Review on Knowledge, Attitude and Practice among Patients with Topical Steroid-Dependent Face

Topical corticosteroids (TCS) are widely prescribed in dermatology due to their potent anti-inflammatory and immunosuppressive effects. However, indiscriminate and prolonged use, especially on the face, has led to a growing public health problem known as topical steroid-dependent face (TSDF). TSDF is characterized by erythema, burning, acneiform eruptions, telangiectasia, rosacea-like dermatitis, and rebound flares following withdrawal. Poor patient knowledge, inappropriate attitudes, and unsafe practices play a central role in the development and persistence of this condition. This narrative review aims to synthesize available literature on knowledge, attitude and practice (KAP) related to topical corticosteroid use among patients with facial dermatoses, emphasizing the epidemiology, behavioural determinants, clinical consequences, and management challenges of TSDF. The review also highlights the urgent need for patient education, regulatory reforms, and multidisciplinary interventions to address this preventable iatrogenic condition.