The Steroid Rosacea Picture

The picture of steroid rosacea defines itself as a rosacea-like condition on the face caused by the use of potent topical steroids. In some cases it can be a variant of perioral dermatitis (also known as periorificial dermatitis).

Steroid rosacea becomes visible after several weeks of applying a topical steroid to the eyelids, cheeks or chin the affected area becomes red (erythematous). The skin can thin and the immune system can become compromised. Small bumps (papules) and pustules appear intermittently, and may paradoxically be especially severe when the topical steroid cream is discontinued.

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

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

To treat steroid rosacea, the topical steroids should be discontinued. To minimize 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 may require treatment with a vascular laser.