Work

Severe Topical Corticosteroid Withdrawal Syndrome from Over-the-Counter Steroids

Year: 2021

Type: article

Abstract: A 34-year-old man suddenly developed an erythematous and exfoliative facial rash. Within days, his skin became intensely pruritic and painful, and the rash spread to his entire body. He also acquired malaise with fever of 39.7°C, necessitating hospitalization. Examination revealed thickened and oozing plaques covering his face; in addition, multiple erythematous papules erupted on his torso and bilateral extremities, but no mucosal erosions (Figure 1). His history was notable for lifelong atopic dermatitis self-treated with hydrocortisone ointment/cream 1% (up to 2.5%) multiple times daily, with use of class III potency topical corticosteroids (TCS) intermittently for flares.

Source: The Journal of Allergy and Clinical Immunology In Practice

DOI: 10.1016/j.jaip.2021.07.026

Authors: Anh P. Nguyen, James S. Kong, Suzanne S. Teuber

Institutions: University of California, Davis, VA Northern California Health Care System, University of California Davis Medical Center

Language: English

Topic: Dermatology and Skin Diseases

Subfield: Dermatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,500