steroid rosacea

ステロイド酒さ

WordNet

1. any of several fat-soluble organic compounds having as a basis 17 carbon atoms in four rings; many have important physiological effects

PrepTutorEJDIC

1. ステロイド(脂肪溶解性の有機化合物の総称)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/11/24 11:39:01」(JST)

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[Wiki en表示]

Steroid induced rosacea is an iatrogenic condition (induced by the physician or patient) from the use of either systemic steroid or topical steroids. It is nearly identical to steroid induced acne from the standpoint of 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.

Treatment

Treatment often involve the gradual weaning off the topical steroid, and the use of a systemic antiinflammatory antibiotic. If the patient is using a strong topical steroid, he or she is weaned to a weaker class VI or VII steroid. Usually they are to use the substitute steroid daily, then only on weekends, then stop completely. The facial dermatitis and discomfort often worsen when they stop the offending steroid. The oral antibiotic will decrease the inflammatory nature of the lesions. The antibiotic of choice is usually a tetracycline antibiotic. Additionally, tacrolimus combined with oral antibiotics has proven to speed up the recovery process.

Prevention

Physicians need to be aware of the danger of topical steroids. Only mild steroids should be applied to the face. The use of the topical steroid should be limited to the condition. Alternate week therapy or 3 consecutive days a week therapy is better than continuous therapy in preventing steroid induced rosacea. Only the mildest topical steroid should be used on the face if a condition warrants such use. The use of non-steroidal anti-inflammatory drugs does not necessary prevent steroid induced rosacea. Similar conditions have been seen with both Elidel and Protopic, possibly from immunosuppression and demodex or bacterial growth.

See also

• Rosacea
• List of cutaneous conditions

References

Steroid Rosacea

UpToDate Contents

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• 1. 酒さ：病因、臨床的特徴、および診断 rosacea pathogenesis clinical features and diagnosis
• 2. 酒さのマネージメント management of rosacea
• 3. 皮膚疾患の治療および外用ステロイドの一般原則 general principles of dermatologic therapy and topical corticosteroid use
• 4. 口囲（口周囲の）皮膚炎 perioral periorificial dermatitis
• 5. 眼性酒さ ocular rosacea

English Journal

• Limbal Stem Cell Transplantation for Soft Contact Lens Wear-Related Limbal Stem Cell Deficiency.

• Shen C1, Chan CC2, Holland EJ3.
• American journal of ophthalmology.Am J Ophthalmol.2015 Dec;160(6):1142-1149.e1. doi: 10.1016/j.ajo.2015.07.038. Epub 2015 Aug 20.
• PURPOSE: To describe the outcomes of limbal stem cell transplantation in eyes with limbal stem cell deficiency related to soft contact lens wear.DESIGN: Retrospective interventional case series.METHODS: Institutional database search at the Cincinnati Eye Institute revealed 9 patients (14 eyes) who u
• PMID 26299533

• [Cyclosporine eye drops: A 4-year retrospective study (2009-2013)].

• Kauss Hornecker M1, Charles Weber S2, Brandely Piat ML1, Darrodes M1, Jomaa K1, Chast F1.
• Journal français d'ophtalmologie.J Fr Ophtalmol.2015 Oct;38(8):700-8. doi: 10.1016/j.jfo.2015.02.008. Epub 2015 Sep 11.
• INTRODUCTION: The University Hospitals Paris Centre Pharmacy compounds three concentrations of cyclosporine eye drops: 20mg/mL (=2%); 5mg/mL (=0.5%) and 0.5mg/mL (=0.05%). Cyclosporine A 2% drops were developed in 1995 to prevent the rejection of high-risk cornea transplants after failure of topical
• PMID 26371985

• PERIORAL DERMATITIS: STILL A THERAPEUTIC CHALLENGE.

• Mokos ZB, Kummer A, Mosler EL, Čeović R, Basta-Juzbašić A.
• Acta clinica Croatica.Acta Clin Croat.2015 Jun;54(2):179-85.
• Perioral dermatitis is a common and often chronic dermatosis. In its classic form, it primarily affects women aged 15 to 45 years, but there are also variants including lupus-like and granulomatous perioral dermatitis, where granulomatous form is more common in childhood and affects mostly prepubesc
• PMID 26415314

Japanese Journal

• 難治性の顔面の皮疹に葛根紅花湯が著効した3症例

• 日本東洋醫學雜誌 60(1), 93-97, 2009-01-20
• NAID 110007098567

• 副腎皮質ステロイド外用薬にて発症したステロイド緑内障の1例

• 日本眼科紀要 = Folia ophthalmologica Japonica 55(11), 885-888, 2004-11-28
• NAID 10015466017

• Tacrolimus ointment for the treatment of steroid-induced rosacea : A preliminary report

• J Am Acad Dermatol 44, 995-998, 2001
• NAID 30016669121

Related Links

• Steroid rosacea. DermNet NZ

Steroid rosacea. Authoritative facts about the skin from DermNet New Zealand. ... Why do topical steroids cause steroid rosacea? It is not known why topical steroids cause steroid rosacea. Ideas have included: Proliferaton of hair ...

• Steroid rosaceaとは - goo Wikipedia (ウィキペディア)

Etiology [edit] 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 ...

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★リンクテーブル★

リンク元

「酒さ様皮膚炎」

「酒さ様皮膚炎」

　　[★]

英

rosacea-like dermatitis

同

ステロイド酒さ steroid rosacea