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If the symptoms recur and steroid potency is step by step increased, the rosacea may grow to be refractory to further remedy, making it necessary to discontinue the steroid.
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Endocrine: Decreased carbohydrate and glucose tolerance, growth of cushingoid state, glycosuria, hirsutism, hypertrichosis, elevated requirements for insulin or oral hypoglycemic brokers in diabetes, manifestations of latent diabetes mellitus, menstrual irregularities, secondary adrenocortical and pituitary unresponsiveness (notably in times of stress, as in trauma, surgical procedure, or sickness), suppression of progress in pediatric patients.

 
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