Topical Steroid Damaged Facies (TSDF)

Kauvery Hospital15 Sep, 2025Health

Q1. What Is Topical Steroid–Damaged Facies (TSDF)? Topical steroid–damaged facies (TSDF) refers to the constellation of facial skin changes and systemic complications that occur due to inappropriate, prolonged, or unsupervised use of topical corticosteroids. Topical corticosteroids are highly effective drugs when prescribed correctly for conditions like eczema, psoriasis, or dermatitis. However, their misuse on the delicate facial skin often leads to cosmetic disfigurement, dependency, and long-term medical consequences.