corticosteroids, topical treatment, acnes, anti-inflammatory mediaction
Do your mean like a peri-oral dermatitis, or withdrawal dermatitis?
These side effects are caused by the used of fluorated corticosteroid avec high potency on sensitive areas such as the face.
Choosing the right cream with the right vehicles and the right steroid strenght will prevent side effects.
Varied presentation when patients resort to OTC products or onset of secondary pyoderma can manifest as exacerbation on stopping therapy.
Also, withdrawal effect manifests with topical steroids particularly in allergic dermatitis, lichen planus and pustular psoriasis. This necessitates identification/avoidance of triggering factor, addition of systemic agent prior to discontinuation or favourably taper by spacing intervals between applications.
Compliance and regular follow up are necessities to prescribe corticosteroids.
It's because steroid therapy doesn't treat the cause of disorder, but rather eliminates its symptoms, i.e. suppresses the response of the immune system, which affects the appearance of the skin rash. Attached please see the results of the treatment of atopic dermatitis using Chinese Balance Acupuncture only.
In addition to steroids reducing inflammation, topical steroids also reduce production of lipids and filaggrin in the skin. Thus, post topical steroids the skin if often drier and more prone to itch (increased trans-epidermal water loss occurs). The pay-back post steroids can be the need to use moisturisers and pay more attention to skin care during and post use.
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