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TOPICAL STEROID INDUCED FACIAL ROSACEIFORM DERMATITIS
1University of Lower Danube, Faculty of Medicine and Pharmacy, Dept. of Dermatology, Galati, Romania.
Acta Endocrinologica (Bucharest, Romania : 2005)
|June 1, 2019
Summary
Topical steroid misuse can cause facial rosaceiform dermatitis. Dermoscopy aids in early detection of subtle signs like polygonal vessels and telangiectasias, crucial for managing this condition.
Area of Science:
- Dermatology
- Dermatopathology
Background:
- Prolonged facial application of topical steroids can lead to difficult-to-treat conditions.
- Effective monitoring and clinical observation methods are needed for steroid-induced facial dermatitis.
Purpose of the Study:
- To identify the key dermoscopic characteristics of Topical Steroid Induced Facial Rosaceiform Dermatitis (TSIFRD).
Main Methods:
- Dermoscopic examination of 40 patients diagnosed with TSIFRD.
- Clinical assessment of skin thinning and erythema.
Main Results:
- 100% of patients exhibited telangiectasias and polygonal vessels.
- Dermoscopic findings included pustules (80%), Demodex signs (80%), and diffuse red areas (100%).
- Subclinical atrophy was detected via dermoscopy in 8 patients.
Conclusions:
- Dermoscopy is valuable for detecting early, subclinical signs of TSIFRD.
- Key dermoscopic features include polygonal vessels, telangiectasias, scales, erythema, pustules, Demodex signs, and atrophy.
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