Abstract
Corticosteroids owing to their anti-inflammatory, immunosuppressive, anti-proliferative and vasoconstrictive effects are the most widely used agents in dermatology practice. Both topical and systemic corticosteroids are associated with side effects especially on long term use. Unsupervised and inappropriate use of topical corticosteroids (TCs) causes a plethora of adverse cutaneous effects like atrophy, telangiectases, erythema, rosacea-like picture, perioral dermatitis etc. Facial skin is more susceptible to these adverse effects due to thinness of the facial skin and enhanced percutaneous absorption of the topical preparations. Topical steroid damaged/dependent face (TSDF) is the term used for the harmful effects caused by prolonged and indiscriminate use of TCs on the face, subsequently leading to psychological dependence. It causes cosmetic disfigurement and has a negative impact on the quality of life of the patients. Withdrawal of TCs and psychological counselling are the cornerstone of management of TSDF.KeywordsFacial rednessTopical corticosteroidsRosaceaTSDFTelengiectasesRed skin syndromePerioral dermatitisMalar rashAbuseMisuse
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