Steroid-Induced Rosacea

When a rosacea sufferer is treated for a prolonged time with topical steroids the disorder may at first respond, but inevitably the signs of steroid atrophy emerge with thinning of the skin and marked increase in Telangiectases.

The complexion becomes dark red with a copper-like hue. Soon the surface becomes studded with round, follicular, deep papulopustules, firm nodules, and even secondary comedones. The appearance is shocking with a flaming red, scaling, papule-covered face.

Steroid rosacea is an 'avoidable condition' which in addition to disfigurement is accompanied by severe discomfort and pain. Withdrawal of the steroid treatment is inevitably accompanied by exacerbation of the disease, a trying experience for a patient and physician.