Unexplained Facial Veins: Are They a Side Effect of Elomet Cream? - Dermatology

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There are unexplained blue lines on the face, resembling telangiectasia?


Recently, I visited a dermatologist due to small wounds on my face, and the doctor prescribed Elomet cream.
I'm wondering if the sudden appearance of blue veins on my face could be a side effect of the medication.
If it is, will stopping the medication make them disappear? I have been applying the cream on my nose for about two weeks, but the blue veins are located on my cheeks, roughly the size of a one-dollar coin.

kirua, 20~29 year old female. Ask Date: 2019/11/17

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
You should consult your attending physician to discuss whether it is the issue you suspect.

Reply Date: 2019/11/17

More Info


Unexplained facial veins, often referred to as telangiectasia, can be concerning, especially when they appear suddenly after starting a new medication like Elomet Cream, which contains mometasone furoate, a topical corticosteroid. While it is essential to consult your dermatologist for a definitive diagnosis, I can provide some insights into the potential relationship between Elomet Cream and the appearance of these veins.

Corticosteroids, including topical formulations, can have various side effects, particularly with prolonged use or when applied to sensitive areas like the face. Common side effects of topical corticosteroids include skin thinning (atrophy), striae (stretch marks), and changes in pigmentation. However, the development of telangiectasia is less commonly associated with topical corticosteroids and may be more related to other factors, such as skin irritation, underlying skin conditions, or even environmental factors.

In your case, since you have been using Elomet Cream for about two weeks on a small area of your face, it is possible that the appearance of the facial veins could be due to localized irritation or a reaction to the cream. Corticosteroids can sometimes cause vasodilation, leading to the visibility of underlying blood vessels, especially in sensitive areas. However, this is not a typical side effect and may warrant further investigation.

If you suspect that the Elomet Cream is causing these changes, it is advisable to stop using the cream and monitor the affected areas. If the veins diminish or disappear after discontinuation, it may suggest that the cream was a contributing factor. However, if the veins persist, it is crucial to seek further evaluation from your dermatologist. They can assess whether the veins are indeed related to the medication or if there is another underlying cause that needs to be addressed.

In addition to medication-related factors, consider other potential contributors to the appearance of facial veins. Environmental factors, such as exposure to extreme temperatures, sun exposure, or even lifestyle factors like alcohol consumption and smoking, can exacerbate the visibility of facial veins. Moreover, certain skin conditions, such as rosacea or chronic sun damage, can also lead to the development of telangiectasia.

In summary, while it is possible that Elomet Cream could be related to the appearance of unexplained facial veins, it is not a common side effect. Discontinuing the cream may help determine if it is the cause, but a thorough evaluation by your dermatologist is essential for an accurate diagnosis and appropriate management. They may recommend alternative treatments or skincare routines that are better suited for your skin type and condition. Always prioritize professional medical advice when dealing with skin changes, especially in sensitive areas like the face.

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