Steroids and Rosacea

When a rosacea patient is erroneously treated for a prolonged time with topical steroids the skin 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. (Drs. Gerd Plewig and Albert Kligman).

Always avoid steroids or cortisones for any purpose. If you are on them now, create a plan to taper off the steroid. Most dermatologists know not to prescribe a steroid for the treatment of rosacea.

For information on steroid use, please see First World Congress of the International Academy of Cosmetic Dermatology.