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Steroid atrophy in Child
See also in: External and Internal Eye
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Steroid atrophy in Child

See also in: External and Internal Eye
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Contributors: Craig N. Burkhart MD, Dean Morrell MD
Other Resources UpToDate PubMed

Synopsis

Steroid atrophy presents as thinning of the skin and results from prolonged use of corticosteroids. Generalized thinning can occur as the result of long-term oral steroid use, but more severe thinning occurs with prolonged use of potent topical steroids on the skin. It can occur with inhaled corticosteroids as well. Atrophied skin is also found over areas where intralesional steroids have been injected or applied.

Codes

ICD10CM:
L90.9 – Atrophic disorder of skin, unspecified

SNOMEDCT:
79983002 – Steroid atrophy

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Consider various possible causes (eg, pregnancy, weightlifting, rapid growth, topical or systemic steroids, recent marked weight gain).
  • Steroid atrophy has none of the epidermal scaling seen in inflammatory diseases.
  • Radiation-induced changes (radiation dermatitis)
  • Chronic sun damage
  • Burn scar (see scar)
  • Lipoatrophy associated with insulin injections
  • Morphea
  • Lichen sclerosus

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 07/12/2017
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Steroid atrophy in Child
See also in: External and Internal Eye
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Steroid atrophy : Atrophy, Ecchymosis, Striae, Topical steroid use
Clinical image of Steroid atrophy
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