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Dependent dermatitis is a dermatitis caused by long-term repeated improper application of hormones. Due to long-term topical corticosteroids (hereinafter referred to as "hormones") preparations, the skin of the affected area is dependent on the drug. This non-purulent inflammation of the skin caused by external application of hormones is called dependent dermatitis, referred to as hormone dermatitis. This dependence has the following characteristics: the primary disease rapidly improves after treatment, but it cannot be cured. After treatment for several weeks or months, once the drug is discontinued within 1-2 days, erythema, pimples, tenderness, fissures, and pus occur at the site of treatment. Blister, desquamation, pain, itching, burning, tightness, and primary disease worsened; when the topical corticosteroids were reapplied, the above symptoms quickly subsided. If they were stopped, rebound dermatitis occurred quickly and was heavier than before. . In order to avoid the recurrence of rebound dermatitis after discontinuation, patients completely rely on the application of corticosteroids, and some of the original preparations have poor results. They must replace the more potent external topical preparations or increase the dosage, shortening Interval of medication to improve symptoms. The amount of medicine is proportional to the length of the disease. The longer the disease, the more medicines are used, and the more serious the illness.

Dependent dermatitis

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Dependent dermatitis is a dermatitis caused by long-term repeated improper application of hormones. Due to long-term topical corticosteroids (hereinafter referred to as "hormones") preparations, the skin of the affected area is dependent on the drug. This non-purulent inflammation of the skin caused by external application of hormones is called dependent dermatitis, referred to as hormone dermatitis. This dependence has the following characteristics: the primary disease rapidly improves after treatment, but it cannot be cured. After treatment for several weeks or months, once the drug is discontinued within 1-2 days, erythema, pimples, tenderness, fissures, and pus occur at the site of treatment. Blister, desquamation, pain, itching, burning, tightness, and primary disease worsened; when the topical corticosteroids were reapplied, the above symptoms quickly subsided. If they were stopped, rebound dermatitis occurred quickly and was heavier than before. . In order to avoid the recurrence of rebound dermatitis after discontinuation, patients completely rely on the application of corticosteroids, and some of the original preparations have poor results. They must replace the more potent external topical preparations or increase the dosage, shortening Interval of medication to improve symptoms. The amount of medicine is proportional to the length of the disease. The longer the disease, the more medicines are used, and the more serious the illness.

Chinese name

Dependent dermatitis

Nature

disease

the reason

Topical hormone

treatment

Long-term healing

1. Signs: Facial atrophy, thinning, shiny, diffuse flushing or erythema of the skin, or dilated capillaries, local swelling, chapped and desquamated skin, or acne-like rash or rosacea-like dermatitis or skin atrophy Or inflammatory pustules of the hair follicle.

2. Symptoms: conscious local itching, burning-like pain, tightness or dryness and discomfort. The above symptoms are exacerbated by heat (such as sun exposure, hot bath, hot steam fumigation) and cold relief.

3. The primary disease worsens after corticosteroids are discontinued, and there are obvious hormone-dependent symptoms, that is, the condition improves rapidly after topical application of corticosteroids. Once the drug is discontinued, it may take 1 to 2 days and 3 to 5 days. More severe hormonal rebound dermatitis than before, and even induced bacterial and fungal infections.

4. In the same area, long-term topical corticosteroids cause dark spots on the skin; wrinkles; rosacea rhinoid dermatitis; acne-like dermatitis; subcutaneous elastic fiber breakage causes skin relaxation; severe capillary dilation; diffuse expansion of small blood vessels, especially After hot and cold irritation, the skin becomes red, itchy, and swollen; sensitivity is increased; premature aging; pores are enlarged; abnormally increased thickened hairs;

5. After the skin becomes dependent, once the hormone product is stopped, within 1 to 5 days, the lighter people will experience desquamation, sensitivity, redness, swelling, itching, and pain; in severe cases, the skin is fragile and tight, and the skin is significantly affected. Erythema, hyperpigmentation, atrophy, atrophy lines, telangiectasias, pimples, cleft palate, scaling, dry desquamation, small abscesses, burning sensation, tenderness, strange itching, even yellow water, tension, redness on heat, etc. Symptoms, patients have to continue to use hormones, the dependence on hormones is more obvious; when the product is used again, the above symptoms and signs will quickly diminish, such as cessation, the symptoms of dermatitis quickly recur, and gradually worsen, The effect is reduced, you must increase the amount of use or replace more powerful hormone products;

6. In severe cases, hormones can be absorbed percutaneously into the blood circulation, causing diseases such as iatrogenic diabetes, hypertension, osteoporosis, liver and kidney damage, obesity, menstrual disorders, and exacerbation of old cardiovascular disease in the elderly.

The causes of dependent dermatitis can be summarized into two major factors:

First, use topical ointments blindly for a long time, such as dermatitis, skin-easy, irresone and other hormone ointments applied to the skin;

Second, used skin care products such as hormone-removing freckle, acne, whitening and so on.

Once the hormone is used, the skin condition will become worse and worse. Frequent use of the hormone will cause accumulation poisoning, and even produce thinning of the stratum corneum, red blood, fear of light, long hair and other serious health and aesthetic consequences. Repeated use eventually results Hormone-dependent dermatitis. The biggest harm of hormones is that the skin becomes extremely sensitive, wrinkles increase, and aging skin accelerates. After absorption of hormone poisoning in the elderly, it can easily induce iatrogenic diabetes, iatrogenic fractures, and elevated intracranial blood pressure. It has also been found that some mothers have a long history of using hormonal creams, and hormonal harm can be described as wicked as opium.