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Why has a topical corticosteroid failed to clear this rash?
A 33-year-old woman presents with an asymptomatic facial rash for which she has been using mometasone cream regularly. Initially, she had a small patch of acne on one cheek that quickly cleared with this cream. However, the rash has been worsening for the past year.
Case 3:
A 33-year-old woman presents with an asymptomatic facial rash for which she has been using mometasone cream regularly. Initially, she had a small patch of acne on one cheek that quickly cleared with this cream. However, the rash has been worsening for the past year.
Which of the following diagnoses do you suspect?
A. Rosacea.
B. Acne.
C. Gram-negative folliculitis.
D. Pityrosporum folliculitis.
E. Steroid acne.
Answers on Next Page
Case 3: Steroid Acne
The patient has steroid acne, E, the result of long-term use of a halogenated corticosteroid. Discontinuation of the medication led to resolution of the rash in 8 weeks.
Rosacea and acne are usually more symmetric. Gram-negative folliculitis is usually somewhat tender. Pityrosporum folliculitis is smaller, monomorphic, and pruritic.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
