Botulin Toxin Use in Rosacea and Facial Flushing Treatment
DOI:
https://doi.org/10.3889/oamjms.2019.784Keywords:
botulin toxin, rosaceaAbstract
Botulinum toxin (BTX) is a neurotoxin derived from the Clostridium botulinum bacterium that inhibits the release of acetylcholine at the neuromuscular junction level whose effects has been used for many years to treat a variety of muscular/neuromuscular conditions and more recently also for cosmetic use.
BTX has experimented in some dermatological conditions, which include Rosacea and facial flushing treatment with good results. The complex mechanism underlying those results is not completely understood but was proposed a release inhibition of acetylcholine from peripheral autonomic nerves of the cutaneous vasodilatory system combined with the blockade substance P and calcitonin gene-related peptide (CGRP) thus modulating blood vessel dilatation.
We analysed the published data on BTX off label applications rosacea and flushing retrieved from PubMed.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Blasi J, Chapman ER, Link E, et al. Botulinum neurotoxin A selectively cleaves the synaptic protein SNAP-25. Nature. 1993; 365(6442):160-163. https://doi.org/10.1038/365160a0 PMid:8103915
França K, Kumar A, Fioranelli M, Lotti T, Tirant M, Roccia MG. The history of Botulinum toxin: from poison to beauty. Wien Med Wochenschr. 2017; 167(1):46-48. https://doi.org/10.1007/s10354-017-0553-7 PMid:28299552
França K, Castillo D, Lotti T.- Non-cosmetic dermatological use of botulinum neurotoxin. Dermatol Ther. 2017; 30(4). https://doi.org/10.1111/dth.12495 PMid:28425626
Guida S, Farnetani F, Nisticò SP, Giorgio Mariarosaria C, Babino G, Giovanni Pellacani G, Fulgione E. New trends in botulinum toxin use in dermatology. Dermatol Pract Concept. 2018; 8(4):277-282. https://doi.org/10.5826/dpc.0804a05 PMid:30479855 PMCid:PMC6246063
Kim YS, Hong ES, Kim HS. Botulinum Toxin in the Field of Dermatology: Novel Indications. Toxins (Basel). 2017; 9(12):E403. https://doi.org/10.3390/toxins9120403 PMid:29258169 PMCid:PMC5744123
Schlessinger J, Gilbert E, Cohen JL, Kaufman J. New Uses of AbobotulinumtoxinA in Aesthetics.Aesthet Surg J. 2017; 37(1):S45-S58. https://doi.org/10.1093/asj/sjx005 PMid:28388720 PMCid:PMC5434494
Abokwidir M, Feldman SR. Rosacea management. Skin Append- age Disord. 2016; 2(1-2):26-34. https://doi.org/10.1159/000446215 PMid:27843919 PMCid:PMC5096126
Weinkle AP, Doktor V, Emer J. Update on the management of rosacea. Clin Cosmet Investig Dermatol. 2015; 8:159-177. https://doi.org/10.1097/PSN.0000000000000111 PMCid:PMC4396587
Bloom BS, Payongayong L, Mourin A, Goldberg DJ. Impact of intradermal abobotulinumtoxinA on facial erythema of rosacea. Dermatol Surg. 2015; 41(1):S9-16. https://doi.org/10.1097/DSS.0000000000000277 PMid:25548852
Geddoa, E.; Matar, H.E.; Paes, T.R. The use of botulinum toxin-a in the management of neck and anterior chest wall flushing: Pilot study. Int. J. Dermatol. 2013; 52:1547-1550. https://doi.org/10.1111/ijd.12200 PMid:23968244
Odo ME, Odo LM, Farias RV, Primavera RA, Leao L, Cuce LC, Juliano Y. Botulinum toxin for the treatment of menopausal hot flushes: A pilot study. Dermatol. Surg. 2011; 37:1579-1583. https://doi.org/10.1111/j.1524-4725.2011.02109.x PMid:21790852
Eshghi G, Khezrian L, Alirezaei P. Botulinumtoxin A in treatment of facial flushing. Acta Med Iran. 2016; 54(7):454-457.
Dayan SH, Pritzker RN, Arkins JP. A new treatment regimen for rosacea: onabotulinumtoxinA. J Drugs Dermatol. 2012; 11(12):e76-e79.
Park KY, Hyun MY, Jeong SY, Kim BJ, Kim MN, Hong CK. Botulinum toxin for the treatment of refractory erythema and flushing of rosacea. Dermatology. 2015; 230(4):299-301. https://doi.org/10.1159/000368773 PMid:25765295
Clatici VG, Satolli F, Tatu AL, Voicu C, Draganita AMV, LottiT.Butterfly Effect - the Concept and theImplications in Dermatology, Acne, andRosacea. Maedica (Buchar). 2018; 13(2):89-94.
Kellogg Jr DL. In vivo mechanisms of cutaneous vasodilation and vasoconstriction in humans during thermoregulatory challenges. J. Appl. Phys. 2006; 100:1709-1718. https://doi.org/10.1152/japplphysiol.01071.2005 PMid:16614368
Kellogg Jr DL, Pergola PE, Piest KL, Kosiba WA, Crandall M, Johnson JM. Cutaneous active vasodilation in humans is mediated by cholinergic nerve cotransmission. Circ. Res. 1995; 77:1222-1228. https://doi.org/10.1161/01.RES.77.6.1222 PMid:7586235
Carmichael NM, Dostrovsky JO, Charlton MP. Peptide-mediated transdermal delivery of botulinum neurotoxin type A reduces neurogenic inflammation in the skin. PAIN®. 2010; 149(2):316-24. https://doi.org/10.1016/j.pain.2010.02.024 PMid:20223589
Steinhoff M, Ständer S, Seeliger S, Ansel JC, Schmelz M, Luger T. Modern aspects of cutaneous neurogenic inflammation. Archives of dermatology. 2003; 139(11):1479-88. https://doi.org/10.1001/archderm.139.11.1479 PMid:14623709
Ansel JC, Kaynard AH, Armstrong CA, Olerud J, Bunnett N, Payan D. Skin-nervous system interactions. J. Investig. Dermatol. 1996; 106:198-204. https://doi.org/10.1111/1523-1747.ep12330326 PMid:8592075
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Jacopo Scala, Aleksandra Vojvodic, Petar Vojvodic, Tatjana Vlaskovic-Jovicevic, Zorica Peric-Hajzler, Dusica Matovic, Sanja Dimitrijevic, Jovana Vojvodic, Goran Sijan, Nenad Stepic, Uwe Wollina, Michael Tirant, Van Thuong Nguyen, Masssimo Fioranelli, Torello Lotti (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)
