ROLE OF DERMOSCOPY IN TOPICAL STEROID DEPENDENT/DAMAGED FACIES

Dr Joseph Jenson J1, Dr Saranya M2, Dr Arishta Bala3*, Dr Nithya Priyadharshini S4, Dr Gokul R5, Dr Roshini R6

1Associate Professor, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University)
ORCID ID: 0000-0002-1109-6445
2Associate Professor, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University)
ORCID ID: 0000-0002-8396-9356
3*Assistant Professor, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University) (Corresponding Author)
ORCID ID: 0009-0009-0769-2461
4Professor, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University)
ORCID ID: 0000-0002-0565-8931
5Assistant Professor, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University)
ORCID ID: 0009-0000-9882-7580
6Senior Resident, Department of Dermatology, Venereology and Leprosy, Shri Sathya Sai Medical College and Research Institute-603108, Sri Balaji Vidyapeeth (Deemed to be University)
ORCID ID: 0009-0007-6648-0309

Received: ; Revised: ; Accepted: ; Available Online:

ABSTRACT

Background: Topical Steroid Dependent Facies(TSDF) is defined as perpetual usage of topical corticosteroids causing irreparable damage to skin which is long lasting. A novel way of detecting these changes can be through Dermoscopy as its a non invasive diagnostic tool.

Objective: To compare the clinical and dermoscopic characteristics of TSDF and thereby identify the correlation between potency and duration of topical corticosteroid application.

Methods: Two hundred and twenty patients(n=220) above 18 years with history and clinical features suggestive of TSDF for more than three weeks were included in this study. Using a structured proforma, demographic details, clinical and dermoscopic details were noticed.

Results: Among 220 people,68 patients(30.90%) were males and 152 patients(69.10%) were female. Hyperpigmentation was seen in 164 patients (74.54%), scaling with desquamation of skin in 89 patients(40.45%), erythema in 82 patients(37.27 %) were the most common clinical findings. Among the dermoscopic findings, Brown globules and dots were seen in 193 patients(78.64%), Desquamation in 128 patients(58.18%), Red diffuse areas in 102 patients(46.36%) followed by hypertrichosis in 98 patients(44.54%).

Conclusion: TSDF can be useful in differentiating this from other causes of red face. Dermoscopy can predict the warning signs earlier that can hamper the appearance of irreversible changes caused.

Keywords: Not provided

How to cite this article: Jenson JJ, Saranya M, Arishta B, Priyadharshini SN, Gokul R, Roshini R, ROLE OF DERMOSCOPY IN TOPICAL STEROID DEPENDENT/DAMAGED FACIES. Int J Drug Deliv Technol. 2026;16(4s): 335-343; DOI: 10.25258/ijddt.16.4s.44