Chapter First Online: 18 May This is a preview of subscription content, log in to check access. Effect of topically applied compound F in selected dermatoses. J Invest Dermatol. Steroid addiction. Int J Dermatol. Regional variation in percutaneous penetration of 14C cortisol in man.
Dermatopharmacokinetics in clinical dermatology. Semin Dermatol. Google Scholar. Percutaneous absorption of hydrocortisone during and after the acute phase of dermatitis in children. Pediatr Dermatol. Adverse effects of topical corticosteroids.
J Am Acad Dermatol. Frequency of application of topical corticosteroids: an overview. Br J Dermatol. Sneddon I. Adverse effect of topical fluorinated corticosteroids in rosacea. Br Med J. PubMed Google Scholar. Rosacea: part I. Introduction, categorization, histology, pathogenesis, and risk factors. Goldman D. Tacrolimus ointment for the treatment of steroid-induced rosacea: a preliminary report.
Steroid-induced rosacea: a clinical study of patients. Indian J Dermatol. Perioral dermatitis: still a therapeutic challenge. Acta Clin Croat. Effects of glucocorticosteroids on cultured human skin fibroblasts. Transient inhibition of cell proliferation in the early growth stages and reduced susceptibility in later growth stages. Arch Dermatol Res. Segaert S, Ropke M.
The biological rationale for use of vitamin d analogs in combination with corticosteroids for the topical treatment of plaque psoriasis. J Drugs Dermatol. Physical side-effects and addiction to topical corticosteroids may occur due to overuse and misuse of the drug.
Since the introduction of the first topical corticosteroid TC in , a number of steroid molecules with potencies varying from super-potent to least potent have been introduced making the task of treating inflammatory dermatological disorders easier for the dermatologists. TCs hold the pride of place in every dermatologist's armory. However, the drug has been misused to varying extents by the pharmaceuticals and pharmacies, by the prescribers who are not always dermatologists or doctors , and by the users.
All this misuse results in severe cutaneous damage characterized by erythema, monomorphic acne, steroid atrophy, steroid rosacea, telangiectasia, perioral dermatitis, striae, and severe addiction to the TC. TSDF is defined as the semi-permanent or permanent damage to the skin of the face precipitated by the irrational, indiscriminate, unsupervised, or prolonged use of TCs resulting in a plethora of cutaneous signs and symptoms and psychological dependence on the drug.
Sulzberger and Witten in introduced compound F hydrocortisone , the first TC to the world of dermatology. The report was subsequently published in The facial skin is thinner than the skin of most other parts of the body. This results in increased percutaneous absorption of drugs. The sebaceous glands on the face are larger than elsewhere, and there is an increased tendency to sweating particularly in hot and humid climates as is prevalent in most parts of India.
Hence, it is more liable to the ill-effects of environmental factors such as sunlight and pollution, friction due to cleaning and rubbing, and application of drugs and cosmetics. Judicious use of TC on face depends on a number of factors such as indication, potency of the drug, age of the patient and duration, amount and frequency of application. The potency of TCs has been determined by measuring their vasoconstrictive effect on the skin.
Based on this assay, TCs are classified into seven classes USA classification from the super-potent to the least potent. It is important to realize that due to the thinness of the skin of the face, penetrability of TCs is increased considerably. Hence, one should only apply TCs of least potency on the skin of the face. TCs of lower potency are also used in patients who have thinner skin such as children. Such combinations should be used judiciously or better avoided on the thin skin of the face.
Misuse of TC on the face has gradually evolved over the years and has now reached phenomenal proportions due to a number of factors. In India, an apathetic bureaucracy is reluctant to realize the implications and side effects of TC. In their attempt to benefit financially, two, three, four, and five drug combinations are marketed unethically.
Prescriptions of dermatologists may be improperly written with respect to the amount, frequency, and duration of the use of TC. The problem in this arena is two fold. First, there is an increasing perception among laymen that such salesmen are equivalent to or even more knowledgeable about drugs than doctors. The salesmen, on the other hand, enjoy this unfounded glory and fame and do nothing to dispel the misconception, as their sales receive an unprecedented boost even without prescriptions.
In their enthusiasm for profit, they sell any and every TCs for sundry problems on the face without any consideration for the norms of TC usage about which they have no knowledge, in any case. The problem is further compounded by the fact that most TCs are available at nominal price as over-the-counter OTC products.
They apply TCs not only on nonsteroid-responsive dermatoses, but also on diseases such as dermatomycoses, which may be aggravated by the TC. Addiction to TC has been reported to occur not only with short-term usage of more potent TCs, but also with long-term usage of milder TCs. The process of withdrawal and management of the withdrawal symptoms becomes more difficult and time-consuming with increasing potency of TC used. Withdrawal of TC results in the withdrawal of the vasoconstrictive effect of TC causing a fixed vasodilatation, which is responsible for the flare seen on rebound after withdrawal of the drug.
Rapaport and Rapaport have postulated that due to repeated application of TC, action of nitrous oxide NO is inhibited resulting in chronic vasoconstriction. The erythema is further aggravated by TC-induced dermal atrophy with resultant lack of support to the vasculature. These micro-organisms act as superantigens.
When the TC is withdrawn, its immunosuppressive effect is also removed resulting in a superantigen-induced inflammatory reaction manifested clinically as inflammatory papules and pustules. TSDF is basically a form of drug dependence. Drug dependence has been defined as an adaptive state that develops from repeated drug administration, and which results in withdrawal upon cessation of drug use.
The patient becomes psychologically and physically dependent on the drug. Attempts to withdraw the drug result in rebound or flare of symptoms causing immense distress to the patient so that the patient resumes the usage of TC and refuses any further to withdraw the drug.
The most common site of TC addiction is the face. The patient usually gives a history of TC usage for a prolonged period. As described earlier, TSDF is caused by patients and laymen applying TCs of wrong potency on the face for the wrong indication and at the wrong age.
As a result of TC misuse either on diseased skin acne vulgaris etc. If the patient does not use the TC again, the flare resolves, but reappears within 2 weeks. Further discontinuation results in a cycle of flare and resolution which continues for some time. Hence, erythema can be said to the hallmark of TSDF, a manifestation which was initially noted as red face syndrome. TCs of higher potency and TCs in ointment bases have an increased tendency to produce side effects particularly if used too frequently and inappropriately on sites with thinner stratum corneum such as the face.
Management of TSDF is difficult and involves counseling as well as therapy for both the rebound phenomenon as well as reversal of damage caused by the TC. It is important to remember that the patient has to be provided a substantial amount of psychological support. He has to be counseled that he should use medications only as prescribed by dermatologists and other doctors and never on the advice of others. The TC must never be used beyond the prescription period. Cosmetics, soap, and emollients containing glycolic acid and lactic acid, etc.
The face must be washed with warm water only. Bland emollients for the dryness and Burrow's solution for weepy lesions have also been used. It was found to be used more by semi-literate, urban patients in their third decade of life.
Fifty percent of patients were using a brand of betamethasone valerate followed by mometasone furoate Combinations with antifungals, antibacterials, hydroquinone, retinoids, etc. Potent steroids halobetasol propionate, clobetasol propionate, betamethasone dipropionate, beclomethasone dipropionate, and betamethasone valerate were being used more in rural and sub-urban areas by patients who were in their second decade of life on the recommendation of nondermatologists friend, peer, relative, pharmacist, or beautician.
Of the remainder Interestingly, There was a wide variation of duration of usage from 1 week to 30 years. Adverse effects were observed in as many as More than one lesion was seen in Acneiform lesions either arose de novo or occurred as aggravation due to misuse in acne vulgaris.
Other significant adverse effects were telangiectasia, atrophy, hypopigmentation, perioral dermatitis, rosacea, tinea incognito, and hirsutism. The financial stakes can be easily gauged from the sales figures of TC in which stood at Rs. This attitude is manifested by unethical two, three, four, and even five drug combinations of TC with antifungals, antibiotics, salicylic acid, and other molecules flooding the TC market.
In fact, the top three selling TCs are triple, quadruple, and double combinations. According to the pan-Indian multicentric study vide supra , a staggering total of It is obvious that the ultimate direct beneficiaries of this huge market are the pharmaceuticals to a large extent and the pharmacies to a smaller extent. The indirect beneficiaries are of course the governments at the state and central level as increased sales translate to increased commercial tax generation.
Under these circumstances, the apathy of these agencies to the emerging disaster is, therefore, natural and compounds the complicated situation. However, the ultimate suffers are the patients many of whom, knowingly or unknowingly apply TCs for prolonged periods on diseased and nondiseased skin, with or without proper indications. TSDF is a common entity describing a phenomenon which has of late emerged as a major threat to the health of the facial skin of millions of Indians. Unauthorized, unsupervised, and uncontrolled use of steroids of varying potencies from the mild to the superpotent for prolonged periods for wrong indications and as fairness creams have resulted in an epidemic of rashes which resemble side effects of corticosteroids and TC addiction of the skin of the face.
Cosmetic creams which are marketed as fairness creams per se may also produce TSDF-like features such as erythematous papules, acneiform eruptions, telangiectasia, rosacea-like features, pigmentary disturbances, and photosensitivity. Withdrawal of the offending agent is a psychological and physical challenge. This particular entity is now being reported with increased frequency in global literature. TSDF is a disease entity which encompasses a plethora of physical signs and symptoms as well as steroid addiction due to unsupervised overuse and misuse of the drug for an unspecified period of time.
The drug is easily available in India over the counter and is often applied on the advice of people who are unaware of the ill-effects of such misuse. National Center for Biotechnology Information , U. Journal List Indian J Dermatol v. Indian J Dermatol. Koushik Lahiri and Arijit Coondoo 1. Author information Article notes Copyright and License information Disclaimer. Address for correspondence: Dr. E-mail: moc. Received Apr; Accepted Apr. This article has been cited by other articles in PMC.
What was known? Introduction Since the introduction of the first topical corticosteroid TC in , a number of steroid molecules with potencies varying from super-potent to least potent have been introduced making the task of treating inflammatory dermatological disorders easier for the dermatologists. Definition TSDF is defined as the semi-permanent or permanent damage to the skin of the face precipitated by the irrational, indiscriminate, unsupervised, or prolonged use of TCs resulting in a plethora of cutaneous signs and symptoms and psychological dependence on the drug.
Historical Perspective Sulzberger and Witten in introduced compound F hydrocortisone , the first TC to the world of dermatology. Vulnerability of the Facial Skin The facial skin is thinner than the skin of most other parts of the body. Ethical Topical Corticosteroid Usage on Face Judicious use of TC on face depends on a number of factors such as indication, potency of the drug, age of the patient and duration, amount and frequency of application.
Pathogenesis of striae, according to Shuster, is due to the cross linking of immature collagen in the dermis, resulting in intradermal tears causing striae [ Figure 4 ]. Persistent redness of the face, after peel or laser has been noted in patients using topical steroids before the procedure. Women with status cosmeticus cannot tolerate makeup and complain of a continuous burning sensation after any application.
Patients present with erythema and burning disproportionate to the redness. Examination reveals atrophy, telangiectasia, and acneiform papules. With steroid withdrawal, the atrophy eventually clears. Patients present with facial erythema and lichenification on the face, forearms and upper neck. The difference between this condition and photo exacerbated dermatitis is that even though the rash is on the photo distributed area, it does not flare on sun exposure.
The pattern of corticosteroid withdrawal is as follows: A week after corticosteroids are stopped, a mild erythema occurs at the site of the original dermatitis. This flare lasts for 2 weeks ending with desquamation. Dermatitis localized to the eyelids, face, scrotum, or perianal area often persists.
A second flare usually occurs within 2 weeks. This pattern of flare and resolution repeats itself but each time smaller duration of flares and longer resolution periods. The length of the time for which steroids had been used initially determines the duration of the withdrawal phase.
The key to safe use of topical steroid is short term use of appropriate potency steroid. However, when the skin condition remains resistant to treatment or affects a particular sensitive area, the prolonged use of steroids is not advisable. Selective glucocorticoid receptor agonists are being developed that have independent transrepression and transactivation action. This may lead to the development of a topical steroid without its adverse effects.
Source of Support: Nil. Conflict of Interest: Nil. National Center for Biotechnology Information , U. Journal List Indian J Dermatol v. Indian J Dermatol. Anil Abraham and Gillian Roga. Author information Article notes Copyright and License information Disclaimer. Address for correspondence: Dr. E-mail: ni. Received May; Accepted May. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.
This article has been cited by other articles in PMC. Abstract Topical steroids, commonly used for a wide range of skin disorders, are associated with side effects both systemic and cutaneous. Keywords: Cutaneous , adverse , steroids. What was known? Some of these side effects may seriously damage the skin. Hence, topical corticosteroids should be used with utmost caution. Introduction Topical steroids were introduced in , when Sulzberger and Witten first used topical hydrocortisone.
Table 1 Adverse effects of topical steroids on skin. Open in a separate window. Figure 1. Atrophy: Wrinkling and thinning of skin 4 weeks after irregular use of Mometasone. Physiology of skin atrophy due to topical steroids Topical steroids cause the synthesis of lipocortin, which inhibits the enzyme phospholipase A2.
Pathogenesis of skin atrophy due to topical steroids Inhibitory effect on keratinocyte proliferation in the epidermis Inhibition of collagen 1 and 3 synthesis in the dermis Inhibition of fibroblasts and hyaluronan synthase 3 enzyme resulting in the reduction of hyaluronic acid in the extracellular matrix leading to dermal atrophy.
Steroid-Induced Telangiectasia Steroid-induced telangiectasia occurs due to stimulation of release of nitric oxide from dermal vessel endothelial cells leading to abnormal dilatation of capillaries. Steroid Acne The pathogenesis of topical steroid-induced acne has been proposed to be due to the degradation of the follicular epithelium, resulting in the extrusion of the follicular content.
Steroid Rosacea Topical steroids increase the proliferation of Propionibacterium acnes , and Demodex folliculorum , leading to an acne rosacea-like condition within 6 months. Figure 2. Topical steroid - dependent face. Used as fairness cream for 2 months.
Perioral Dermatitis Facial perioral dermatitis, more commonly seen in females, presents with follicular papules and pustules on an erythematous background, with sparing of the skin near the vermillion border of the lips. Purpura, Stellate Pseudoscars, Ulcerations Steroid-induced protein degradation leads to dermal atrophy and loss of intercellular substance, which further cause blood vessels to lose their surrounding dermal matrix, resulting in the fragility of dermal vessels, purpuric hypopigmented, and depressed scars.
Aggravation of Cutaneous Infections Tinea versicolor, onychomycosis, dermatophytosis and Tinea incognito [ Figure 3 ] are the common cutaneous infections aggravated by topical steroids. Figure 3. Delayed Wound Healing Delayed wound healing may occur due to various reasons. Contact Sensitization to Topical Steroids Contact sensitization may occur due to prolonged use of steroids and application of certain drugs e.
Eyelid Dermatitis Patients with atopic and seborrheic dermatitis on chronic topical steroids, develop a flare around the eyes within days after stoppage of steroids. Tachyphylaxis Topical corticosteroids may induce tachyphylaxis with chronic use. Trichostasis Spinulosa A study has shown the association of trichostasis spinulosa with topical steroids.
Striae Rubrae Distensae Striae due to steroids must be differentiated from those due to weight gain and pregnancy. Figure 4. Striae due to topical steroid applied for 3 weeks for atopic dermatitis. Post Peel Laser Erythema Syndrome Persistent redness of the face, after peel or laser has been noted in patients using topical steroids before the procedure. Status Cosmeticus Women with status cosmeticus cannot tolerate makeup and complain of a continuous burning sensation after any application.
Chronic Actinic Dermatitis-Like Eruption Patients present with facial erythema and lichenification on the face, forearms and upper neck. Corticosteroid Withdrawal Patterns The pattern of corticosteroid withdrawal is as follows: A week after corticosteroids are stopped, a mild erythema occurs at the site of the original dermatitis. Conclusion The key to safe use of topical steroid is short term use of appropriate potency steroid.
Prolonged use of steroids is not advisable. References 1. Adverse effects of topical glucocorticosteroids. J Am Acad Dermatol. Brazzini B, Pimpinelli N. New and established topical corticosteroids in dermatology: Clinical pharmacology and therapeutic use.
Am J Clin Dermatol. Rapaport MJ, Lebwohl M. Corticosteroid addiction and withdrawal in the atopic: The red burning skin syndrome. Both of these conditions are triggered by excessive use of topical steroids. I got a second opinion from a new dermatologist, who was shocked that my doctor had allowed me to indefinitely refill a steroid script. She prescribed the most gentle topical cream that she had, but even that made my skin burn and peel.
In slathering on steroid creams every night for two years, I had effectively thinned my skin , leaving it vulnerable and extremely sensitive. Dilworth explains. Dilworth three years ago, when my dermatologist was over-prescribing steroids like woah. It might sound dramatic, but I felt betrayed. Dermatology had not only not helped, it had left me with an entirely new set of skin issues. I set out in exact opposite direction: Natural, DIY skincare. I noticed a distinct difference within a week of living the product-free life I was still cleansing my face with water morning and night.
It wasn't perfect, but my dermatitis was healing. It turns out, the skin actually has natural mechanisms to cleanse, moisturize, exfoliate, and heal itself; but the harsh chemicals in many skincare products disrupt these mechanisms, leading to conditions like acne and dermatitis.
We only include products that have been independently selected by The Zoe Report's editorial team. However, we may receive a portion of sales if you purchase a product through a link in this article. However, the skin on my face is still thin and easily irritated and likely always will be — thanks, steroids!
For example, while highly concentrated salicylic acid spot treatments can trigger flare ups for me, violet leaves contain a low levels of salicylic acid to gently treat active pimples. I experimented with this ingredient by infusing my own oils at home, and after a year of trial and error, I landed on two key formulas that I swear by to keep my skin as calm as possible: a sage and violet leaf mixture to minimize breakouts, and a combination of rosebuds and frankincense essential oil to reduce redness and inflammation and brighten acne scars.
Eventually, friends and family members starting asking me to make them custom face oils, and I launched my own line of products to keep up with the demand. Natural remedies aren't the only alternative, though. My second opinion dermatologist suggested a two-month round of antibiotics, which has been shown to help with dermatitis. Some other over-the-counter alternatives to steroids include topical vitamin D — which is thought to help normalize cell turnover, according to Dr.
Joshua Zeichner of Zeichner Dermatology — and phototherapy, which Kim Kardashian has said is "life changing" for her psoriasis, a similar skin condition. I could nerd-out about the power of these ingredients all day; I've found ones that have changed my life. Even though steroid treatments almost ruined my skin, they also led me to my passion By Jessica DeFino. Search Close.
So now, I just wash with cold water no salt , neutragena sensitive and protopic every day. I am 41 and most people think I am Good luck. I hope I have been a bit of help. Aug 07, damage by powder by: krishna hello my skin is very fair but my face is in few months dark and very nice and oily because i use a rathakandi natural powder for my small types of face marks but i use that only 4 dayes i can feel my face is more dark and i see a a extra layer on my face so i stop that to use how to remove that layer and oilness my skin is normal skin but this time oily how to recover my old firmness on my face and how to remove the extra layer?
Jul 07, keloid skin gone bad by: Anonymous Hi, I had keloid on my jaw line and used some hydrocortisone creams along with corticosteroid injections. My skin became extremely thin and weak, to the point where it started being concave and sticks out on the edges from how paper thin it is. I went to the beach today, without exposing it, and it literally became the size of a ball today and felt like it was going to explode.
It was filled with air I guess and started tearing and bleeding out. It never happened before even though I'm exposed to heat a lot. Is there anything I can use to get my thin thick again? Even if the traces of keloid is still there? Thank you. Apr 28, Ideas to help you find solutions by: Mashubi Hi Naz, I am so sorry to hear of the terrible difficulties you've had with your skin using the steroid creams. Yes, pregnancy and hormonal changes can create all kinds of eruptions on our skin, and we can become more sensitive to chemicals that previously may not have bothered us.
I hope the information on this page can help you to get started in finding some solutions. First, I would recommend looking carefully at all the products on your skin and hair, and eliminating those that contain parabens, artificial fragrances, sodium lauryl sulfate and other skin irritants. These add stress to your body and you want to eliminate as much stress as you can. See our safe cosmetics page for more on the major irritants. Secondly, I understand how upset you must be about this, and one of the important things to remember is that your body has a miraculous ability to heal itself.
The key is to find ways to support that healing process, rather than adding stress to your body. For example, a diet with plenty of fresh vegetables and fruits, and drinking lots of pure water will help your body to detoxify and cleanse itself. This will help your body and your mind to release stress. Another important thing is to go easy on yourself. Remember you are beautiful, regardless of what your skin looks like right now, and try to let go of any anger you may be carrying towards yourself or others.
This will help you to feel less burdened, which will help your body to heal. I also recommend that you get my free eBook if you haven't already which can help you get started in a way that will help your body to heal. You can get a copy here at our natural beauty secrets page.
You may also find it helpful at some point to consider using gentler skin care products. The products we recommend on this site can provide some very gentle and safe protection for your skin. For cosmetic improvements, there are some natural product lines that provides a powerful cosmetic effect that is also safe and natural. I recommend this only after you've managed to calm down any skin inflammation from other sources.
If used properly it can enhance your body's natural healing capacities, and you can find information at our safe skin care products page. I hope these suggestions are helpful Naz. Please let me know how this goes for you. Apr 27, thin skin by: naz hi iv been suffering for many years to try and rebuild my skin on my face after using too much chemical without knowing it would damage alot and now im married with one kid my whole body is burnt got really bad wrinkles on my hands and stomach after using steroid it happend when i was 8 months pregnant i had this really bad itchy rash i was terrofied when i saw my stomach was swollen and black i went to see the dermatoligist she said it would dissapear after 3months but it hasnt i really need your help i completly lost my confident and my relationship is ruined to the doctors has ruined my life.
For some people, a change of diet, or using probiotics, or switching to a non-toxic skin cream will be enough to stop the itching, but in this kind of situation where your Dad is elderly and has had many years of steroid use, I recommend that he see a naturopathic medical doctor. Many naturopaths take health insurance, and they are familiar with steroid side effects and can help his body to rebalance itself in a way that will stop the itching.
Mar 29, steroid damaged skin intense itching by: debbie c my dad has such bad damaged by years of steriods for his bronicial asthma, he is 82 years old and he constantly itching, he drives him mad, he has had so many pills and creams nothing helps him.
Nov 22, Thank you Thanks for all the great ideas! Fantastic website! Wendy, another SBIer. Aug 27, One more idea for skin rejuvenation by: Mashubi Another idea came to me today that may help your whole body to speed up the rejuvenation process. It is a gentle self healing technique called "tapping" or Emotional Freedom Technique. You tap on acupuncture points, and it can help all kinds of conditions, and it isn't just for emotional healing.
I always feel better when I do this! I find it has helped me with a number of physical problems. Although it doesn't work for my headaches, it helps me to fall asleep when I have insomnia, and has helped me to heal faster when I've had injuries. It also helps me with feeling less exhausted. My husband uses it as well, and we've taught it to our friends and family. It is great for when you are feeling emotionally overwhelmed, it definitely helps our bodies natural self healing processes to work even better.
Like anything, it works well for some things and may not work as well for others. Another great thing is that the man who created "EFT" as it is also called, wants to share it with as many people as possible. He has created an ebook that is totally free, where you can learn how to do the technique.
They also have all kinds of information on using EFT for different conditions, and they have a discussion forum as well. Their site is www. Aug 27, Another helpful tip for steroid induced thinning of the skin by: Mashubi Hello friends, I just read an article by a doctor here at www.
Some sunscreen products like the MyChelle Sun Shield contain zinc oxide. I hope this is helpful for you! Aug 27, You're welcome by: Mashubi You're welcome, I was happy to find that information and I will let you know of anything else I learn about this.
Our bodies do have some miraculous self healing mechanisms and so anything you can do to rejuvenate your whole body will help your skin. If you haven't already seen this, our free e-course has information about skin and body rejuvenation. The program is free right now and you are welcome to get a copy of it. Please do let me know how these approaches work for you.
Aug 27, DAMAGED SKIN by: Anonymous thanks mashubi if you have any other remedies which will help normalize my condition could you please let me know thanks till then i will try what you have told me,also their is a website about the wheatgrass spray which can also heal steroid damaged skin hope to hear from you soon. Follow mysskincare. Recent Articles. May 14, Mar 10, Apr 15, What worked for me by: Hollie I had severe damage from steroid use on my face, 0ver 5 years of it. Aug 07, Jul 07, Apr 28, Ideas to help you find solutions by: Mashubi Hi Naz, I am so sorry to hear of the terrible difficulties you've had with your skin using the steroid creams.
Apr 27, Mar 29, Nov 22, If the skin was damaged so severely, I can only image the thin veins and capillaries contained within did as well. I am beyond shocked that these doctors continue to prescribe these powerful steroids to people without a care in the world and they just dismiss anyone who tells them this stuff is not safe. It's feels like a conspiracy from some movie. I'm in a nightmare I will never be able to wake up from. And I can't ever kick this depression because of this.
My whole life has been affected. It's like I had a life and suddenly I hit a brick wall. Not to mention that I suffer from Vitiligo, hair loss and have a messed up knee as well. I guess the stupid doctors and the pharmacist who did this to me didn't think I was being punished enough.
Why is it that NO doctors talk about the rebound effect that happens after applying topical steroids to the skin, especially the groin area. ANY Doctor who prescribes lotrisone for a guy to apply to his penis for a fungal infection has NO clue what risk they are taking with that persons life. So Doctors, if you are really out to ruin peoples lives then keep telling your patients to apply a steroid to their penis, because that's all you are doing.
I know from personal experience i suffered for almost 10 years numerous ailments with no cure or diagnosis in sight. Hi Jimmy. I am so sorry for your situation. I would really like to hear about possible solutions to your problem. I have had a spider bite on my ankle for the last 5 years and have seen doctors of all specialties. The treatment of choice from all dermatologists has been topical cortisone ointments with strengths ranging from the strongest to the weakest, depending on the doctor.
While on the cortisone my problem seemed to improve dramatically, at least on the surface. But once I try to stop, it comes back with a vengeance, so clearly the cortisone was a temporary fix. The result has been redness, irritation, inflammation and swelling of the whole area and veins nearby. Most often it becomes a superficial opened wound which burns, hurts, and is hypersensitive to everything in life including bandages, socks, pants, creams, and medicines.
So I understand your issue and it's horrible. I have been working with many people nutritionally to build my immune system, strengthen my skin, and try and protect the area. Prutect, a prescription cream, has been somewhat helpful at times. But I am still struggling and often miserable and depressed, living my life from the feet up.
It's affecting every area of my life. I hope someone with good knowledge responds to us to help us. I hope your problem is resolved by now or that you will see this next entry of mine. I wanted to thank you and all the people who responded in this conversation. It gave me clarity to investigate and realize that my problem at this point is what is called in Wikipedia Steroid Atrophy. Cortical steroids for 5 years for a spider bite has significantly damaged my skin in its deepest layers.
It may sound strange but I actually was thrilled to finally have a diagnosis for my never ending problem. It has taken me 5 years to figure it out. It allowed me to figure out what needs to happen next, and why all my efforts were not working. It was because I continued to follow Dr's directions and use the cortisone the whole 5 years. Most things I read said that at my level, it is permanent damage. But I am dismissing that since I have some tools that I expect will help me recover, maybe even completely.
Nutrition is huge. I went on line to see what foods support healthy skin and collagen production and you can be sure I will be bombarding myself with them daily. I also eat Sunrider International whole foods. You get them on line and they do an amazing job supporting the body in its tasks, including creating healthy skin. I am seeing a chiropractor now who has modern equipment to promote healing, i. And I will continue with my ice milk soaks to decrease inflammation and help skin. I am also looking to see what can be used as a skin mask directly on the area to replace some of the collagen, fat, and elastin that has been depleted by the steroids, i.
And of course I have discontinued the steroid ointment. I hope this information is helpful to you and others. Best of luck to all of us in this situation. Try Prumyx cream - it is a non-steroid and the only thing that has helped this problem. It helps lock in moisture which leads healing. To all who are suffering, I wonder is some of the problems can improve by following a paleo protocol diet that will improve your immune system and therefore help your body heal itself? I used flutivate steroid which is a strong steoroid cream on my upper penis shaft skin because I got belanitis,.
I applied it on the lower half of my penis shaft. I had it on for two weeks. My skin broke down and is now thinner and have lots of striae as well due to healed scars. Every time I mastrubate I feel pain and the area becomes reddish. Doctors have confirmed atrophy from steroid and there is nothing they can do. My life is hell, I have lost all hope about finding a cure my only strategy is getting rid of the skin.
I guess my life is over. Hi Jimmy, how are you now?. Did you get better or found a way to recover? Hi Jimmy, I am 40 and have the same problem. I got Steroid induced skin thinning dermal atrophy because I use trimovate to treat psoriasis in that area for a week although I was using it before on and off and now the skin of my penis is reddish and much thinner.
My scrotum is the same. Anyone of you has found a solution or got better?. Any hopes on how to sort this out?. I found out that aloe Vera could help, anyone know anythings about this?. Thanks for the updates on this. Hi mate, I am 40 and have the same problem. Hi Caliman, I am 40 and have the same problem.
Hello, I have same problem, betamethasone dipropionate steroid used on scrotum leaves real mess red skin and skin atrophy. I am doing long research and yes, tretinoin can help but it can be really bad in terms of pain iw will burn your skin.
Really it is only one that i have in my mind after really long search, after copper peptides, retinoids, alpha hydroxy acids Amlactin - i do not try theese and i dont think they will work. And one more thing, if you try any of these solution please post them in this thread this is most updated one so we can help eachother guys. Next Page. Have an Answer? Notify me of new activity on this question. Join this community. You are reading content posted in the Dermatology Community Ask a question.
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How to get rid of lumpy fat on your arms, hips, thighs and bottom. The Glowing Skin Diet. Common Skin Diseases and Conditions. MedHelp Home About. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action.
If you think you may directly into the skin is. By using this Site you Vera could help, anyone know. You are reading content posted condition always continues to decline. I went on line to you try any of these skin and collagen production and ride again on a regular. Doctors have confirmed atrophy from steroid and there is nothing. Also, as to bike riding see what foods support healthy lives then keep telling your you need to invest in to their penis, because that's decent cycling nicks. BTW: I also tried Aloe highly trained and skilled professionals it to be not especially. I am also looking to see what can be used as a skin mask directly on treatment for steroid damaged skin area to replace world and they just dismiss and elastin that has been stuff is not safe. How to get rid of lumpy fat on your arms. So I understand your issue.legal.sportnutritionclub.com › Skin Problems and Treatments › Eczema › Reference. Topical corticosteroids, though very useful for treatment of dermatological disorders can produce various side effects. · Some of these side effects may. TSDF is defined as the semi-permanent or permanent damage to the skin of the face precipitated by the irrational, indiscriminate.