Topical corticosteroid abuse on face: A clinical, prospective study

Introduction: Topical corticosteroids are widely misused and uncontrolled use of topical corticosteroids leads to undesirable adverse effects on facial skin. Aim: The aim of this study was to assess cutaneous manifestations of topical corcticosteroid abuse on the face and to analyse various facto...

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Bibliographic Details
Main Authors: Kaur Brar Balwinder, Nidhi Kamra, Sukhmani Kaur Brar
Format: Article
Language:English
Published: Our Dermatology Online 2015-10-01
Series:Nasza Dermatologia Online
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Online Access:http://www.odermatol.com/issue-in-html/2015-4-5/
Description
Summary:Introduction: Topical corticosteroids are widely misused and uncontrolled use of topical corticosteroids leads to undesirable adverse effects on facial skin. Aim: The aim of this study was to assess cutaneous manifestations of topical corcticosteroid abuse on the face and to analyse various factors contributing to the same. Materials and methods: A total of 100 patients with facial dermatoses using topical corticosteroids for a minimum period of 1 month attending the outpatient department from a period of January 2013 to September 2014 were enrolled for the study. Details about the usage of topical corticosteroids and their adverse effects were recorded. Results: Majority of the patients were females (68%). The most common indication for use was acne (68%), followed by melasma (22%). Most of the patients used them for duration of less than 6 months and most commonly misused steroids were of potent type. The commonest side effect was acneiform eruption (56%) followed by steroid dependent facies (26%). Other adverse effects like hypertrichosis, telangiectasia and premature aged appearance was seen with longer duration of steroid use. Conclusion: Misuse of topical corticosteroids is rampant and urgent, quick steps are required to increase the awareness and for better management of its adverse consequences.
ISSN:2081-9390