Steroid - induced rosacea: A clinical study of 200 patients
Open Access
- 1 January 2011
- journal article
- research article
- Published by Medknow in Indian Journal of Dermatology
- Vol. 56 (1), 30-2
- https://doi.org/10.4103/0019-5154.77547
Abstract
Background: Topical corticosteroids were first introduced for use in 1951. Since then uncontrolled use (abuse) has caused many different reactions resembling rosacea - steroid dermatitis or iatrosacea. Multiple pathways including rebound vasodilatation and proinflammatory cytokine release have been proposed as the mechanism for such reactions. Aim: The aim was to study the adverse effects of topical steroid abuse and the response to various treatment modalities. Materials and Methods: Two hundred patients with a history of topical steroid use on face for more than 1 month were studied clinically and various treatments tried. Results: The duration of topical corticosteroid use varied from 1 month to 20 years with an average of 19.76 months. Majority of patients were using potent (class II) topical steroids for trivial facial dermatoses. The common adverse effects were erythema, telangiectasia, xerosis, hyperpigmentation, photosensitivity, and rebound phenomenon. No significant change in laboratory investigations was seen. Conclusion: A combination of oral antibiotics and topical tacrolimus is the treatment of choice for steroid-induced rosacea.Keywords
This publication has 11 references indexed in Scilit:
- Steroid dermatitis resembling rosacea: aetiopathogenesis and treatmentJournal of the European Academy of Dermatology and Venereology, 2002
- Tacrolimus ointment for the treatment of steroid-induced rosacea: A preliminary reportJournal of the American Academy of Dermatology, 2001
- Steroid-induced rosacea.1993
- Potency classification of topical corticosteroids: modern perspectives.1989
- [So-called perioral dermatitis (author's transl)].1976
- [Perioral (rosaceiforme) dermatitis--a "modern" problem disease].1975
- Steroid rosacea.1974
- Adverse Effect of Topical Fluorinated Corticosteroids in RosaceaBMJ, 1969
- Perioral DermatitisArchives of Dermatology, 1964
- Light-Sensitive SeborrheidArchives of Dermatology, 1957