Steroids are naturally occurring substances that are produced in our bodies to regulate growth and immune function. There are many different kinds of steroids, including “anabolic steroids” such as testosterone and “female hormones” such as estrogen , and corticosteroids such as cortisol, which is produced by the adrenal glands. Corticosteroids are the type of steroid used for eczema. Corticosteroids have many functions in the body, but among other things, they are very effective at controlling inflammation. The way corticosteroids reduce inflammation is very complicated, but it involves temporarily altering the function of a number of cells and chemicals in the skin.
The obvious priority is immediate discontinuation of any further topical corticosteroid use. Protection and support of the impaired skin barrier is another priority. Eliminating harsh skin regimens or products will be necessary to minimize potential for further purpura or trauma, skin sensitivity, and potential infection. Steroid Atrophy   is often permanent, though if caught soon enough and the topical corticosteroid discontinued in time, the degree of damage may be arrested or slightly improve. However, while the accompanying Telangectasias may improve marginally, the Striae is permanent and irreversible.