PMC6297059_01
Initial presentation. Both patients exhibit erythematous acneiform papules with background scaling in the perioral region.
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With this, the pair presented to our clinic where physical examination found erythematous acneiform papules with background scaling in the perioral region of both patients (Fig 1).
Two weeks postwithdrawal. Patient 1 (right) has mild background scaling in the perioral region with few erythematous nodules on the chin. Patient 2 (left) has persistent perioral scaling with involvement of the nasal folds.
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Despite this treatment, both patients reported worsening of symptoms for about 10 days after topical steroid termination (Fig 2).
Two months postwithdrawal. Both patients have complete recovery from TCS addiction.
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Gradually, with strict TCS abstinence, both patients reported full resolution of symptoms in the following weeks (Fig 3).