Steroid Rosacea - Etiology

Etiology

Steroid induced rosacea can be caused by the prolonged used of a topical steroid on the face. Topical steroid comes in 7 different strengths (Some countries use 4 categories). Class I is superpotent, and class VII is very weak. Usually, any categories of steroids over class VI can induce rosacea with prolonged use. The presentation is typically of inflammatory acne lesions consisting of pustules, papules, and cysts. The patient often admits to the daily use of a topical steroid, often being under the advisement of a physician. Examination of the pustules often revealed inflammatory cells, and in many cases, numerous motile demodex mites.