Phuong Nguyen Thi Thanh
Hue University of Medicine and Pharmacy, Vietnam
Title: CASE REPORT: CLINICAL FEATURES AND TREATMENT OF RED SKIN SYNDROME DUE TO MISUSE OF COSMETIC BEAUTY PRODUCTS CONTAINING TOPICAL CORTICOSTEROIDS IN VIETNAM
Biography
Biography: Phuong Nguyen Thi Thanh
Abstract
Red skin syndrome or topical corticosteroid (TCS) withdrawal is a potential complication of TCS treatment, which especially occurs after a long-term use of moderate-to-potent TCS on the face or genital area. The objective of this clinical case report is to highlight understanding about clinical features and proposed treatment ofthis unusual skin disorder due to the abuse of TCS which has been a remarkable problem in Vietnam.
We describe a case of a 57-year-old woman who presentedto our dermatology clinic with a severe itchy, burning, stinging and swelling face after abrupt discontinuation of TCS. She reported one-year history of uncontrolled application ofskin whitening cream containing corticosteroids on her face. Examination found confluent scaly erythematous edematous plaques, skin atrophy and telangiectasia all over her face. She has been treated with a slow tapering of low-potency topical steroids combined facial care with the use of organic oil containing coconut, walnut oil, vitamin E and moisturiser, microneedling with PRP and dye pulsed light on the affected area. After two months, her skin condition was improved significantly.
In conclusion, red skin syndrome has been receiving a great deal of public attention. By raising awareness about its clinical features and risk factors, patients and providers could identify and prevent this complication. The treatment depends on personal clinical characteristics of each patient.