Study of clinical profile of patients presenting with topical steroid-induced facial dermatosis to a tertiary care hospital

Jain, Sonal; Mohapatra, Liza; Mohanty, Pramod K.; Jena, Swapna; Behera, Binodini

doi:10.4103/idoj.idoj_259_19

Cited by 14 publications

(11 citation statements)

References 15 publications

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“…83.6% Moreover, in this study acne was identified as the most common side-effect of using topical corticosteroid or fairness cream as reported by previous studies. 13 , 15 - 17 However, the burden of acne in our study population is slightly higher than the frequency reported by previous studies which can be explained by the differences in research methodology. In this study, the burden of acne was significantly higher among study participants of the age group 18 years or less.…”

Section: Discussioncontrasting

confidence: 69%

Obsession to fairness and topical steroid induced acne: A situation analysis of patients presenting in dermatology clinic at a private hospital in Karachi

Naureen Ghouse,

Ashraf,

Khan

et al. 2023

Pak J Med Sci

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Objective: To determine the frequency of acne and other relevant side effects as well as the pattern of topical steroid and fairness cream use among patients presenting with steroid and fairness cream use at dermatology OPD in a tertiary care private hospital in Karachi. Methods: A cross-sectional survey was conducted from April, 2020 to December, 2020 in a private tertiary care hospital in Karachi. In total, 226 patients with a positive history of topical steroids and/or fairness creams use in the past six months were included in the study. Information was collected about sociodemographic characteristics; topical corticosteroid uses while clinical examination of facial skin was performed by a dermatologist. Data were analyzed using SPSS version-19. Results: The median age of study participants was 26 years with an interquartile range of 10 years. This frequency of corticosteroid induced acne was highest i.e., 83.6% (n=189) followed facial erythema and telangiectasia i.e., 50.9% (n=115) 47.8% (n=108) respectively. The estimated median duration of using topical steroids or fairness creams or both was six months with an IQR of four months. The study found statistically significant differences in the reasons of using topical corticosteroids or fairness creams on the face on the basis of differences in the level of education and marital status. Conclusion: In Karachi, both, men and women are equally obsessed with fair skin tone and use topical steroids and fairness cream. The use of corticosteroid or fairness cream-induced facial acne is alarmingly high among patients presenting in a dermatology clinic in Karachi. doi: https://doi.org/10.12669/pjms.40.1.7074 How to cite this: Ghouse AN, Ashraf E, Khan ZI, Sidiqqui S. Obsession to fairness and topical steroid induced acne: A situation analysis of patients presenting in dermatology clinic at a private hospital in Karachi. Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.7074 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussioncontrasting

confidence: 69%

Obsession to fairness and topical steroid induced acne: A situation analysis of patients presenting in dermatology clinic at a private hospital in Karachi

Naureen Ghouse,

Ashraf,

Khan

et al. 2023

Pak J Med Sci

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“…As majority of recommendations for triple action creams came from relatives and friends (49.1%), pharmacists and chemists (36.8%), and doctors (6.1%), people were more likely to purchase the brand specifically recommended. Medical professionals were noted to indiscriminately prescribe these creams with up to 42.9% of our study population having received professional recommendations for various indications including acne and hyperpigmentation as shown in a multitude of studies (Jain et al, 2020;Inakanti et al, 2015;Swaroop et al, 2019;Dey, 2014;Varshney et al, 2019) highlighting the necessity for improved regulation as recommended by Nigerian researchers who recognize that this is a pressing issue in our region (Ibekwe et al, 2018;Nnoruka and Okoye, 2006;Onuchukwu and Osahon, 2022;Joda et al, 2017;Emeka et al, 2021). Side effects such as skin sensitivity were experienced by a majority of the study population as expected and erythema was experienced by 29.8% of respondents but was outweighed by macular hyperpigmentation (37.1%) and then steroid-induced acne (21.5%).…”

Section: Resultsmentioning

confidence: 79%

Misuse of Topical Corticosteriods in the Treatment of Acne and Hyperpigmentation: An Observational Study in Two Pharmacies in Lagos, Nigeria.

Olukole,

Fuludu

2024

OJBR

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Nigeria witnesses a prevalent inclination towards the use of easily accessible over-prescribed drugs and topical corticosteroids are no different. This study explores the misuse of topical corticosteroids, particularly focusing on the widespread use of triple action creams (TACs) (which combine antibiotics, antifungals, and topical corticosteroids) in addressing hyperpigmentation and acne. This study was conducted to examine the misuse of TACs and adverse effects experienced by the study population and highlight the association between motivations of use, demographics and respondents profile. A cross-sectional descriptive study was carried out in 2 pharmacies from March 2023 to January 2024 amongst 326 individuals using triple-action creams for skin conditions. Data collection included administering questionnaires and conducting physical skin analyses. Chi-squared and Fisher tests were used for data interpretation. Among 326 subjects, the female population (81.9%) was found to abuse TACs the most, and (84.4.%) of the study population was aged between 21-30 years. Betamethasone dipropionate (56.8%) was the most commonly employed steroid used for treating acne (41.7%) and hyperpigmentation (17.5%). Side effects from prolonged use included sensitivity (63.2%), macular hyperpigmentation (37.1%), erythema (29.8%), and steroid-induced acne (21.5%). In conclusion, This study provides recent insights into the population segments most affected by the misuse of triple-action creams along with current treatment practices and preferences for the treatment of acne and hyperpigmentation within the study population. These findings concerning the adverse effects experienced by the study population underscore the need for regulatory measures regarding the marketing and prescription of topical corticosteroids.

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“…3 Apart from their anti-inflammatory property, they possess additional clinically valuable properties like antipruritic, immunosuppressive, and melanogenic, etc. 2 Therefore, they are misused for various indications such as acne, pigmentation, fungal infection, pruritus, and many times as a cosmetic or a skin cream for any type of rash. 3 Poor health infrastructure, lack of adequate specialist services, the practice of self-medication, affordability, and easy access over-the-counter (OTC) have resulted in widespread abuse of TC.…”

Section: Introductionmentioning

confidence: 99%

“…1 These are available in the form of creams, ointments, gels, solutions, and various other vehicles. 2 The common indications are conditions such as psoriasis, lichen planus, eczema, lichen simplex chronicus, and other steroid-responsive dermatoses. 3 Apart from their anti-inflammatory property, they possess additional clinically valuable properties like antipruritic, immunosuppressive, and melanogenic, etc.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Evaluation of Safety and Economic Burden Due to Topical Steroid Misuse in Patients with Self-medication and Prescribed Medication

Besra,

Tripathy,

Srivastava

et al. 2023

Journal of Pharmacology and Pharmacotherapeutics

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Introduction: Topical corticosteroids are currently the primary drugs to treat several dermatological disorders. But they are misused for various indications such as acne, pigmentation, fungal infection, and pruritus, and many times as a cosmetic or a skin cream for any type of rash. This study is performed to compare the magnitude of adverse events between practitioner-prescribed and self-prescribed groups of patients. In addition, this study also focuses on the demographic and educational status of patients where topical steroids are most widely misused. Methodology: It is a cross-sectional, hospital-based observational study conducted in the Department of Dermatology in collaboration with the Department of Pharmacology, KIMS, Bhubaneswar. A total of 134 patients were enrolled after getting the informed consent for the study, and assessed based on their topical steroid misuse and their adverse effects. Results: The present study showed that steroid misuse was most common between 20 and 30 years of age group patients with low educational status. The most commonly applied steroid was clobetasol followed by mometasone and steroid abuse was more common in self-prescribed patients than physician-prescribed patients. The economic burden was more in the case of people using steroid cream only or steroid + anti-fungal creams because they have to be applied over a large body surface area. Incidence of adverse effects was observed more in self-prescribed patients and with low educational status. Conclusion: This study highlights the fact that self-medication increases the incidence of adverse reactions and economic burden on the patients. Continuous education of patients and strict regulations regarding over-the-counter sales of steroids may help decrease the incidence of steroid misuse.

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Study of clinical profile of patients presenting with topical steroid-induced facial dermatosis to a tertiary care hospital

Cited by 14 publications

References 15 publications

Obsession to fairness and topical steroid induced acne: A situation analysis of patients presenting in dermatology clinic at a private hospital in Karachi

Obsession to fairness and topical steroid induced acne: A situation analysis of patients presenting in dermatology clinic at a private hospital in Karachi

Misuse of Topical Corticosteriods in the Treatment of Acne and Hyperpigmentation: An Observational Study in Two Pharmacies in Lagos, Nigeria.

Comparative Evaluation of Safety and Economic Burden Due to Topical Steroid Misuse in Patients with Self-medication and Prescribed Medication

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