Abstract
Objective - increasing the effectiveness of treatment of patients with rosacea, taking into account changes in the indicators of inflammatory mediators, the state of prooxidant-antioxidant homeostasis and the clinical course of dermatosis by developing complex differentiated therapy using anti-inflammatory and antioxidant drugs.
 Material and methods. Under the supervision were 112 patients with rosacea (73 women, 39 men) aged 26 to 67 years. In patients with rosacea, the parameters of prooxidantantioxidant homeostasis and inflammatory mediators (individual cytokines) were determined before and after standard treatment (comparative group) and the developed complex treatment using anti-inflammatory and antioxidant drugs (main group) according to known methods.
 Results. A significant increase in the activity of the processes of free radical oxidation of lipid and protein structures with the formation of oxidative stress and the state of endogenous intoxication was established in patients with rosacea, and their connection with the clinical course of dermatosis was proved. Significant growth in the serum of proinflammatory cytokines (interleukins - 8, 17A and 18) was investigated in patients with rosacea and their relationship with the clinical form of dermatosis was determined.The correlation between indicators of oxidative stress and the level of proinflammatory cytokines in patients with rosacea was found. An improved method of complex treatment of rosacea patients with combined and differentiated use of anti-inflammatory and antioxidant drugs has been developed.
 Conclusions. The developed complex treatment of rosacea patients with combined and differentiated use against the background of standard therapy of antihistamines with anti-inflammatory activity of fast (containing bilastine) and prolonged action (ketotifen fumarate) and antioxidant drug ethylmethylhydroxypyridine succinate significantly improves both the immediate and long-term clinical results of treatment of such patients.
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