Steroid-dependent Dermatitis

Steroid-dependent dermatitis (topical-steroid-induced rebound) is inflammatory flare after chronic/strong topical corticosteroid use on face/genitals, presenting with erythema, burning, papules, and rebound on cessation. Treatment: gradual taper of topical steroid; switch to topical calcineurin inhibitor (tacrolimus/pimecrolimus); treat underlying atopic/contact dermatitis; emollients; oral antihistamines; avoid further strong steroids; barrier care; identify trigger; follow-up dermatology.

Common Symptoms

Facial erythema/burning; rebound flare; papules; chronic steroid use

Causes and Pathogenesis

Chronic topical steroid causes skin atrophy and rebound inflammation on withdrawal.

Treatment

Taper steroid; calcineurin inhibitor; emollients; antihistamines

Preventive Measures

Limit topical-steroid strength/duration on face; use calcineurin inhibitors long-term.

Department to Visit

It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.