Abstract
Steroids are an important group of drugs from a dermatological point of view. They are prescribed quite frequently by dermatologists in oral and topical forms. They have varying functions, such as anti-inflammatory, anti-proliferative, and anti-mitogenic properties. Locally applied steroid creams are frequently abused by patients due to their “magical” and rapid effects. The most common reasons for patients using steroid creams in unsupervised fashion are for skin lightening/brightening, inflammatory acne, and superficial fungal infection especially tinea. Steroids containing fixed dose combinations are frequently suggested by pharmacists, neighbors, friends, and quacks. Patients are usually unaware of the adverse consequences of the long-term unsupervised application of steroid containing cream. Skin atrophy, hypertrichosis, telangiectasias, steroid rosacea, monomorphic acne, and easy bruisability are the various adverse effects of local steroid creams on long-term use and have been termed as “topical steroid damaged face.” Dermoscopy is an illuminoscope examination of the epidermis and subsurface structure. It is a noninvasive technique that can be used to study the features of topical steroid-damaged skin. In this review, we have summarized the dermoscopic features of topical steroid damaged face.
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