Background: TSDF incidence is increasing across South Asia due to unsupervised use of potent topical steroids and

social mediandriven beauty standards.

Objective: To describe the clinical and psychosocial patterns of TSDF in Bangladesh.

Methods: A 12-month study involving 150 TSDF patients. Clinical evaluation, steroid history, symptoms, triggers, and

treatment response recorded.

Results:

• 87% female patients, age 18–35 years

• Steroid source: OTC 71%, parlor/social media 48%, cosmetic fairness brands 36%

• Prominent symptoms: Erythema, acneniform eruptions, telangiectasia, burning, photosensitivity

• 63% psychological distress reported

• Clinical improvement in 8–12 weeks after steroid withdrawal and barrier therapy

Conclusion: TSDF is preventable. Strict regulation, public education, and dermatologist led awareness are essential to

combat this rising dermatologic burden.

Nubayra Tasneem is a Consultant Dermatologist specializing in clinical, aesthetic, and procedural dermatology. She completed her MBBS followed by postgraduate training in Dermatology and Venereology at Shaheed Suhrawardy Medical College and Hospital, Dhaka. She holds DDV and MCPS (BCPS) qualifications, reflecting her strong academic and clinical foundation in dermatology. She has undertaken advanced international fellowships in Aesthetic Dermatology (India and Germany), Cutaneous and Laser Surgery (Thailand), and Aesthetic Dermatology (Turkey), gaining extensive exposure to modern aesthetic and laser-based dermatologic procedures. She also holds an MSc in Sexology and Psychosexual Counselling (India), allowing her to integrate a holistic approach in managing dermatological and psychosexual

health concerns. Her clinical expertise includes aesthetic dermatology, laser surgery, injectables such as botulinum toxin and dermal fillers, non-surgical facial rejuvenation, hair disorders, and regenerative treatments including PRP. She is actively engaged in evidence-based dermatology and continuous professional development. Dr. Tasneem is a regular participant and speaker at national and international dermatology conferences and is associated with multiple professional dermatological organizations. She currently serves as Consultant Dermatologist at Continental Hospital PLC, Dhaka, Bangladesh.