Steroid acne L70.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Acne; Drug Acne; Medication acne; Steroid acne

Definition
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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.

Manifestation
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Predilection points for acne: face, chest and back.

Clinical features
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  • 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.

Therapy
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discontinuation of internal or external glucocorticoid preparations, if medically justifiable.

External therapy
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Isotretinoin or tretinoin every other day.

Internal therapy
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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.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020