth study of this disease," but to "fill the gap that texbooks leave in the provisions of solutions for individual patients with rosacea who often require their clinicians to be innovative in the approach to the management of their skin conditions."

Powell confirms how rosacea's definition has been vague, that the etiology is unknown, yet suggests that ultraviolet light may be the culprit underlying the various pathogenic theories surrounding rosacea. He lauds the new NRS classification of rosacea into subsets and discusses details of rosacea into these subsets using a grading system to select therapies, devoting a chapter on this subject.

One new thought to me is his mention of the `lactic acid test' for skin sensitivity to assess and grade a patient using this tool. A whole chapter is devoted to skin structure and function. His chapter on Flushing and Blushing confirms what other clinicians have fund that while both are seen 'sufficiently often enough' in rosacea patients and both flushing and/or blushing are the `first features of rosacea to appear in some patients," nevertheless, "flushing and blushing are not necessarily a component of the clinical picture in all patients with rosacea." He explains the only difference between flushing and blushing are the "different conditions which disparate initiating factors." Flushing may be initiated by many factors other than emotional or psychological. Blushing is initiated by emotional and psychological factors. He does admit that there are `crossovers in the distribution of flushing and blushing' and that flushing is more widespread. He goes into some detail how Charles Darwin wrote much about the subject of blushing which resulted in the public psyche associating `facial reddening and emotions' leading to 'some curious theories relating to the etiology of rosacea.'

One matter Dr. Powell clears up is the notion that individuals with sensitive skin and who flush frequently should be classified as `pre-rosacea.' He points out that the evidence is lacking for this theory mainly because of the `lack of [a] clear definition of both rosacea and the type of facial reaction that constitute[s] facial flushing or blushing.' Powell makes the point that rosacea may be the result of irritating effects of the environment rather than the effects of frequent flushing.

A whole chapter is devoted on the classification and grading the severity of rosacea. He points out the benefits of clinicians accepting a `common recognition of which subtype within the rosacea spectrum' and how this classificaion also facilitates management of treatment which is `largely dictated by which subtype of rosacea' the patient represents. One clarification worth noting is how he explains that the NRS `expert committee' did not imply `a pathogenesis or progression of the disorder through various stages.'

The chapter on Subtype 1 (Erythematotelangiectatic [ETTR] Rosacea) shows the difficulty for differentiating it from rosacea mimics, in particular, heliodermatitis. He says that some clinicians use the terms heliodermatitis and ETTR interchangeably. He thus focuses on differentiating the two conditions. There is much detail also differentiating ETTR with systemic lupus erythematosus (SLE), dermatomyositis, seborrheic dermatitis, atopic dermatitis, other dermatitis, and other rarer conditions. He states that subtype 1 is the most difficult to treat and offers suggestions on its management.

In his chapter on Subtype 2 (Papulopustular [PPR] Rosacea) he says this subtype `corresponds most closely to the original concept of rosacea' and goes into detail about the definition and concludes that this subtype is `the easiest type to treat' and `apart from rhinophyma, PPR is the most easily recognized rosacea.' He gives an interesting short history on past treatments used to treat PPR, for example, `reducing he intake of carbohydrates,' and `increasing the quantity of meat.' He devotes attention to the `presence of Demodex folliculorum mites in the facial skin of some patients with rosacea and how `these mites are greatly increased in number.' With many color photos (24 - more than any other chapter) he devotes details about PPR's clinical features and then spends a third of the chapter discussing `differential diagnosis and investigations.' First he explains rosaceiform dermatitis (RD) in which `D. folliculorum mites are found in abundance in some individuals affected with this disorder.' Sometimes RD can be "seen in persons who have applied potent topical steroid creams to their faces over prolonged periods and is referred to as 'steroid induced rosacea-like dermatitis.' " These patients `have also been shown to have a major increase in the demodex mite count on heir facial skin using the cyanoacrylate skin biopsy technique.' Other differential diagnosis is discussed differentiating PPR from acne vulgaris, perioral dermatitis, seborrheic dermatitis, and pityriasis folliculorlum (PF). Dr. Powell goes into some details describing PF. "Pityriasis folliculorum is an often over-looked clinical entity" and cases are `mostly female.' He explains that there is `usually a history of rarely using soap or water to cleanse the facial skin but instead using cleansing creams.' These individuals often apply moisturizers and complain of a burning or itcy sensation. He states that the diagnosis of PF is `facilitated by use of dermatoscopy, which shows a distinctive picture of the presence of multiple white keratotic material consisting of keratin encrusted demodex mites protruding upwards from the follicular orifices.' This condition 'seems to be caused by an over population of mites facilitated by the frequent use of creams and the lack of face washing with soap and water.'

Another discussion focuses on Tinea Faciei and cutaneous sarcoid differentiating these from PPR. A very important note for clinicians is found on the last paragraph of page 82 in his book:

"There is no laboratory test or investigation that will confirm the diagnosis of PPR. Specific investigations may be required to rule out similar appearing conditions (many of which will be identified by listening carefully to the patient's medical history and examining the skin lesions). These include skin swabs for bacterial culture, skin scrapings for the presence of demodex mites, scrapings for fungal KOH and fungal culture, skin biopsy for histologic examination, (and rarely culture) skin surface biopsy for demodex mite quantification, patch tests, photopatch tests, and very rarely systemic workup wih appropriate blood tests and radiological examinations."

How many dermatologists do you know do such a detailed history and examination? When you were diagnosed with rosacea, did your physician come close to what is mentioned in the above paragraph? I would suggest buying this book and just having your dermatologist read the above paragraph by handing it to him at the end of your initial visit and insist on getting it back, also suggesting to the physician it is available at amazon and more rosacea patients are going to be walking in who have read this book. It might be an eye opener for some dermatologists. Keeping up with rosacea is what Dr. Powell's book is all about.

Powell devotes the rest of the chapter with management of PPR with a cool algorithm figure for dermatologists to use.

His chapter on Phymatous (Subtype 3) is also full of photos (14) and notes that while it is a rare malady with a `predilection for male patients' occurs `20 times more commonly in male patients.' He goes into detail abut six different types of rhinophyma and clearly states that while most literature in the past suggests this condition is the end stage of rosacea that this is not true. Rhinophyma can occur with `little (or even no) preceding inflammation.' He ends the chapter with the management of this subtype.

He devotes another chapter on Ocular Rosacea (OR) or Subtype 4. He says that of all the dermatoses of rosacea OR is unique in that `it is often accompanied by ocular inflammation or dysfunction.' This frequency ranges from "20% to 60% depending on whether the findings are being recorded by `dermatologists or ophthalmologists.' " He goes into great detail with colorful illustrations and photos of the clinical features and makes the point that "most patients do not volunteer any specific complaint related to the their eyes when presenting with the skin changes of rosacea. This is because they are usually mild and they do not relate eye symptoms to their skin condition . It therefore behooves the clinician to specifically enquire about ocular symptoms." He says that dermatologists should refer the patient to an ophthalmologist to rule out any differential diagnosis since that falls into his speciality. Again he finishes with detail management treatment.

In the last chapter, entitled, General Considerations, he suggests asking questions to the patient in taking a history, specifically:

(1) Asking about polycythemia?

(2) Whether the patient has been using a steroid cream?

(3) Any other medication such as niacin or antacids?

(4) Whether there has been any frequent flushing?

(5) Any complementary or alternative medicines, i.e., herbal products?

(6) Eye symptoms?

(7) Any family history of rosacea?

Did your physician ask you any or all these questions? He then goes into some suggestions when taking the physical examination and then some details for applying medications and skin care. For example, his advice is to tell the patient after cleansing with a gentle soap or soap free cleanser to wait 30 minutes before applying the medication and progressively reduce this proceedure as the patient acclimates to the therapy. He emphasizes to tell the patient that `drugs have priority - they go on first!' after sun block or moisturizers. He also encourages going over cosmetic advice with a table of Do's and Don'ts. He mentions caution to clinicians who treat pregnant patients and also a discussion about the rare patient with skin color (Fiztpatrick's Skin types 4 - 6) with some suggestions.

One interesting suggestion in this chapter he points out that "it is courteous to discuss with the patient what their concept of rosacea is." He encourages clinicians to emphasize that rosacea is usually quite controllable and discusses lifestyle factors that may reduce the need for the chronic medication usage by discussing this with the patient. Many rosaceans are concerned about rhonophyma so he mentions it would be good to assure the patient that subtype 3 does not necessarily result from rosacea and this subtype mainly occurs in males which will no doubt relieve female patients. He says it is important to explain to the patient the reason for follow up visits and to reassure the patient that the association of alcohol with rosacea is not valid so as to reduce the stress associated with this misinformation. He concludes with addressing the social stigma of rosacea and the positive outlook that there is with ongoing research and organizations devoted to improve treatment.

If every rosacean was armed with this book when he visits his dermatologist and with a respectful tone suggest that the dermatologist own a copy and read it that this would probably do more for rosacea patient treatment than anything else at this point in time. I highly recommend this book not only for physicians but if you are on a search to find physician treatment for rosacea this is the book that will help you the most. I predict Dr. Powell will become very popular with rosaceans.

Brady Barrows
RRDi Director
www.irosacea.org

I have lived with rosacea for over 10 years. In this time I have found out a lot of what works and does not work for me. This book first and foremost really encourages and affirms that when it comes to rosacea you need to be your own expert. What might trigger or help on person might do nothing for you or do just the opposite.

I loaned this book to a friend who had just been newly diagnosed. She found it to be a great help

So whether you have had rosacea for a long time or newly diagnosed this book has value. It is well worth the price and is by far less expensive than many of the creams, pills, or diets that claim to have an impact on rosacea. Buy this book first then decide which options you want to pursue next on your quest to manage your rosacea.

Rosacea had been making my life miserable for the past five years. My depression over the disease was literally ruining my life. A fellow rosacean suggested this book to me after she found it so helpful. I have been following the suggestions in the book for a little over a month now. There is no doubt that my skin has begun to dramatically improve. I hope the author reads these reviews, because I want her to know how thankful I am to her. If you have rosacea, get this book. I can't recommend it highly enough.

I just received this book, and already I like it! It has a lot of information about rosacea, about treatment, and ways I can do something about it. Most of this is new information to me. Beginning with an exact description of my experience in being diagnosed (down to the two pamphlets and vagueness), I found a lot to think about and to be surprised and comforted by.

I reviewed this book and gave it a poor rating a few months ago, and now I find that the review has disappeared.

Here is the problem with this book in a nutshell: WAY too much data that is also very poorly presented, especially if you are a new sufferer of this condition. Perhaps a long-time sufferer of rosacea could pick through this helter-skelter mosaic and find some grains of wisdom, but the newbie like me will probably be overwhelmed and fall into despair. Fairly disorganized in general, there is too much anecdotal information with far too many contradictions in the medical sections (particularly the parts about acid balance in the diet). You're just dropkicked into various technical sections without any handholding and then thrown to the wolves of information overload.

When I was first diagnosed with rosacea, I needed some simple guidelines. I was depressed, felt like Mother Nature had screwed me over, and needed some positive steps to move forward immediately. Do yourself a favor and visit rosacea-dot-org or some other website that offers clearer, more direct guidelines on health, medicine, and other regimens so that your skin can start to look and feel better right away. That's what I did. It's free. After three months of treatment and some dietary adjustments, my face looks much better!

I don't know what School of Natural Medicine Arlen Brownstein went to but she does not treat the body wholistically nor does she believe in the basic tenet of naturopathy which is that the body can heal itself through natural means. She is clearly neurotic about her skin and has not put her education to practical use in her own life. It's sad but if you think you're going to buy a book from a wholistic perspective you will be disappointed. The first thing she states is that hers is an incurable illness. This is hypocritical coming from someone using N.D. Naturopathic Doctor as her title. She should more appropriately call herself an amateur dermatologist without education or medical degree. The book is not holistic and it is not healing. I recommend the Rosacea Diet instead. This author is holistically oriented though he doesn't have an n.d. after his name. I used the paleolithic diet from one of the websites he mentioned and cured my rosacea. It is not an incurable illness. If you have that belief then that is what will be for you, as that is what is for her.

This is a truly excellent book, so helpful and informative about the condition called Rosacea. Correct information from the author who actually has this condition and the education to understand it is so much more valuable than from those who don't, not really. 2009 will be my year to "beat" rosacea, thanks to this precious book. It seemed like a lot of money to lay out but it's worth every penny. Now I know the direction that I will go with this condition and feel comforted that there are several options available to me. After seeing 5 dermatologists I did not have the knowledge that this author has given me. Thank you, Geoffrey Nase, thank you.

I really liked this book. The author is both a doctor and has/had severe rosacea himself. I believe this caused him to dig deeper than most. He explores many different routes from the latest medical treatments available, to practical products to use at home, to advice to help minimize flareups. Great book and a must for all who have true rosacea!

Like many others, I was excited about receiving my copy of this book when it was first published, but unfortunately I was extremely disappointed because the book does not actually justify its title- Beating Rosacea. One cannot criticise the amount of data on rosacea that has been collected but little, if any, is from the author's own work. The layout is very confusing and without a specific index, locating individual items is difficult. For a person newly diagnosed with rosacea, I think the majority could be very confused about the best rosacea treatment to follow, plus parts of the book can leave some people feeling depressed rather than positive about their condition. Currently there is no known cure for this condition, but for some it can go into spontaneous remission. I was surprised that there is no mention of this in his book. Something which really concerned me was why the author felt the need to include his supposedly life and death rescue experience which has no connection at all with rosacea? No one else regards rosacea as a potentially fatal disease. The book is now very dated, with nothing on IPL, red light therapy, or any of the most recent advances in treatment, and there is a need for an expert such as a dermatologist to produce a better publication. Personally, I always recommend people, especially newcomers, to read one of the more concise, and certainly far cheaper, self-help books on rosacea which are on the market.

I have found this book very helpful indeed and many of my patients have found it invaluable as a reference text. Geoffrey Nase's contribution to the Acne Rosacea knowledge base is impressive. I ended up buying a second copy because my first one was well worn and frequently loaned out.

Dr Peter Crouch

This book provides a very expansive look at rosacea, complete with medical references and chapters on what treatments are availabale, and what those treatments are effective on. After reading this book, I have come to realize that many doctors, including dermatologist, have no idea how to really treat rosacea. If you have rosacea, and you want to fight it, you really need the information presented in this book. I can not recommend this book highly enough, it is simply a must have for every rosacea sufferer.

I got a few good concepts out of what I read. However, everyone doesn't have the same triggers, and I don't believe that this diet is a universal method to control rosacea. He did point out some good concepts though, and since I have browsed through the book, my own rosacea is more under control.

It frustrates me to see several reviews from people who read Rosacea Diet and dismissed it without even trying it. How can you review something you "didn't have the willpower" to try or something you just didn't want to do (i.e. Give up sugar)? Comparisons to the Atkins diet are bound to occur, despite the fact that Rosacea Diet is very different in that it allows NO sugar and FAR fewer carbs than the Atkins plan. I'm trying Rosacea Diet now and have seen drastic improvement in just 5 days. When you get past the first few days of adjustment and get over the fact that you can't eat sugar or grains, it's not that hard. I don't have any desire to eat sugar and I previously consumed large quantities of it. You focus on what you can eat and you eat only those foods. There's nothing hard about it...it has actually greatly simplified my life to have the enormous number of food choices taken away. This book has opened my eyes to the fact that sugar lurks in much of the food we normally consume, even products that claim to be "sugar free." I HIGHLY recommend purchasing Rosacea Diet. The book is giving me the power to conquer rosacea without spending thousands on doctor visits and prescription treatments that don't work.

I have type 2 and 3 rosacea and read this book. I used the recommendations faithfully for only three weeks, because that is as long as I could stand my symptoms getting worse and worse. My lesions got bigger, and more itchy and weepy. I also had many other bad effects from the recommended diet, such as near constant gastrointestinal distress, headaches, skin problems starting to appear on my elbows, and the worst bout of PMS in years. That was some time ago.

The diet that has worked the best for me for my skin, with no bad side effects, was to reduce animal proteins in general, eliminate all dairy protein, and eat more fruits and vegetables and "plain" foods. My diet is now high in carbohydrates -- but low in processed foods and white flour. It is low in fat by American standards. This is pretty much opposite of what Brady Barrows prescribes. And none of this took "iron willpower" -- after a few weeks of avoiding the trigger foods, I no longer wanted them.

I have had only a small area of type 1 rosacea on one cheek now for over two years, and when I eat even better (practically eliminating white flour and animal foods, which I sometimes do for short periods), my one remaining lesion gets smoother. If I eat a lot of fatty foods or eggs/lean meat it tends to flare up. Caffeine has also been a trigger for me, so I limit myself to one or two cups of coffee a day and drink only caffeine-free sodas. I still take the precautions I always have, like protecting my face from hot shower water, steam from drinks, or cold air.

Some people have fruit and vegetable triggers, but I haven't found one yet. I thought I had a vegetable trigger because if I ate a lot of salads or broccoli it seemed to make my lesions break out more. However I finally discovered it was the dairy based dressings and cheese toppings that were probably doing it. I don't use those any more and have no problem with any vegetables, no matter how much I have.

Everyone is different. Try lots of different approaches, but give each one a good honest, 100% try for at least a week or two. If you go half-measures or "cheat" or don't try for long enough you won't really know. It is very much worth it when you find the right mix for you.

Brady Barrow's rosacea diet has been around for a couple of years now. If you ever wanted to know what it was all about then hopefully this text will be of interest. So what do you actually get when you purchase a copy of the diet ? you get an outline of what foods are claimed to cause rosacea, and a suggested list of foods to eat. A couple of books are suggested as supporting information for the diet. Interestingly some dieting books, including an internationally well known diet is incompatible with the rosacea diet - being full of offending foods.

The text contains a full listing of suggested foods to eat for 30 days. The remainder of the text of the diet is a curious collection of email exchanges from the diet's creator and people interested in trying it.

Brady points out several times on his web site that his diet is hard to stick to. The foods that you are asked to give up won't kill you, but for sure it will take a significant amount of self control - especially for those used to a modern western diet. Brady is also clear in what he isn't saying. The diet is not claimed to be a cure. So given that it is difficult and not claimed to cure you, what does it have to offer you ?

Many have commented on the diets author's desire to charge for the diet. One could say that people will only really value something that has some cost. This argument works for the rosacea-support group at large - many learned people have posted useful information to the group, but as it has come at no cost to list members, the value is missed. The alternate argument is that if you pay for something, you want it to work, and when you pay for it, your perceived rights suddenly expand. As the amount asked for is small I don't see this as a real issue. To take this point further, if you read the diet, and the pages of comments on the web site, it represents a couple of years of answering the same questions for the diet's author. Anyone who charges such a small fee, and sticks at it for a couple of years must really believe in what they are doing.

I attempted to gain some feedback from anyone who has tried the diet. I collected 85 email addresses from the diet itself and the web site and asked them for any feedback. Given that the best possible result I could hope for would only amount to anecdotal evidence, I was interested in as much feedback as possible. Brady tells us that he has had more than 500 people try his diet. Although I have only tried 85 names, and over time email addresses spoil, it is at least a small sample from which to make some comments. From these 85 addresses I got 17 bounces, 1 said it made their skin awful, 6 never tried it in the end, 1 said it was too hard, 3 said it did nothing and 4 said that they had a good response and believe that the diet was what made the difference for them.

Whilst the feedback was quite small the 4 good responses are an encouragement that for some the diet is worthwhile.
Some of the positive comments :

"I'm very grateful to Brady. While I have never followed his exact menus, I have now been avoiding certain food groups, per his suggestions, for over a year. The difference in my skin is very noticeable. I still have to avoid sun and heat and irritating skin products, and I still take tetracycline - but I was doing all those things before Brady's diet and I still had large cystic bumps, swelling and pain. I have no doubt that following Brady's advice helped me."
   -- Rose

"I have been on the diet for a year now and I have found that not only does it control my skin problems but it is a healthy diet. Perhaps so many people have suffered from Rosacea because of the high carb, low fat diet most people consume. Perhaps, the rosacea sufferers body is finally exhibiting stress from all the sugar and highly refined foods most people eat on a regular basis, perhaps the liver is not doing it's job properly (cleaning the skin) because of a constant poor diet. The rosacea diet basically triggered my research into a whole new approach to eating..."
   -- Nicola

"I have tried EVERYTHING I could find, have spent countless dollars and time trying to find something to help this condition. Brady's diet is the only thing that gives me results over time. I have found some things have worked for limited amounts of time, but this is the only thing over time."
    -- Debbie

Brady has recently created an email group at Yahoo! Groups relating to his diet. Another positive comment can be found [online.]

Given that I haven't actually tried the diet (it would require an committment I'm not willing to give), and going by the handful of comments that it works for some really searching - it could have something to offer. Will it work for you ? Well if you are really keen and willing to stick it out then you have nothing to lose...

I bought this book with the best of intentions: to read it in its entirety and apply its suggestions of a 30 day Atkins-like diet. Disappointed, I found that the author not only had no obvious accredited medical background of any type but also realized that he had written this book solely based on his personal experience with his rosacea. This certainly didn't apply to me and the explanations of having a protein diet and eliminating sugar wasn't equally as comforting either.

Unfortunately, for us rosacea patients who are trying to figure out the complexities of our disease, all know that our own bodily functions cannot simply be treated by a 30 day diet which includes what most dermatologists would have acknowledged as rosacea trigger foods.

Secondly, the last half of the book are just emails between the author and those who applied the diet, so there is a lot of repetitive information.
The book would've been shorter if it just referred you to read the Atkin's book after you read the preface of the Rosacea Diet. And if your rosacea didn't clear up at least you would've lost some weight. Truly disappointed at the lack of knowledge and information that was not apparent in the book. I gave this book one star just so I could get this comment posted. Otherwise I don't think it deserves a star. There are better books out there that will highly recommend ways to self-analyze reactions, provide worthy explanations and nutritional diet based on your own personal profile with rosacea.

This book is ok but The Rosacea Diet is a lot more helpful and a wealth of information; I highly recommend it instead.

Those familiar with the publications and surveys of the National Rosacea Society will recognise some of the substance of the book.

The NRS suggests trigger avoidance as a major contribution to reducing the severity of rosacea. This theory doesn't sit well with those who demand nothing less than the reversal of all symptoms. The thought of going down the path of finding which histamine producing foods cause me problems is somewhat unappealling.

The book has chapters on the mechanics of rosacea, ocular symptoms, diagnoses, stages of progression, theories of causes, vascular system, rosacea management through triggers, nutrition, stress, treatments and a chapter on alternative medicine. It is good to see the broad spectrum of rosacea topics addressed.

The section on nutrition deals with zinc, omega-3 fatty acids, flax seed, selenium, vitamins A,C and E, niacin and water.
Chapter 13 is about treatments and deals with antibiotics, tretinoin, retinaldehyde, steroids azelaic acid and a couple of paragraphs on lasers.

Those looking for details on photoderm, zinc oxide, antihistamines, jojoba oil and other new treatments talked about on rosacea-support, will need to hope and wait for a second edition of the book. Thus those who have been members of the Rosacea Support Group for more than a couple of months won't find the miracle cure that we hang around for.

The book will prove useful to those starting out on their quest to beat Rosacea. It is ideal to give to someone recently diagnosed with rosacea. Something in print is easy to digest. New patients reading this book may find relief for mild rosacea and if that is the case then the book is well worth it.

For more reviews, see http://rosacea.ii.net/reviews.html#handbook

It is suprising how small 386-words are as well as completely useless. Never again will I waste the money through this Digtial locker concept. Great idea, but where's the beef? Extremely disappointed. Just surf the web for this topic. It costs less and there is much more information for free.

This book got off on the wrong foot for me on the front cover. Calling the disease Acne Rosacea is a step backwards for all. No one is really calling it acne rosacea anymore. It is different enough from acne that the moniker is just confusing. Further, treating it like acne may just be the worst thing you can do.

The book is more of a template for `generic health researching' than anything specific to rosacea. The information is of such a generic level that a sourcebook on the next medical topic is just a search and replace away.

I thought that I might get to see some new information, but alas I was disappointed. On Page 4 we read
"All too often, patients diagnosed with acne rosacea will log on the the Internet, type words into a search engine, and receive several Web site listings which are mostly irrelevant or redundant"

Sadly this is the opposite of what you find. The National Rosacea Society comes up as a PageRank of 1 on Google. As much as we chastise the NRS, they do provide a very good starting point. If people were to start their search at the #1 rosacea web site then they will be on the right track. I'm not sure the same can be said for this book.

Later they promise "a chapter dedicated to helping you find your peer groups". They end up only mentioning a prescription drug page at rosacea-control.com, CureZone and MedHelp (of which CureZone didn't mention rosacea at all, and MedHelp timed out). Again they never mention the NRS or the Rosacea Support Group. I could keep going - the section on books doesn't mention the best text we have, the pages of links doesn't mention the Open Directory Project Categories ...

The Guidelines chapter is too short to contain anything useful. They talk about "another type of rosacea called vascular rosacea" this statement left me wondering if they had any idea what they were saying. Surely just paraphrasing the standard classification for rosacea would have been ideal introduction, especially when you are unsure of the topic you are addressing.

The whole aim of the series of books seems to be to give you information that you can't find on the well known `rosacea internet'. I have to say from my reading of this book there are scant new resources worth noting.

In the end the authors would have done better to embrace what they knocked in the first few pages. A trip to google.com, drop the `acne' bit at from `acne rosacea' and surf the first few sites you find. After that you will be in front of this book, and have something else to do with your $USD 25.