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Am I too far gone for being cured

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princefontain

Joined: 30 Jan 2008

Posted: Thu Jan 31, 2008 1:40 pm Post subject: Am I too far gone for being cured

I used hydrocortisone BP 1% steroid cream for 11 years, I am worried I can not be cure of steroid induced rosacea, after reading up I believe I have the early stages, I flush my face is red 40% of the day and in some areas it swells or inflames regularly.

Monte

Joined: 27 Apr 2007

Posted: Thu Jan 31, 2008 2:56 pm Post subject:

You need to read Dr. Rapaport's papers on steroid use. He has had many patients who used steroids on their face for as long as you and they all ultimately cleared. If you like, you can send me a PM and give my an email address where I can send you one of his papers on the subject. Or you can give his office a call and go see him...he ran the derm dept. at Cedar Sinai in LA and was head of the derm dept and UCLA. He has seem thousands of steroid "red faced people". His office number is 310-274-4401

princefontain

Joined: 30 Jan 2008

Posted: Thu Jan 31, 2008 3:02 pm Post subject: steroid induced rosacea

I live in the UK, but would love to read one of his papers.

phlika29
Forum Moderator

Joined: 24 Apr 2006
Location: Dorset, UK

Posted: Thu Jan 31, 2008 8:29 pm Post subject:

There is always help available, you just need to be more careful and seek out the experts. Dr Crouch kindly did a Q & A on the forum a while ago. One of the quesions was about treating steroid based rosacea:

Quote:

Q. Is treatment different for those who have used long-term steroid ointments?

Oh yes — long term steroid use presents a tough challenge. Whilst some skin seems surprisingly resistant to the ravages of steroid skin preparations, generally skin that has been exposed to high doses of steroids (especially oral steroids) over a long time can be thought of as "thinner and more fragile" ~ just like the skin of people who are many years older. I generally recommend carefully weighing up the risks of treatment compared to not treating and advise all patients with skin affected by steroids that the treatment course is likely to be like "a road that is treacherous and long". I try to focus on trying to revitalise the skin as much as possible before embarking on treatments for the rosacea alone. I tend to gently use Nd:YAG first keeping a watchful eye on the tissue temperature during treatment. I try to space treatments out so that maximum time for recovery is afforded between treatments. Later on when the skin has had some chance to recover then I will recommend adding in gentle IPL. The treatment course is often fraught with a higher risk of burns or blisters and treatment usually takes a lot longer to achieve results. This requires patience and understanding by both patient and physician. Every patient is unique however and advice should always be sought from an experienced laser physician who has had the opportunity to take a full history from and examine the patient before recommending treatment.

Source:

http://rosaceagroup.org/QandA/Dr_Peter_Crouch_Second_Interview.php

Sarah

Twickle Purple

Joined: 26 Jun 2006
Location: BC

Posted: Thu Jan 31, 2008 8:58 pm Post subject: Re: Am I too far gone for being cured

princefontain wrote:

I used hydrocortisone BP 1% steroid cream for 11 years, I am worried I can not be cure of steroid induced rosacea, after reading up I believe I have the early stages, I flush my face is red 40% of the day and in some areas it swells or inflames regularly.

I've used it for over 40 years and think I will always have rosacea -- unless they find a cure for it. I do manage it so am more comfortable now though. I'd posted a link to my journal in one of your other threads.
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