2002Journal of the European Academy of Dermatology and VenereologyRequires access

Steroid dermatitis resembling rosacea: aetiopathogenesis and treatment

S Ljubojeviæ, A Basta‐Juzbašiæ, J Lipozenèiæ

Open publisher page 71 citations

Abstract

BACKGROUND: Corticosteroids were first introduced for topical use in dermatology in 1951. Since then uncontrolled use (abuse) has caused many different reactions, often with manifestations resembling those of rosacea. OBJECTIVE: The prolonged use of local corticosteroids (usually 2-6 months) may lead to a clinical picture of severe dermatitis with erythema, papules and pustules that are classified according their localization to three types. The treatment of choice is tetracycline in combination with local application of neutral ointments. CONCLUSIONS: Trivial skin dermatoses, especially on the face, should not be treated with local corticosteroids.

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What this paper is about

BACKGROUND: Corticosteroids were first introduced for topical use in dermatology in 1951. Since then uncontrolled use (abuse) has caused many different reactions, often with manifestations resembling those of rosacea. OBJECTIVE: The prolonged use of local corticosteroids (usually 2-6 months) may lead to a clinical picture of severe dermatitis with erythema, papules and pustules that are classified according their localization to three types. The treatment of choice is tetracycline in combination with local application of neutral ointments. CONCLUSIONS: Trivial skin dermatoses, especially on the face, should not be treated with local corticosteroids.

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Available abstract

BACKGROUND: Corticosteroids were first introduced for topical use in dermatology in 1951. Since then uncontrolled use (abuse) has caused many different reactions, often with manifestations resembling those of rosacea. OBJECTIVE: The prolonged use of local corticosteroids (usually 2-6 months) may lead to a clinical picture of severe dermatitis with erythema, papules and pustules that are classified according their localization to three types. The treatment of choice is tetracycline in combination with local application of neutral ointments. CONCLUSIONS: Trivial skin dermatoses, especially on the face, should not be treated with local corticosteroids.

Key concepts: Rosacea, Medicine, Dermatology, Erythema, Acne

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