Steroid Dermatitis

 

Clinical features:

(1) prolonged application (2 months or more) of a topical corticosteroid to the skin, even low-dose.

(2) persistent erythema in the area treated with topical corticosteroid that may mimic rosacea

(3) increased skin fragility

(4) variable dryness

(5) variable pruritus

(6) variable burning

(7) variable papules, pustules and/or infection

 

Therapy may include:

(1) discontinuation of the topical corticosteroid

(2) doxycycline

(3) indomethacin

(4) symptomatic therapy for dryness, burning and pruritus

 

A rebound in the dermatitis may occur once therapy is stopped.

 

The diagnosis may be complicated if the original reason for the steroid therapy is still present or if another kind of dermatitis occurs.