Steroid induced rosacea can be caused by the prolonged (usually daily) use of a topical steroid on the face. The presentation is typically of inflammatory acne lesions consisting of pustules, papules, and cysts. We treat steroid induced rosacea by gradually weaning the patient off the topical steroid while simultaneously treating with either a topical or systemic antibiotic. In my experience, steroid induced rosacea is not permanent when treated correctly. I recommend you consult with a board-certified dermatologist to make sure your condition gets resolved in a proper manner and time frame.
Laws and Penalties: Concerns over growing illegal AAS abuse by teenagers, and many of the just discussed long-term effects, led Congress in 1991 to place the whole AAS class of drugs into Schedule III of the Controlled Substances Act (CSA). Under this legislation, AAS are defined as any drug or hormonal substance, chemically and pharmacologically related to T (other than estrogens, progestins, and corticosteroids) that promotes muscle growth. The possession or sale of AAS without a valid prescription is illegal. Since 1991, simple possession of illegally obtained AAS carry a maximum penalty of one year in prison and a minimum $1,000 fine if this is an individual’s first drug offense. The maximum penalty for trafficking (selling or possessing enough to be suspected of selling) is five years in prison and a fine of $250,000 if this is the individual’s first felony drug offense. If this is the second felony drug offense, the maximum period of imprisonment and the maximum fine both double. While the above listed penalties are for federal offenses, individual states have also implemented fines and penalties for illegal use of AAS. State executive offices have also recognized the seriousness of AAS abuse and other drugs of abuse in schools. For example, the State of Virginia enacted a law that will allow student drug testing as a legitimate school drug prevention program (48, 49).
Typical teenage acne, so-called acne vulgaris, is characterized by three types of lesions: the comedo or blackhead; the inflammatory papule; and the pustule or pimple. Drug induced-acne can be difficult to distinguish from other sorts of acne except for the fact that it was not present prior to taking the drug. Machinists exposed to insoluble cutting oils can develop comedones at the sites of exposure. Inflammatory lesions may be less prominent. Acne can also be a part of certain hormonal problems caused by the overproduction of androgens.