Presentation
Perioral, diffuse and centrofacial are the main types described for steroid dermatitis resembling rosacea in literature. [1],[2] This study showed diffuse variety as the most common clinical presentation and even malar pattern presentation was also commonly [ijdvl.com]
The aim of the present study is to document the different clinical presentations of SDRR and to evaluate the purpose behind misusing TCS on the face. 2. [ncbi.nlm.nih.gov]
The typical presentation is inflammatory acne lesions consisting of pustules, papules, and cysts. The patient often admits to the daily use of a topical steroid, often being under the advisement of a physician. [en.wikipedia.org]
Skin
- Excoriation
Figure 1 :Diffuse erythema on face including on eye lids with scaling and swelling (diffuse pattern) Figure 2 :Dense erythema with papulopustules and nodules on face Figure 3 :Diffuse erythema with papulopustules, scaling and excoriated lesions (diffuse [ijdvl.com]
- Freckles
Pigmentary problems like melasma, freckles, and actinic lichen planus and searching to have fairer look are the main motivators for the clients to use TCS on their faces (Table 4). [ncbi.nlm.nih.gov]
Psychiatrical
- Suggestibility
In 55.5% of patients, use of topical corticosteroid was suggested by their friends, 25.4% by chemists, 13.6% by beauticians, 4.6% by their relatives and 0.9% used it on doctors′ advice. [ijdvl.com]
Demodex mites are also present on the skin of many healthy individuals so it has been suggested that the mite may have a pathogenic role only when it is present in high densities [16]. [ncbi.nlm.nih.gov]
Treatment
These medications are therefore often prescribed for the treatment of conditions that involve inflammatory disorders. [news-medical.net]
Aim: The aim was to study the adverse effects of topical steroid abuse and the response to various treatment modalities. [ncbi.nlm.nih.gov]
Treatment is difficult as there is rebound phenomenon with discontinuation of the topical steroid. [ijdvl.com]
Topical corticosteroids may be the treatment of choice for some skin diseases, including dermatitis and vitiligo. [rosacea.org]
Treatment[edit] Treatment often involves the gradual weaning off the topical steroid, and the use of a systemic anti-inflammatory antibiotic. If the patient is using a strong topical steroid, he or she is weaned to a weaker class VI or VII steroid. [en.wikipedia.org]
Etiology
It is nearly identical to steroid induced acne from the standpoint of etiology.[1] Topical Steroid induced rosacea (left); after steroid withdrawal and photobiomodulation therapy (right). [en.wikipedia.org]
Epidemiology
Further Reading All Rosacea Content Rosacea - Facial Redness Rosacea Symptoms Rosacea Epidemiology Rosacea Subtypes Last Updated: Aug 23, 2018 Written by Sally Robertson Sally first developed an interest in medical communications when she took on the [news-medical.net]
Prevention
Prevention[edit] Physicians need to be aware of the danger of topical steroids. Only mild steroids should be applied to the face. The use of the topical steroid should be limited to the condition. [en.wikipedia.org]
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