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Treatment

Authoring team

Management of the disease involves:

  • identifying and eliminating the underlying cause
    • discontinue topical steroids or any other facial cream which may have caused the symptoms
    • patients should be warned about worsening of symptoms for few days before starting to improve following withdrawal of steroid cream
  • wash hands after application of topical steroids at a site distant to the face (in eczema) to avoid transfer on to the face
  • treatment in
    • milder cases is with a topical antibiotic e.g. - clindamycin, erythromycin or metronidazole
    • other patients - systemic antibiotics (adult doses) e.g. - tetracycline (oxytetracycline 500 mg BD an hour before food, lymecycline 408 mg OD an hour before food) for 4-6 weeks or erythromycin 500mg BD
  • recurrent symptoms can be managed in the same method (1)

Prognosis is excellent with adequate treatment. Untreated cases may have a fluctuating disease for months or years and if severe may result in scar formation (1).

Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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