I never break out except for tiny patches of menstrual acne on my upper back, etc (the usual stuff with periods). However, about a week ago, I developed a true rash on my upper chest and a little on my left side, which developed into acne pustules that are now large and painful. Then a few days later, (last Friday), I developed a condition on my jaws and cheeks of dense flesh-colored bumps (some are red like acne). These, too, have puss in them like acne. I went to the Dermatologist today, and after ruling out itching and liver disease (the bumps don't itch at all), he asked me if I had taken any steriods lately. I informed him that three weeks ago, I got a cortisone shot for poison ivy, and that the doctor told me she was giving me a strong dose due to the prevalence of poison ivy in this area this year. The shot was obviously strong, because I had a little trouble breathing (like someone was sitting on my chest) and I broke out into a sweat about one hour after getting it. The dermatologist said he had no doubt that I was suffering from steroid acne and he prescribed Ceftin? and Nizorol? (Spelling??) I went home and looked it up on the internet, but everything kept saying that steroid acne comes from oral steroids. I found nothing that linked my condition to a cortisone shot. Does the DX and RX sound correct? And if so, how long will it be before I see an improvement? I'm not used to dealing with such unsightly breakouts and it is really taking its toll on me emotionally.
Steroid acne comes from internal steroids--oral or injectable. The diagnosis therefore sounds plausible.
Internal steroids by no means always cause acne, but when they do, the condition takes care of itself. This usually takes a few weeks to a couple of months.
If the treatment your doctor gave you doesn't help in a couple of more, weeks, you might ask about a change to one of the oral cycline antibiotics.
But most of all, keep in mind that this is a single event, which will go away and leave you with no residual marks. It's entirely possible that you could take steroids again, if you needed them, eith no ill-effects.
By the way, I'm not sure what to make of that breathing trouble you say the steroid shot brought on. You might ask the dermatologist for clarification . . .
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