Couperose is a French term meaning "reddish".
It is a blemish that mainly affects the skin of the face. It presents with reddish spots caused by the highlighting of the superficial capillaries.
Couperose is caused by an abnormal dilation of the superficial blood vessels, which intertwine in an evident red lattice.
In medical terms, this condition is best identified as diffuse microtelengectasia.
The cause of couperose is attributable to the loss of elasticity, dilation and consequent fragility of the capillaries. The predisposing factors are many and very different from each other.
It mainly affects older women.
In case of evident couperose, despite it being a simple imperfection, a dermatological examination is still advisable. It could represent a complication of rosacea or an infection / inflammation of the hair follicles.
The material published is intended to allow quick access to general advice, suggestions and remedies that doctors and textbooks usually dispense for the treatment of Couperose; such indications must in no way substitute the opinion of the attending physician or other health specialists in the sector who are treating the patient.
What to do
Couperose cannot be cured, except through specific medical treatments. The interventions that can be adopted are exclusively of a preventive or palliative type (to avoid accentuating the redness of the face).
- To avoid the formation or aggravation of couperose:
- At the first signs of couperose, consult a dermatologist to rule out the presence of rosacea
- Limit alcohol
- Ensure the recommended levels of vitamins, the deficiency of which could emphasize couperose
- Introduce good levels of foods rich in protective molecules for capillaries (antioxidants)
- In case of endocrine dysfunction, monitor the levels of corticosteroid hormones (e.g. cortisol)
- Try to avoid prolonged cortisone-based drug therapies; if possible, replace it with different anti-inflammatories (NSAIDs)
- In case of gastric and / or hepatic disorders, the resolution of couperose will occur as a consequence of the treatment of the disease
- Protect the skin of the face from adverse environmental conditions. It seems that couperose occurs more frequently in subjects exposed to severe stress of temperature (hot or cold), solar radiation, chemical elements, etc.
- Use non-aggressive cosmetic products, soaps and make-up
- To eliminate them permanently, resort to the most advanced medical remedies
- To avoid the prominence of couperose:
- In case of hypersensitivity, reduce the intake of histamine with food. It does not cause rosacea but increases its evidence
- Avoid excess drinks with excitatory power
- Avoid the excesses of certain spices
- Avoid food excesses of any kind
What NOT to do
- To avoid the formation or aggravation of couperose:
- Neglecting Rosacea
- Abusing alcohol
- Follow a diet low in vitamins and protective antioxidants for the capillaries
- Neglecting or inadequately treating the endocrine dysfunctions of corticosteroid hormones
- Follow prolonged cortisone-based therapies
- Neglecting or inadequately treating gastric and / or hepatic disorders
- Subject the skin of the face to adverse environmental conditions
- Use irritating cosmetics, soaps and make-up
- For the emphasis of couperose:
- Consume foods rich in histamine (increases its visibility)
- Excess with exciting drinks
- Excess with certain spices
- Binge
What to eat
- In case you do not want to give up the habit of alcoholic beverages, consume no more than 1-3 daily units of red wine (1 alcoholic unit of wine = 125ml). The latter contains excellent levels of antioxidants such as resveratrol, tannins, etc.
- Foods rich in vitamin C or ascorbic acid: Vitamin C deficiency can cause capillary fragility. Foods rich in ascorbic acid are: citrus fruits (lemon, orange, grapefruit, tangerine, lime, etc.), kiwi, apples, cherries, strawberries, pineapple, lettuce, peppers, parsley, broccoli, cauliflower, tomatoes, etc. To ensure their integrity, it is advisable to consume most of these foods raw
- Foods rich in vitamin PP or niacin: Vitamin PP deficiency can cause severe forms of photosensitizing dermatitis and de-epithelialization (a symptom of pellagra). Foods rich in niacin (nocotinic acid and nicotinamide) are mainly: meat, offal and fishery products; cereals contain moderate quantities
- Foods rich in antioxidants, especially polyphenols: many of these have a positive action on blood vessels. These are simple phenols, flavonoids and tannins, which characterize fruit, vegetables, wine, tea, seeds, etc. To guarantee them integrity is advisable to consume part of the food raw
- Foods rich in the amino acid arginine: it is the precursor of nitric oxide and contributes to the maintenance of capillary elasticity. It is contained in most proteins. The foods that bring the most are: meat, fishery products, oilseeds, legumes and eggs
What NOT to Eat
- To avoid the onset or aggravation of couperose:
- Alcoholic beverages
- Foods low in vitamins. The deficiency of these nutrients occurs above all when following a diet without fresh and raw foods or a monothematic diet (for example vegan or purely carnivorous)
- To avoid the prominence of couperose:
- Drinks rich in stimulants, especially coffee
- Spicy spices: particularly involved: chilli, pepper, red onion, ginger and horseradish
- Foods rich in histamine: in healthy people, the histamine present in food is broken down by an enzyme. For the intolerant, however, this is not enough and histamine is absorbed. Not recommended: tomatoes, sauerkraut, spinach, preserves, ketchup, soy sauce, canned fish (preserved, marinated, salted or dried such as sardines, tuna, mackerel, anchovies, herring), smoked fish (herring, salmon, etc.) shellfish, seafood, sausages, salami, dried meat, smoked ham, mortadella, fermented or aged cheeses, spirits, wine, beer, wine vinegar, yeast. Histamine increases significantly with poor food storage
- Meals too abundant: it is advisable to respect the traditional distribution to avoid excess, that is: breakfast 15% of the total daily energy, morning and afternoon snack 5% each, lunch 40% and dinner 35%
Natural Cures and Remedies
Although cosmetics cannot have a direct effect on blood circulation, some herbal products can reduce the worsening of the disorder.
These are capillary plants, which stimulate blood circulation and reduce local inflammation.
- Chamomile: thanks to bisabolol and azulene it has soothing and anti-redness properties
- Licorice: thanks to the glycyrrhetic acid
- Calendula
- Mauve
- Gotu kola
- Rusco
- Blueberry
- Horse chestnut
Pharmacological treatment
- Anti-inflammatory and disinfectant ointments
- Retinoid-based ointments, in case of rosacea:
- Isotretinoin: for example Roaccutan, Aisoskin, Isoriac, Isotrex
- Antibiotic ointments, in case of rosacea:
- Metronidazole: e.g. Rozex cream / skin emulsion, Zidoval cream / gel
- Tetracycline: for example Tetrac C, Pensulvit
- Erythromycin: e.g. Erythromycin IDI gel / cream, Eryacne gel, Zineryt
- Sulfacetamide sodium and sulfur: for example Sulfac S FN
- Azelaic Acid: for example Skinoren, Finacea
- Corticosteroids, in case of rosacea:
- Loteprednol: for example Loteprednolol, Lotemax 0.5%
Prevention
- Regular lifestyle
- Avoid the abuse of coffee and alcohol
- Limit dermatological stresses on the face (UV rays, intense cold, intense heat, fumes or contact with chemicals, etc.)
- Exclude irritating cosmetics, soaps and make-up
- Treating any underlying diseases of microtelengectasia
Medical Treatments
- Laser treatment: allows you to selectively eliminate skin vascular lesions by vaporizing red blood cells and collapsing the irradiated vessels, leaving the overlying skin intact