Rosacea-Ltd III

Steroids: Steroids should ever ever be prescribed for rosacea as Dr.Kligman & Dr. Pleig state in their 1973 book, entitled Acne & Rosacea, First edition and also in their second 1993 edition which harshly criticizes dermatologists that prescribe steroids for rosacea.

When a rosacea patient has treated for a prolonged time with topical steroids the disorder may at first respond, but inevitably the signs of steroid atrophy (skin tissue destruction or shrinkage) emerge with thinning of the skin and marked increase in telangiectases and a weathered dry older appearing skin due to atrophy or skin death. The complexion changes to a darker red. The skin surface begins to develop more deep papules and acne pustules, and firm nodules. The appearance is most noticeable to the patients with a flaming red, peeling, and papule-covered face. Steroid rosacea or 'steroid withdrawal' is an avoidable condition which, in addition to disfigurement, is accompanied by severe discomfort due to pain and dryness. Steroid withdrawal or 'steroid rebound' due to steroid treatment always increases the intensity of the rosacea skin problem and thusly it should never have been prescribed. It was nice to have a temporary good result but the long run results are devastating. Always avoid steroids or cortisones as the 'quick results gain are eventually lost with a great sacrifice to the skin and overall health and confidence to the patient. Get off of steroids as as quickly as possible to avoid steroid addiction and the resulting steroid withdrawal. Most dermatologists know not to prescribe a steroid for the treatment of rosacea as they have been well educated.

A 'short' list of some of the more common steroids prescribed for rosacea which should be avoided:

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