Rosacea tends to worsen with age, particularly after 30 years old, due to several factors:
Demodex Mites and Bacterial Overgrowth: These mites can carry bacteria, specifically Bacillus oleronius, which has been implicated in triggering immune responses that can exacerbate rosacea symptoms. When the mites die, the bacteria are released into the skin, potentially leading to inflammation that can worsen rosacea.
Increased Mite Density with Age: The number of Demodex mites on the skin can increase with age, which may partly explain why rosacea symptoms can become more pronounced as people get older. The immune system's response to these mites or the bacteria they carry can lead to the characteristic inflammation, redness, and pimples of rosacea.
Skin barrier function deterioration: As we age, the skin's ability to function as a barrier deteriorates. This can lead to increased sensitivity and irritation, which can worsen rosacea symptoms.
Hormonal changes: Hormonal fluctuations, particularly around menopause, can trigger or worsen rosacea in some people. These changes can lead to increased flushing and sensitivity.
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