This patient is on systemic corticosteroids for treatment of bronchial asthma. Steroid induced acne is a complication of systemic corticosteroids which is characterized by abrupt onset of mildly pruritic monomorphic papules or pustules mainly over the upper trunk. Comedones are absent. Topical retinoids are often used for treatment. Few cases may actually represent pityrosporum folliculitis and may respond to antifungals.
Bell Eapen
AI, machine learning & digital health consultant at SkinHelpDesk
Techie Dermatologist, Information Systems PhD, Supporter of Open-Source Software, Machine Learning and AI geek,loves cricket, Canadian wine and beer. [Resume]
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Yes, any patient with acneform pruritic truncal lesions should be evaluated for Pityrosporum folliculitis by doing a KOH of the pustule.A 5-7 day course of ketoconazole works rather than topicals.