UNUSUAL MANIFASTIONS AND LOCATION OF RSS

Below are patients who I have seen that had used corticosteroids for many months to years. Representative pictures of them will appear periodically in future blogs.

Every man takes the limits of his own field of vision for the limits of the world.

Schopenhauer

Eyelids alone following irritation from eye makeup(s).
One leg after insect bite.
Body rash after using anti-scabetic (scabies is a human mite) medicines for the diagnosis of just itching – no infestation had ever been diagnosed.
Total face rash after shingles on the face.
Vulvodynia (painful female groin) following non-specific itching.
Red scrotum after ‘jock itch’.
Neck after winter dry weather – rubbing from clothing causing itching.
Arms and legs after orthopedic casts removed and itching ensued unabated.
Dandruff on the face – seborrheic dermatitis (scaly rash on the sides of nose and eyebrows).
Severe scalp itching followed by facial redness.
After facelift
After laser resurfacing (anti aging therapy).
Severe dermatitis on the breast after silicone implants.

By Dr Marvin Rapaport, MD|2021-10-19T03:16:57-07:00June 21st, 2015|RSS The Disease|Comments Off

About the Author: Dr Marvin Rapaport, MD

In 1978 I initiated and set up the contact and photo dermatitis clinic at UCLA. There was a need to evaluate a large group of patients who exhibited severe eczematoid rashes, especially on the face. Patients were referred from all over Southern California. All patients underwent a lengthy history and examination. Further evaluations included blood studies, allergy patch testing, special sunlight (photo) testing and skin biopsies. From the start it was apparent that most patients experienced a mild dermatitis on various parts of the body that progressively worsened. Their histories always included numerous doctor visits, multiple physicians, and therapy consisting of an increasing amount of corticosteroids. My testing failed to reveal any specific culprit chemicals, cosmetics, perfumes, workplace or recreational exposures. It became increasingly clear that the physician’s therapy, the corticosteroids, was invariably causing the problem. I wrote 7 scientific articles that were published in the most august peer-reviewed dermatologic journals and I gave many lectures at various dermatology meetings. To this day an unfortunate reluctance exists on the part of most physicians to accept this simple concept.