Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal

Introduction: Topical corticosteroids (TC) are useful for treatment of various dermatological conditions in all age groups. Due to its cosmetic application TCs misuse is intertwined with fairness creams in our colour conscious society where people are obsessed with fair colour.   Aims and Obj...

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Main Authors: Manoj Chaudhary, Sudha Agrawal
Format: Article
Language:English
Published: Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) 2021-04-01
Series:Nepal Journal of Dermatology, Venereology & Leprology
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Online Access:https://www.nepjol.info/index.php/NJDVL/article/view/35952
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author Manoj Chaudhary
Sudha Agrawal
author_facet Manoj Chaudhary
Sudha Agrawal
author_sort Manoj Chaudhary
collection DOAJ
description Introduction: Topical corticosteroids (TC) are useful for treatment of various dermatological conditions in all age groups. Due to its cosmetic application TCs misuse is intertwined with fairness creams in our colour conscious society where people are obsessed with fair colour.   Aims and Objectives: To find the clinical presentations of steroid induced rosacea like-dermatitis on the face and to evaluate the purpose behind misusing TCs on the face.   Materials and methods: Descriptive prospective questionnaire-type case series study was approved by Institutional Ethical Committee of BPKIHS which involved 205 patients diagnosed as Steroid Induced Rosacea who consulted Dermatology OPD between March to June 2017.   Results: Among 205 patients enrolled, majority were from second to fourth decade (87.31%) of their life and maximum being females I.e. 91.2%. Around 97% of the study population were unaware of side effects of TCs. Most patients use Mometasone fuorate (58.04%) for melisma (88.29%). Friends acted as source of prescription (29.75%), followed by Pharmacist (24.88%) & Beauty centers (20%). Dermatologists prescribed TCs in only 6.34% cases. Sun exposure was identified as the triggering factor for steroid induced rosacea in 73.17% patients. Cheek was the commonest site involve in 92.19%, followed by forehead (65.36%), perioral area (46.83%), and chin (9.75%). Mixed type of lesions was the commonest lesion found in 52.20% patients, followed by diffuse facial erythema (36.09%), & telangiectasia (33.17%).   Conclusion: TCs misuse in the younger people for the sake of fairer skin with little or no knowledge about the adverse effects of this medication should be stopped.
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spelling doaj-art-379d9361a47d4febbd450d6a99c1b79b2025-08-23T10:04:13ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2021-04-0119110.3126/njdvl.v19i1.35952Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern NepalManoj Chaudhary0Sudha Agrawal1Swara Skin and Hair Clinic, Itahari, NepalDepartment of Dermatology, BP Koirala Institute of Health Sciences, Dharan, Nepal Introduction: Topical corticosteroids (TC) are useful for treatment of various dermatological conditions in all age groups. Due to its cosmetic application TCs misuse is intertwined with fairness creams in our colour conscious society where people are obsessed with fair colour.   Aims and Objectives: To find the clinical presentations of steroid induced rosacea like-dermatitis on the face and to evaluate the purpose behind misusing TCs on the face.   Materials and methods: Descriptive prospective questionnaire-type case series study was approved by Institutional Ethical Committee of BPKIHS which involved 205 patients diagnosed as Steroid Induced Rosacea who consulted Dermatology OPD between March to June 2017.   Results: Among 205 patients enrolled, majority were from second to fourth decade (87.31%) of their life and maximum being females I.e. 91.2%. Around 97% of the study population were unaware of side effects of TCs. Most patients use Mometasone fuorate (58.04%) for melisma (88.29%). Friends acted as source of prescription (29.75%), followed by Pharmacist (24.88%) & Beauty centers (20%). Dermatologists prescribed TCs in only 6.34% cases. Sun exposure was identified as the triggering factor for steroid induced rosacea in 73.17% patients. Cheek was the commonest site involve in 92.19%, followed by forehead (65.36%), perioral area (46.83%), and chin (9.75%). Mixed type of lesions was the commonest lesion found in 52.20% patients, followed by diffuse facial erythema (36.09%), & telangiectasia (33.17%).   Conclusion: TCs misuse in the younger people for the sake of fairer skin with little or no knowledge about the adverse effects of this medication should be stopped. https://www.nepjol.info/index.php/NJDVL/article/view/35952MisuseSteroid Induced RosaceaTopical Corticosteroids
spellingShingle Manoj Chaudhary
Sudha Agrawal
Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
Nepal Journal of Dermatology, Venereology & Leprology
Misuse
Steroid Induced Rosacea
Topical Corticosteroids
title Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
title_full Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
title_fullStr Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
title_full_unstemmed Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
title_short Steroid-induced Rosacea- A Study From a Tertiary Care Hospital of Eastern Nepal
title_sort steroid induced rosacea a study from a tertiary care hospital of eastern nepal
topic Misuse
Steroid Induced Rosacea
Topical Corticosteroids
url https://www.nepjol.info/index.php/NJDVL/article/view/35952
work_keys_str_mv AT manojchaudhary steroidinducedrosaceaastudyfromatertiarycarehospitalofeasternnepal
AT sudhaagrawal steroidinducedrosaceaastudyfromatertiarycarehospitalofeasternnepal