The Steroid Rosacea Picture

Steroid rosacea is the name given to a rosacea-like condition on the face caused by the use of potent topical steroids. It is a variant of perioral dermatitis (also known as periorificial dermatitis).

After several weeks of applying a topical steroid to the eyelids, cheeks or chin the affected area becomes red and inflamed. Small bumps (papules) and pustules appear intermittently, and may worsen to a severe state when the topical steroid cream is discontinued.

If the steroid creams are used for months or years, the picture changes and broken capillaries,(telangiectasia) may develop.


Occasionally steroid rosacea is confused with tinea facieiincognito, a fungal infection masked by topical steroids.


Steroid rosacea responds well to treatment in most cases although telangiectasia may persist long term.

The topical steroids should be discontinued. To minimise severe flare-up, slow withdrawal is recommended by decreasing how often the product is applied and choosing a product that is less potent.
If moisturisers are used, these should be non-oily.
Oral tetracycline is often prescribed and may be required for several months
The telangiectasia can be treated with a vascular laser.