Misuse of topical corticosteroids: A clinical study of adverse effects

Dey, Vivek Kumar

doi:10.4103/2229-5178.142486

Cited by 82 publications

(93 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study showed that fairness and skin lighteneting was the main indication of steroid abuse which was also the most common reason in our study. 1 Common of adverse effects seen in our study after applying topical corticosteroids and acne or acneiform eruptions was the most common side effects, similar to other authors' data. 7,8 A study showed rosacea to be more common than acne.…”

Section: Discussionsupporting

confidence: 79%

“…7,8 A study showed rosacea to be more common than acne. 1 In our study 89 patients suffered from TSDF, a term coined by Sarasswat A., Lahiri K. et al 9 Various other adverse effects, such as erythema, telengiectasias, dyspigmentation and perioral dermatitis was also seen. In our study 24 patients had to switch over to more potent steroids as there was decrease in response to previously used steroids.…”

Section: Discussionmentioning

confidence: 99%

“…1 Topical steroids hold a high place and are an important tool for the dermatologist. They are highly efficacious and have become the main therapeutic tool among dermatologists.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Misuse of topical corticosteroids on facial skin. A study of 200 patients.

Sharma¹,

Abrol²,

Wani³

2017

J Dermatol Case Rep

View full text Add to dashboard Cite

Background: Topical corticosteroids have become available as over the counter drugs and are widely misused for various conditions. Objective: The aim of this study is to assess the clinical and epidemiological aspects of the unjustified use of topical corticosteroids for facial skin. Methods: A total of 200 patients with facial dermatoses and topical corticosteroid misapplication daily over face for not less than 30 days were included in the study. This was a prospective study conducted in a tertiary care dermatology outpatient centre of the Jammu region. A detailed clinical history regarding topical corticosteroid use was taken and adverse effects analysed. Results: A total of 166 patients were women and 34 were men. The predominant age was 31-40 years. A total of 170 patients (85%) were in the age group of 21-50 years. Duration of application was over 1 month up to 3 years, daily. Betamethasone or clobetasol ointments were used in 75 patients (37.5%) and momatasone was used in 15 patients (7.5%). Indication for using steroids were: general / cosmetic purposes (72 patients; 36.0%), acne (59; 29.5%), hyperpigmentation (41; 20.5%), tinea (6; 3%), undiagnosed dermatoses (28; 14.0%). The use of corticosteroids was attributed to the advice of pharmacists (69; 34.5%), friends and relatives (61; 30.5%), cosmetologists (22; 11.0%), non-dermatology physicians (30; 15.0%) and dermatologists (18; 9%). Adverse effects included acneiform lesions, telengiectasias, dyspigmentation, hypertrichosis, perioral dermatitis and tinea incognito. A total of 89 (44.5%) patients fulfilled the criteria of "topical steroid dependent face". These patients reported erythema, burning and itching on stopping the application of topical corticosteroids. Conclusion:In most cases the use prolonged use of topical corticosteroids on facial skin was recommended by non-professional persons. The adverse events ranged from transient to permanent. The results of this study underline the indispensable role of dermatology specialists in diagnosing and treating cutaneous disorders. (J Dermatol Case Rep.

show abstract

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Misuse of topical corticosteroids on facial skin. A study of 200 patients.

Sharma¹,

Abrol²,

Wani³

2017

J Dermatol Case Rep

View full text Add to dashboard Cite

show abstract

“…In a large study collecting data from patients presenting with one of the topical steroids side effects, the main reason for using the topical was to lighten skin color and the many side effect encountered was acne and telangectasia [16].…”

Section: Discussionmentioning

confidence: 99%

Use of topical steroids on the face among university students in Saudi Arabia

Majed¹,

Alnujaidi²,

Almohammadi³

et al. 2018

biomedicalresearch

View full text Add to dashboard Cite

Background: Topical corticosteroids are widely used to treat dermatological problems. The aim of this study is to assess the scale of topical steroid usage on the face among the university students. Methods: An online questionnaire has been sent by e-mail to all students of King Abdulaziz University (Jeddah, Saudi Arabia). It included questions about the use of topical steroids on the face for the last 5 y. Different photos of commonly used topical steroids including combination formulas were shown and asked if they have been used. Results: 1626 students responded. Only 56 responded as they have used topical steroids on the face in the previous 5 y. At least 189 had used one of the presented photos (which contained steroids) and 637 said that they did not know that they contained steroids. Sources of prescription included dermatologists, other doctors, pharmacists, friends and relatives, beauticians or saloon staff and others. Different recognized side effects were reported. Conclusion: Considerable number of university students use topical steroids on the face without knowing its nature. Additionally, Topical steroids are being prescribed and advised by non-medical personnel. Public awareness actions can be implemented to warn against the use of topical steroids without proper medical consultation.

show abstract

“…[1] Since then, number of unwanted dermatosis emerged with the introduction of more number of higher potency TCS. The clinical effects as well as some side effects of steroids are due to anti inflammatory, anti proliferative and immunosuppressive effects.…”

Section: Introductionmentioning

confidence: 99%

Topical Corticosteroids - A Great Challenge to Avoid Misuse on Face

Chauhan¹

2017

jmscr

View full text Add to dashboard Cite

Misuse of topical corticosteroids: A clinical study of adverse effects

Cited by 82 publications

References 12 publications

Misuse of topical corticosteroids on facial skin. A study of 200 patients.

Misuse of topical corticosteroids on facial skin. A study of 200 patients.

Use of topical steroids on the face among university students in Saudi Arabia

Topical Corticosteroids - A Great Challenge to Avoid Misuse on Face

Contact Info

Product

Resources

About