They say love the skin you’re in, but for millions of people with inflammatory skin conditions like rosacea, eczema, and psoriasis, that would require constantly dodging a minefield of triggers, or risk a flare-up—itchy bumps, flushed, flaky, dry, or cracked skin.  For many decades, prescription medications or pharmacy brands were the only tools available. In recent years, amid growing destigmatization, other-the-counter (OTC) brands have started injecting a sense of levity and enjoyment into what seemed like a sterile category. As education around these conditions continues to expand, a growing number of consumers are looking for solutions while not wanting to sacrifice aesthetics or luxurious formulas. Prevalence, Triggers, and Unanswered Questions—a Dermatological PerspectiveWhile research offers a number for how many individuals are affected, there are still uncertainties regarding the causes of rosacea, eczema, and psoriasis.Rosacea, affecting 5% of the world’s population, has no known cause or cure. It is defined by skin flushing, visible blood vessels, and acne-like breakouts. It is most common in those ages 30 to 60, with fair skin, blond hair, and blue eyes, as well as menopausal women. Triggers range from sun exposure to stress and spicy foods. Certain microbiota, like Cutibacterium acnes, Demodex folliculorum, Bacillus oleronius, Staphylococcus epidermidis, and Helicobacter pylori in the GI tract have been found to contribute to rosacea. The multifactorial nature of the condition makes it particularly challenging to research and diagnose. Other inflammatory conditions, like seborrheic dermatitis or lupus, can cause rosacea-like symptoms.