Naslov
(Dermatitis rosaceiformis steroidica)

Autori
(Basta-Juzbašić, Aleksandra)

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
(Les Nouvelles Dermatologique) / (Ortonne, JP) - Pariz : (Groupe Liasons), 2005, (15-16)

Skup
(IVth World C ongress of the International Academy of Cosmetic Dermatology)

Mjesto i datum
Pariz, Francuska, 02.07.2005. - 05.07.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
(Dermatitis rosaceiformis steroidica; topical steroids)
((Dermatitis rosaciformis steroidica; topical steroids))

Sažetak
Background: Topical steroids are very effective in many skin diseases, mainly because of their anti-inflammatory and immunosuppressive action. Long-term use, however, causes many side effects such as epidermal thinning, teleangiectasia, erythema, papulopustular eruptions, and microbial superinfections. Objectives: Since the introduction of topical steroids in dermatotherapy, several dermatosis caused by their prolonged use, under different names have been suggested. We think that the best name for these conditions is dermatitis rosaciformis steroidica (steroid dermatitis resembling rosacea), and we follow these patients for more then 30 years. Medthods: As this facial condition is not so rare in CVroatia we investigated the course of disease and treatment efficacy in 450 patients during longer period of time. Results: Our patients applied topical steroids from several weeks to over 10 years, even 20 years, mainly for seborrheic dermatitis, rosacea, acne vulgaris, but also for other reasons. The majority of patients are females, but more and more we register male patients and children. Dermatitis consisting of erythema, teleangiectasias, papules and pustules is developing in three type of distribution: perioral, centrofacial and diffuse. Some of our patients proved on themselves an iatrogenic cause of condition. Lately, we had 3 female patients which applied various topical steroids during longer period of time only on one side of their face. The other side of face was treated only with neutral creams. The results was heavy dermatitis only on steroid side. Conclusion: The prolonged treatment with topical steroids produced adverse effects in one to six months (mean two months). The treatment of choice are tetracyclines together with local neutral compresses and creams. A remarkable clinical improvement could mostly be observed in one to four months period.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA