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Steroid acneL70.8
Synonym(s)
Acne; Drug Acne; Medication acne; Steroid acne
DefinitionThis section has been translated automatically.
Acne-like exanthema caused by externally or internally administered steroids. Form of acne medicamentosa or also occurring as acne in adrenal cortex hyperfunction or basophilic pituitary adenoma.
ManifestationThis section has been translated automatically.
Predilection points for acne: face, chest and back.
Clinical featuresThis section has been translated automatically.
- Systemically triggered: Sudden onset with numerous papules, more rarely papulopustules, at the beginning of treatment without comedones. Overall very monomorphic picture, no scarring. After a few months, secondary comedones may develop (initially closed, later open comedones).
- Externally induced: Especially in occlusive treatment with topical glucocorticoids (see below glucocorticoids, topical) in the predilection sites of acne. Clinical picture then corresponding to the systemically triggered steroid acne.
TherapyThis section has been translated automatically.
discontinuation of internal or external glucocorticoid preparations, if medically justifiable.
External therapyThis section has been translated automatically.
Isotretinoin or tretinoin every other day.
Internal therapyThis section has been translated automatically.
Normally not necessary. Minocycline 100 mg/day may be required in cases of severe inflammation. Isotretinoin can also be administered in low doses (5 mg/day) for 3-4 months.