Question: I've had acne all of my life. I'm now 66 years old and have acne rosacea as well as ocular rosacea, which has made my life miserable. I am taking Oracea and using Finacea. I also have Sjogren's. Do you think that these conditions are related? Is there any hope on the horizon for the ocular rosacea?

Dr. Hibberd's Answer:

Rosacea and ocular rosacea are not related to the autoimmune disorder known as Sjogren's syndrome. Ocular rosacea causes redness and irritation of the eyes as well as a gritty sensation in some with dryness that is also seen with Sjogren's syndrome.

Diet changes with restricted alcohol, spices, and caffeine will help both forms of rosacea. Oral antibiotics and many prescription topicals are also very useful. Patients with rosacea are often initially treated by their private physicians, but difficult or resistant cases are managed by dermatologists.

Sjogren's does not respond to antibiotics and requires consultation with a rheumatologist for effective management. Its association with underlying diseases and disorders usually makes it advisable to consult with a specialist.