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Related Experiment Videos

Steroid acne after orthognathic surgery.

D S Precious1, C D Hoffman, R Miller

  • 1Department of Oral and Maxillofacial Surgery, Dalhousie University, Halifax, Canada.

Oral Surgery, Oral Medicine, and Oral Pathology
|September 1, 1992
PubMed
Summary

Corticosteroid therapy can cause steroid acne, a condition observed in 8 women after orthognathic surgery. This steroid-induced acneiform eruption typically resolves without scarring after drug discontinuation.

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Area of Science:

  • Dermatology
  • Pharmacology
  • Plastic Surgery

Background:

  • Corticosteroid therapy is frequently used to manage various medical conditions.
  • Steroid acne is a known adverse effect associated with corticosteroid use.
  • Orthognathic surgery patients may receive corticosteroids to reduce postoperative swelling.

Purpose of the Study:

  • To report the incidence of acneiform eruptions in patients receiving short-course parenteral corticosteroids after orthognathic surgery.
  • To differentiate steroid-induced acneiform eruption from acne vulgaris.

Main Methods:

  • Observational study of 1276 adult patients undergoing orthognathic surgery.
  • Short-course parenteral corticosteroid therapy was administered postoperatively.
  • Incidence of acneiform eruptions was recorded.

Main Results:

  • Eight female patients (0.63%) developed acneiform eruptions following corticosteroid therapy.
  • The observed acne was characterized as steroid-induced acneiform eruption.
  • This eruption differed from acne vulgaris.

Conclusions:

  • Short-course parenteral corticosteroid therapy in orthognathic surgery patients can lead to steroid-induced acneiform eruption.
  • Steroid-induced acneiform eruption is generally self-limiting and does not result in scarring.
  • Awareness of this potential side effect is important for clinicians managing patients on corticosteroids.

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