Steroid rosacea

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Steroid rosacea
Synonyms	Corticosteroid-induced rosacea
Pronounce	N/A
Specialty	Dermatology
Symptoms	Erythema, papules, pustules, telangiectasia
Complications	Skin atrophy, perioral dermatitis
Onset	After prolonged use of topical corticosteroids
Duration	Variable, may persist after stopping steroids
Types	N/A
Causes	Overuse of topical steroids
Risks	Long-term use of potent topical steroids
Diagnosis	Clinical evaluation, history of steroid use
Differential diagnosis	Rosacea, acne vulgaris, seborrheic dermatitis
Prevention	Avoidance of unnecessary steroid use
Treatment	Discontinuation of steroids, topical metronidazole, tetracycline antibiotics
Medication	N/A
Prognosis	Generally good with appropriate treatment
Frequency	Common in individuals using topical steroids
Deaths	N/A

A skin condition caused by prolonged use of topical steroids

Steroid Rosacea

Steroid rosacea is a skin condition that occurs as a result of the prolonged use of topical corticosteroids. It is characterized by redness, pimples, and sometimes pustules on the face, resembling rosacea.

Pathophysiology

The condition arises when topical corticosteroids, which are often used to treat inflammatory skin conditions, are applied to the face for extended periods. These steroids can cause thinning of the skin, dilation of blood vessels, and suppression of the skin's natural immune response, leading to the development of rosacea-like symptoms.

Symptoms

The primary symptoms of steroid rosacea include:

• Persistent facial redness
• Papules and pustules
• Burning or stinging sensation
• Dryness and scaling of the skin

Diagnosis

Diagnosis of steroid rosacea is primarily clinical, based on the history of topical steroid use and the appearance of the skin. A dermatologist may perform a skin examination and inquire about the patient's use of topical medications.

Treatment

The first step in treating steroid rosacea is to discontinue the use of topical steroids. This can initially lead to a worsening of symptoms, known as "rebound" flare-ups. Gradual tapering of the steroid may be recommended to minimize this effect. Other treatments may include:

• Topical metronidazole or azelaic acid
• Oral antibiotics such as doxycycline or tetracycline
• Non-steroidal anti-inflammatory creams

Prevention

To prevent steroid rosacea, it is important to use topical steroids only as directed by a healthcare professional and to avoid prolonged use on the face. Patients should be educated about the potential side effects of topical steroids and the importance of following prescribed treatment regimens.

See Also

• Rosacea
• Corticosteroid
• Dermatology