engleski

(Dermatitis Rosaceiformis Steroidica ; Etiopathogenesis and Newer Modalikties of Treatment)

Topical steroids are very effective in many skin diseases mainly because of their antiinflammatory and immunosupressive action. However lon term use causes many side effects such as epidermal thinning, teleangiectasia, erythema, papulopustular eruptions and microbial supeinfections. In our Dermatological Department patients with dermatitis rosaceiformis steroidica are followed for many years. At first 10-20 patients were seen in one year and in 1976. there were 106 patients. In last few years ww have 150-200 patients annualy. The majority of patients are females with mild to heavy facial dermatosis resembling rosacea with history of longer use of topical steroids. We always ask for a reason why they begun this treatment (Which was a primary dermatosis?) Most of them started with steroids because of seborrheic dermatitis or rosacea, but they are other reasons (acne vulgaris, unrecognise dermatomycosis, cosmetic cleansing, as after shave lotion, and others). In many of patients severe dermatitis with erythema, teleangiectasiaa, papules and pustules is developed with three type of distribution: perioral, centrofacial and diffuse. Oral tetracycline therapy together with neutral topical treatment lead to a remarcable clinical improvement in 1-4 months. In some patients azythromycin or isotreitnoin were efficient too. To all our dermatitis rosaceiformis patients we recomend: stop the steroids, stop the cosmetics, clean the skin only with cold or tepid wather, use only wet compresses and neutral creams.

Dermatitis rosaceiformis steroidica; etiopathogenesis; treatment

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