Five days after beginning aggressive treatment with intravenous corticosteroids for inflammatory bowel disease, this 26-year-old man noticed the sudden eruption of this mildly pruritic rash.
Five days after beginning aggressive treatment with intravenous corticosteroids for inflammatory bowel disease, this 26-year-old man noticed the sudden eruption of this mildly pruritic rash. The diagnosis was steroid acne, report Drs Charles E. Crutchfield III and Eric J. Lewis of Minneapolis.
In addition to the abrupt onset, other clues to the diagnosis of steroid acne are monomorphic lesions occurring on the upper trunk and, less frequently, on the face, and the absence of comedones. The patient was reassured that the eruption would resolve once the corticosteroids were discontinued.
Clinical Tips for Using Antibiotics and Corticosteroids in IBD
January 5th 2013The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.