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Steroid-induced rosacea

J Z Litt1

  • 1Case Western Reserve University School of Medicine, Cleveland, Ohio.

American Family Physician
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

Excessive topical steroid use on the face can cause a rosacea-like condition called iatrosacea. Treatment requires stopping the steroid and using oral tetracycline and topical non-steroids, with lesion clearing taking months.

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Area of Science:

  • Dermatology
  • Cutaneous Medicine

Background:

  • Topical fluorinated corticosteroids are widely used for facial dermatoses.
  • Their prolonged and excessive application can lead to significant adverse effects.

Observation:

  • Facial skin complications arise from regular, excessive use of topical fluorinated corticosteroids.
  • A notable complication is an eruption clinically indistinguishable from rosacea, termed iatrosacea.

Findings:

  • Iatrosacea presents clinically similar to rosacea, posing diagnostic challenges.
  • Treatment necessitates the cessation of topical steroid application.
  • Therapeutic regimens include oral tetracycline and non-steroidal topical agents.

Implications:

  • Accurate diagnosis and prompt treatment are crucial for managing iatrosacea.

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  • Patient education regarding the risks of prolonged topical steroid use is essential.
  • Understanding iatrosacea aids in differentiating it from genuine rosacea for effective management.