Corticosteroid-dependent dermatitis (referred to as hormone-dependent dermatitis) is a dermatitis caused by long-term repeated improper topical hormone use. In recent years, it has become the focus of medical experts’ attention because of the rising trend of incidence year by year and its stubbornness and difficulty to cure. 1. Etiology 1. Wrong choice of indications: Corticosteroids have an anti-allergic effect of suppressing immune response, and can reduce congestion and edema after topical application, so that the degree of itching and inflammatory response to certain skin damage can be temporarily relieved and receded, people are often confused by this illusion, coupled with misleading advertising, and many people lack understanding of the scope of hormone application and adverse reactions and long-term abuse, leading to This leads to undesirable consequences. A few people also use these drugs instead of skin creams to apply on the face, and use them on the normal face for a long time, feeling good at the beginning, but over time they will develop dependent dermatitis; some people also misunderstand the “anti-inflammatory” effect of corticosteroids as the anti-inflammatory and antibacterial effect of antibiotics and repeatedly misuse them for a long time. For example, common skin diseases such as acne (youth acne), seborrheic dermatitis, ringworm, impetigo and other bacterial and fungal infectious skin diseases, eczema, dermatitis and other allergic skin diseases. Especially for skin diseases occurring on the face and pubic area, long-term large area use of stronger hormone preparations, because these parts of the skin corticosteroids are more easily absorbed, side effects are also relatively easy to occur; it is easy to cause skin atrophy, thinning, capillary dilation, pigmentation spots, skin wrinkling and aging. Especially for infants and children, the skin is delicate and should not be used on a large scale for a long period of time. If absorbed by the skin, it will also cause suppression of adrenal cortical function and bring serious adverse consequences. 2, improper selection of drug varieties, corticosteroids strong preparations, most likely to cause skin atrophy and other side effects, but due to the arbitrariness of the user, this type of drug is abused. Some experiments have shown that in the dikang Wang cream, dermatophyllin cream, skin easy cream, spot cream, beclomethasone cream, compound Connor cream, skin cream of these seven types of drugs, the monthly per capita dosage, dikang Wang cream per capita dosage is the least, but the proportion of side effects caused by up to 60.4%, one of the reasons is that the drug contains the most potent agent clobetasol, and this feature is not understood by users. 3, the use of too long: short-term topical corticosteroids can cause epidermal atrophy and can inhibit the synthesis of dermal collagen, long-term external use of large areas can cause systemic side effects. For example, a male seborrheic dermatitis patient, rotating the application of a variety of corticosteroid topical rubbing, for 14 years, in addition to facial diversity lesions and Cushing’s syndrome performance, but also the occurrence of pharmacogenic diabetes mellitus. A female patient with melasma who used daily topical rubbing of Dermacare for 3 consecutive years not only had side effects on her facial skin, but also developed pharmacogenic Cushing’s syndrome. It can be seen that even if a small area is externally rubbed with corticosteroid, if the time is too long, it can also lead to systemic side effects. 4, beauty market chaos and cosmetic abuse: In the last decade, with the rapid development of the beauty industry and the fierce competition in beauty salons, some beauty salons in order to attract consumers, hormones mixed into skin rejuvenation, whitening cosmetics to deceive consumers, so that many consumers thirsty for beauty and skin care, in the long-term application of their so-called “special effects of skin rejuvenation, whitening cosmetics The hormone-dependent dermatitis is caused after the long-term application of their so-called “special rejuvenation and whitening cosmetics”. Second, the characteristics of the onset 1, the same site external use of highly effective corticosteroids for more than 3 weeks, the skin appears erythema, papules, dry flaking, atrophy, atrophy lines, capillary dilation, purpura, acne, pigmentation abnormalities, rosacea-like dermatitis, perioral dermatitis, photoallergy, hirsutism, not easy to identify ringworm, ichthyosis-like changes and other secondary symptoms. 2.After applying the above hormone drugs, although the original disease can be rapidly improved; once the drug is stopped, within 1-2 days, significant erythema, papules, chancroid, desquamation, small pustules, itching and tenderness of the skin at the drug site occur. When the drug is used again, the above signs and symptoms will quickly subside, such as the discontinuation, dermatitis symptoms and quickly again, and gradually aggravated, the dependence on hormones is more obvious, especially the face, vulva is more common. 3. There is obvious local conscious itching or burning sensation. The treatment measures Because there is no ideal treatment for hormone-dependent dermatitis in Western medicine, mainly by gradually decreasing the amount of hormone drugs, together with antibacterial anti-inflammatory, anti-allergic drug therapy, until all hormone drugs are withdrawn, the treatment process takes 1-2 years. This is difficult for most patients to accept. Once the human body becomes dependent on hormones, the rebound aggravation of the primary lesion and the secondary side effects such as redness, tenderness, itching, peeling, dryness, cracking and flaking after stopping the medication can cause greater pain to the patients, and the treatment of hormone-dependent dermatitis is generally considered to be tricky by western medicine. The treatment plan is to continue to use hormone medication while treating with antimicrobials, vitamins and desensitizing medications, gradually reducing the dosage until withdrawal. It takes more than a year for the skin lesions to return to normal, and most patients have a lot of mental stress about this. In this regard, doctors and patients’ families should do a good job of thinking about the patients, have a full understanding of the role and side effects of hormones, and enhance their confidence in overcoming the disease. In addition, under the correct choice of therapeutic drugs and gradual reduction until the withdrawal of corticosteroids, Chinese medicine treatment to counteract the above side effects and adverse reactions should be chosen. My self-developed dermatitis soup treatment for hormone dependent dermatitis takes a month to two months to work very well.