Effect of Combined Probiotics and Doxycycline Therapy on the Gut–Skin Axis in Human Rosacea
Introduction Rosacea is a multifactorial inflammatory skin condition characterized by facial erythema, papules, and pustules, with increasing evidence implicating the gut–skin axis in its pathophysiology. Emerging research suggests that gut microbiota imbalance may influence systemic inflammation and immune dysregulation, thereby exacerbating rosacea severity. This introduction outlines the scientific rationale for combining probiotics with doxycycline to target both microbial and inflammatory contributors to rosacea. Gut–Skin Axis and Rosacea Pathogenesis The gut–skin axis represents a bidirectional communication network linking intestinal microbiota, immune signaling, and skin homeostasis. In rosacea patients, altered gut microbial composition has been associated with increased intestinal permeability and heightened inflammatory responses. Understanding this axis provides critical insight into how gastrointestinal health directly impacts cutaneous inflammation and disease pr...