Steroid acne differential diagnosis

The condition is self-limiting and does not require any treatment. The itchy rash in most patients resolves within 2-3 months without any therapeutic aid. However, additional care is needed during pregnancy. Use of topical steroid creams, such as hydrocortisones, and oral histamines like diphenhydramine and loratidine mitigates the frequent episodes of itching. However, these medications do not clear the rash spontaneously. Direct exposure of the affected skin to UVB light or sunlight could prove to be beneficial since these accelerate the process of alleviation. Off-label use of erythromycin or anti-viral drugs, such as acyclovir or famciclovir, could reduce the condition. In addition to these, patients should take the following precautionary measures:

Although the term "acne keloidalis nuchae" is commonly used, there are other historical and contemporary descriptors for AKN. Historical terms for this condition include "sycosis framboesiformis" and "dermatitis papillaris capillitii" [ 1,2 ]. Contemporary alternative names for AKN include "folliculitis keloidalis" [ 3 ], "folliculitis nuchae" [ 4 ], and "folliculitis keloidalis nuchae" [ 5 ]. In addition, because of the occasional extension to other areas of the scalp, some authors eliminate "nuchae" from AKN and refer to the disorder as "acne keloidalis."

Oral and topical antibiotics are often ineffective in the treatment of erythema and flushing. The most effective way to prevent the occurrence of flushing episodes and the progression of the disease is to avoid the associated trigger factors. Low-dose clonidine (Catapres; mg twice daily) may be effective in controlling flushing, especially in women who are postmenopausal. 18 A nonselective beta blocker (such as long-acting propranolol [Inderal], 80 to 240 mg daily, and nadolol [Corgard], 40 to 80 mg daily) may also be used to treat erythema and flushing. 18

Infantile seborrheic dermatitis is usually self-limited, resolving within several weeks to several months. In one prospective study, children with infantile seborrheic dermatitis were reexamined 10 years later. 16 Overall, 85 percent of children were free of skin disease at follow-up. Seborrheic dermatitis persisted in 8 percent of children, but the link between infantile and adult seborrheic dermatitis remains unclear. In addition, 6 percent of children in this study later were diagnosed with atopic dermatitis, illustrating the difficulty in distinguishing these conditions during infancy.

Steroid acne differential diagnosis

steroid acne differential diagnosis

Infantile seborrheic dermatitis is usually self-limited, resolving within several weeks to several months. In one prospective study, children with infantile seborrheic dermatitis were reexamined 10 years later. 16 Overall, 85 percent of children were free of skin disease at follow-up. Seborrheic dermatitis persisted in 8 percent of children, but the link between infantile and adult seborrheic dermatitis remains unclear. In addition, 6 percent of children in this study later were diagnosed with atopic dermatitis, illustrating the difficulty in distinguishing these conditions during infancy.

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