Journal of Infectious Diseases & Therapy
Open Access

Abstract

Objectives: The aims of this study were to investigate if the skin alterations after prolonged use of steroids are highlighted by dermoscopy. Methods: Patients with variable facial lesions included as (SIFD) after prolonged use of topical steroids more than nine months minimum twice weekly were examined clinically and by Dermoscopy. Results: All patients showed telangiectasias (100%) and dermoscopy revealed linear, tortuous and polygonal vessels.72% of the patients had dermoscopic features for Demodex folliculorum-follicular plugs and Demodex tails. All the 29% patients with clinical spinulosus had Demodex dermoscopic features.76% of the patients had clinically visible pustules but by dermoscopy the tiny infraclinical pustules could be seen better and earlier. 77% of the patients had visible erythema on the face and by dermoscopy all they had red diffuse areas. The white hairs derived from hypertrichosis were observed at 13% with the naked eye and at 43% by dermoscopy. The atrophy was clinically visible at 12% patients as a severe skin thinning but dermoscopy revealed also atrophic areas at another 2 patients as white structure less areas or patches between vessels. The patients with dermoscopic atrophy were using mometasonefuroat and clobetasol propionate. Conclusions: The dermoscopic particularity of steroid induced rosacea is the association of white intervascular structure less patches or areas as a sign of the atrophy and also the early detection of hypertrichosis. Limitations: The small number of the patients may not accurately reflect the percent of dermoscopic findings.

Biography

Email: dralin_tatu@yahoo.com