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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.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.
