1, what is hormone-dependent dermatitis? Answer: Hormone-dependent dermatitis is the full name of glucocorticoid-dependent dermatitis, also referred to as hormonal dermatitis, is due to the patient’s long-term repeated use of improper or abuse of topical corticosteroid hormone preparations led to non-purulent inflammation of the skin, so that the affected skin on the drug to produce a dependence on the drug, like a “drug” as a can not be stopped, the most common occurrence of The most common occurrence is on the face. 2.What are the manifestations of hormone-dependent dermatitis? Answer: After using glucocorticoid topical preparation, the original disease improves rapidly, but recurs soon after stopping the drug; the treatment lasts several weeks or months, once the drug is stopped, erythema, papule, tenderness, fissure, pustule, pain, itching, burning, tautness, and deterioration of the original disease occurs in the site of the drug in 1~2 days; after reapplying the hormone externally, the above symptoms subside very quickly, such as stopping the use of the drug, rebound dermatitis occurs rapidly, and is more severe than before, and the time of relief is more severe than before, and the time of relief is more severe. The time of relief is getting shorter and shorter. The patient is totally dependent on topical hormones in order to avoid the pain of reoccurrence of rebound dermatitis after stopping the medication. The amount of medication needed to bring relief is increasing, and the time needed to use the medication is getting longer and longer. 3, what are the common hormone creams? A: There are many hormone creams on the market with familiar names among the common people, such as skin light cream, dermatophyte cream, dermatoconjugate king cream, skin cream, compound Connor Le Cream, Yifuqing, Le Skin Liquid, etc., of which dermatoconjugate king cream, skin cream contains the most potent preparation of clobetasol propionate, causing the highest proportion of side effects, these medications are dermatological commonly used medications for a variety of dermatological diseases with different therapeutic effects, but the patient It is not advisable to buy your own medicine and apply it externally, but should be used strictly under the guidance of a dermatologist. 4. What are the side effects of hormone creams on the skin when used externally for a long time? A: When hormone creams are used in the face and perineum for a long period of time, due to the easy absorption of corticosteroids in these parts of the skin, side effects are also relatively easy to occur; it is easy to cause hyperpigmentation, skin atrophy, rosacea-like dermatitis, acne-like dermatitis, skin laxity, serious dilatation of capillaries (i.e., hemosiderosis), skin sensitivity, enlarged pores, and thickened body hair, etc. Especially in infants and young children, the skin is delicate and delicate, but it is not necessary to purchase the drug by oneself. Especially infants and young children, the skin is delicate, it is more inappropriate to use a large area for a long time, such as absorption through the skin, but also cause adrenal cortex function inhibition, bringing serious adverse consequences. 5.Hormone creams have big side effects, why should they be used clinically? A: Corticosteroids have an anti-allergic effect of inhibiting immune response, can reduce itching, congestion and edema after external use, so that some skin damage to the inflammatory reaction of the temporary relief and subside, is the common use of domestic and foreign dermatologists, as long as it is in the regular hospital dermatologists under the guidance of the application of the doctor will not produce serious adverse effects. 6.Why does hormonal dermatitis occur? A: Its exact pathogenesis is not yet fully understood, may be related to the skin atrophy caused by corticosteroids, skin atrophy leads to thinning of the stratum corneum, dermal papillae degeneration, the skin loses the barrier to prevent the loss of water, rapidly causing dryness and inflammation. Skin dehydration may be the main cause of inflammation in normal or existing lesions. 7. Why is the proportion of women in hormone-dependent dermatitis patients much larger than the proportion of men? A: This is because women care more about their own “face project” than men, once the face is uncomfortable, like to apply their own medicine in order to quickly solve the problem, and secondly, women prefer efficacy of cosmetics to treat acne, pigmentation or sensitive skin, and many of these efficacy of cosmetics are illegal to add hormone drugs. 8, why some spot cream or desensitizing cosmetics can cause hormone-dependent dermatitis? A: This is because the short-term use of hormones on the skin has a whitening effect or anti-allergic effect, but long-term repeated use will cause skin and systemic damage and make the skin produce hormonal dermatitis. Some unscrupulous beauty salons use cosmetics with illegal addition of hormone substances for skin beauty or so-called desensitization treatment, after discontinuing the use of cosmetics, the consumer’s skin appears to be erythema, papules, oozing, capillary dilatation and hyperpigmentation and other hormone-dependent dermatitis clinical manifestations. 9, in the treatment of hormonal dermatitis, how to reduce and stop hormone creams? A: In the treatment of hormonal dermatitis, how to deal with hormone reduction, generally summarized in the following three kinds: First, the patient will use the strong hormone to weak hormone to stop, during the period with other non-hormonal drugs to assist in the treatment, in order to make the skin have a gradual adaptation to the transition process, the second is the use of hormone cream concentration gradually decreasing, the interval to prolong the eventual removal of hormone ointment; third is to completely stop the use of hormones The third is to completely stop the topical application of hormonal creams and replace the treatment with non-hormonal creams. Nowadays, the experience is more inclined to the third method. The most important thing is still to follow the regular hospital dermatologist’s medical advice to reduce and stop hormone creams. As for how to reduce the hormone of each specific patient, according to each person’s different state of the disease and the dermatologist’s experience in the use of drugs. 10.What are the best topical medications for hormone-dependent dermatitis? A: Tacrolimus ointment, pimecrolimus cream have good effect on the treatment of hormonal dermatitis, and other sodium heparin ointment, Xiseto cream, boron and zinc cream, zinc oxide cream, glycerin lotion and so on. When the skin is dry and astringent in the late stage of recovery, you can add appropriate non-stimulating moisturizing skin care products, such as Avène, Skin Spa, Stauffer’s and other pharmaceutical products or Vaseline moisturizing cream. 11, the treatment of hormonal dermatitis need to use internal medicine? A: For stubborn hormonal dermatitis or severe hormonal dermatitis, patients can take antihistamines, immunity-regulating drugs, traditional Chinese medicine and other drugs orally under the guidance of a doctor. 12.What should be done for hormone-induced redness (dilated capillaries)? A: You can apply laser cosmetic equipment and other treatment. 13.Hormone-dependent dermatitis, what are the contraindications and precautions? A: During the treatment period, it is advisable to eat light food, avoid spicy stimulating food and alcohol. Because of this disease treatment cycle is long, and the condition is often repeated, patients should maintain a good state of mind, do not get angry and anxious. 14, how long to cure hormonal dermatitis? Answer: hormonal dermatitis generally need 2 months to 2 years ranging from time to time, the cure time and patients with external hormone preparations of the strength and time is proportional; and patients with facial lesions completely disappeared there is still a high degree of skin sensitivity manifestations, complete recovery still need a longer time; at the same time, secondary hyperpigmentation and redness (capillary dilatation) is a possible problem after the cure of the patient. 15.How to prevent the occurrence of hormonal dermatitis? A: Patients with skin diseases, especially facial skin diseases must be in the regular hospital dermatologist under the guidance of medication, do not buy their own medicine or arbitrarily long time topical hormone ointment. Secondly, avoid self-use or use of cosmetic products in beauty salons to avoid the harm to the skin caused by the hormones they may contain.