Steroid abuse is a major problem here. This is one of my patients who swore to me that she does not use anything on her face except a home-made mixture of harmless creams like dermovate which her friend suggested. She says, now that mixture is the only one that can reduce the rash on her face.
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1. Discontinuation of topical steroid is essential.
2. Mild topical steroids in a tapering fashion.
3. Oral anti-inflammatory antibiotics, with or without topical metronidazole
4. Topical calcineurin antagonists such as tacrolimus and pimecrolimus.