Rosacea is an inflammatory skin disease clinically manifested by erythema, telangiectasias and inflammatory elements that affects mainly the central part of the face and is characterized by a chronic and progressive course and resistance to therapy. Currently, rosacea is considered as a multifactorial disease with a large number of exogenous and endogenous trigger factors. In the development of the inflammatory process in rosacea the immune system is of great importance according to some scientists, the imbalance of the innate and adaptive immune response may be central to the pathogenesis of dermatosis. The treatment strategy at the present stage is aimed at eliminating immune inflammation and reducing the activity of proteases possibly due to comorbid factors.
OBJECTIVE
Determine the most significant immunological markers in rosacea immunogenesis.
MATERIAL AND METHODS
Analysis of publications related to the study of immune disorders in patients with rosacea.
RESULTS
According to the literature, certain disorders of the immune system were found in the majority of patients with rosacea. The main manifestations of immune disorders are expressed in an imbalance of pro-inflammatory and immunoregulatory cytokines, serine proteases, antimicrobial peptides (cathelicidin, beta-defensins) and toll-like receptors.
CONCLUSION
Having considered the peculiarities of the dysregulation of the immune system in patients with rosacea, it is possible to conclude the involvement of both cellular and humoral immunity with Th1/Th17 (T-helper cells, Th) in the pathophysiological mechanisms of the disease. Also, polarization of the immune response, an increase in the level of proinflammatory cytokines IL-1, IL-6, IL-8, as well as an increase in the production of classes of immunoglobulins G, A, M, circulating immune complexes, C-reactive protein in blood serum are involved.