Advances in Dermatology and Allergology
eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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abstract:
Review paper

The role of the skin microbiome in modulating rosacea

Monika Kalicka
1
,
Martyna Biadasiewicz
1
,
Anna Tekielak
2, 3
,
Aleksandra Frątczak 
2
,
Beata Bergler-Czop
2

  1. Student Scientific Association at the Department of Dermatology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
  2. Chair and Department of Dermatology, Medical University of Silesia, Katowice, Poland
  3. Doctoral School, Medical University of Silesia, Katowice, Poland
Adv Dermatol Allergol
DOI: https://doi.org/10.5114/ada.2026.159116
Online publish date: 2026/02/10
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Introduction
The skin microbiome is a contributing factor in the pathogenesis of rosacea, and disturbances in its composition may play a pivotal role in the development of the disease.

Methods
A review of the literature in PubMed and Embase databases from inception to February 2025 to identify 13 scientific studies on the influence of the skin microbiome on the modulation of the course of rosacea.

Results
Rosacea patients consistently exhibit microbial dysbiosis, which is characterized by an increased bacterial diversity, particularly involving pro-inflammatory taxa such as Staphylococcus epidermidis, Corynebacterium, and Streptococcus.

Conclusions
It seems there is growing evidence to suggest a link between the skin microbiome and the development of rosacea. This link involves changes in bacterial composition, interactions with the immune system, and the induction of inflammation. However, therapeutic implications remain largely speculative.

keywords:

rosacea, skin microbiome, dysbiosis

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