Hi, I am 23 yr old male with mild acne and with am obsessive compulsive personality...the combination of these two things has lead me to over use the topicals prescribed to me for my mild acne. I have used differin and retina for over 3 years...1st differin then retina. didnt get any results from the differin but the retina and antibiotics completely cleared me up...for a time but the antibiotics stopped working and my acne came back...but i continued to use the retina addictively thinking it would cure me again...but no...it has caused me to develop sebboheic dermatitis ANOTHER facial rash...great...its a light flaky rash around my nose...its by no means as bad as acne but still another pain in my ***...just wanted to share this with you cause I know there are others out there like me...hope this helps...good luck
ps. heres an excerpt from a medical study done concerning this:
Facial Dermatitis in Patients Treated with Topical Drugs
Visnja Milavec-Puretic, Aleksandra Basta-Juzbasic, Vesna Bubanj, Branka Galic, Tatjana Zrnic
Abstract:
Aim. To follow up and evaluate etiologic factors in the patients with clinical diagnosis of facial dermatitis, including contact allergic dermatitis (CAD), irritant contact dermatitis (CD), rosaceiform dermatitis (RD), seborrheic dermatitis (SD) and atopic dermatitis (AD) on the face.
Patients and Methods. In the period October 1992 March 1994, 142 patients with the above clinical diagnoses were examined at the Allergy and Cosmetics Unit of the Department of Dermatology, University of Zagreb School of Medicine and Clinical Hospital Center. Sixty-five patients had been previously treated topically with steroids (alclomethasone, hydrocortisone, betamethasone, flumethasone or clobetasol) for a long period. Epicutaneous (patch) testing for standard allergens and topical drugs was performed for cellular immunity in all of them, while 108 patients were tested for parasites of the Demodex species and 124 for the Pityrosporum ovale mycosis.
Results. The final diagnoses were the following: CAD in 68 patients (47.9%), SD in 16 patients (11.3%), RD in 15 patients (10.6%), CD in 5 patients (3.5%) and AD in 2 patients (1.4%). Double diagnoses were found as follows: CAD+SD in 23 patients (16.2%), CAD+RD in 4 patients (2.9%), RD+SD in 2 patients (1.4%), CD+SD in 6 patients (4.2%) and CAD+AD in 1 patient (0.7%). Parasites of the <F57663W1>Demodex<F255D> species were positive in 58 (53.7%) and Pityrosporum ovale in 115 (92.7%) cases. These patients were treated with topical antiparasitic or antimycotic creams.
Conclusion. Previous long-term topical treatment resulted in allergic contact dermatitis in most of the patients, and to a lesser extent in irritative contact dermatitis or a combination with seborrheic dermatitis and rosaceiform dermatitis. The data stress the importance of avoiding long-term topical treatment with corticosteroids, antibiotics and aggressive agents.