Eczema Advice

[robb1_07]

Hi Doctor,

Thankyou for your time. Approxiamtely 4 months ago I was diagnosed with Eczema on the face. I was given daktacort hydrocortisine to manage the flare-ups which has controlled the eczema. However after using the cream for about 3 months I began to develop an area of redness on one side of my nose which goes across my cheek bone. It seems to be very sensitive to the sun, after I wash my face and in certain environments.

Grateful for your advice.

[caliman86]

Are you aware of a condition called Red Skin Syndrome caused by overuse of topical steroids?

[Bhupinder Kaur, MD]

Hello,
It can be due to steroid induced rosacea. Steroid induced rosacea or dermatitis is an adverse effect of using steroids. Some patients develop steroid-induced rosacea within weeks of applying a topical steroid; others may not experience it for years.

Using tacrolimus often resolves the itch, redness, and tenderness of steroid-induced rosacea but it should be taken after a dermatologist’s guidance. Avoiding rosacea triggers, such as caffeine, spicy foods, and alcohol, also may help clear the skin. If the symptoms persist then please consult a dermatologist. Also use of antibiotic creams, antihistaminics, sun screens helps but consultation of a dermatologist is required first.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.