类酒渣鼻样类固醇性皮炎：病因发病机制与治疗
Steroid dermatitis resembling rosacea: aetiopathogenesis and treatment.
作者信息
Ljubojeviae S, Basta-Juzbasiae A, Lipozenèiae J
机构信息
Department of Dermatology and Venereology, Zagreb University Hospital Center, Croatia.
出版信息
J Eur Acad Dermatol Venereol. 2002 Mar;16(2):121-6. doi: 10.1046/j.1468-3083.2002.00388_2.x.
BACKGROUND
Corticosteroids were first introduced for topical use in dermatology in 1951. Since then uncontrolled use (abuse) has caused many different reactions, often with manifestations resembling those of rosacea.
OBJECTIVE
The prolonged use of local corticosteroids (usually 2-6 months) may lead to a clinical picture of severe dermatitis with erythema, papules and pustules that are classified according their localization to three types. The treatment of choice is tetracycline in combination with local application of neutral ointments.
CONCLUSIONS
Trivial skin dermatoses, especially on the face, should not be treated with local corticosteroids.
背景
1951年皮质类固醇首次被引入用于皮肤科局部治疗。从那时起，无节制使用（滥用）已引发许多不同反应，其表现常常类似酒渣鼻。
目的
长期使用局部皮质类固醇（通常2至6个月）可能导致出现严重皮炎的临床表现，伴有红斑、丘疹和脓疱，根据其部位可分为三种类型。首选治疗方法是四环素联合局部应用中性软膏。
结论
轻微的皮肤疾病，尤其是面部的，不应使用局部皮质类固醇进行治疗。
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