Topical corticosteroids: Abuse and Misuse

Inakanti, Yugandar; Thimmasarthi, Venkata Narsimha Rao; Anupama, .; Kumar, Shiva; Nagaraj, Akshaya; Peddireddy, Srilakshmi; Rayapati, Abhiram

doi:10.7241/ourd.20152.35

Cited by 15 publications

(19 citation statements)

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“…In our study, acne aggravation and acneiform eruption due to TCs was seen in 35% patients. 8,12 This is almost similar to the result of study by Bhat YJ et al reporting 35% patients with acneiform eruption. 10 Brar KB et al observed acneiform eruption in 56% cases as the most common side effect.…”

Section: Discussionsupporting

confidence: 82%

“…10 Saraswati A et al and Inakanti Yet al observed high incidence of acneiform eruption in their study of 57.5 % and 88.5% respectively. 3,8 It was observed that on short term use, the TCs had good results in controlling acne while the situation worsened on continuous long time application.…”

Section: Discussionmentioning

confidence: 99%

“…3,8 The 58:42 ratio of rural to urban population is a clear indication of ubiquitous presence of this problem. In rural areas, another major problem was the web of village doctors who were prescribing authority in 14% of cases in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Inakanti Y et al reported betnovate (containing Betnovate valerate 0.1%) use in 79.2% cases and Saraswati A et al in 50% cases. 8,3 The reason for rampant use of this molecule is its low cost, over the counter availability and decades of presence in Indian market. Another fast emerging molecule to be abused was clobetasol propionate, mainly used in combination with antifungal or antibiotic.…”

Section: Discussionmentioning

confidence: 99%

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Topical corticosteroid abuse on face: a clinical study of 100 patients

Bains

2016

Int J Res Dermatol

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Background: Prolonged and uninterrupted use of topical corticosteroids on face is globally prevalant and this misuse has reached monstrous proportion in India. The topical corticosteroid abuse leads to various local adverse effects on face which are difficult to treat. The aim of this study was to ascertain the magnitude, demographics, cause and adverse effects of TC abuse on the face in the dermatology out-patient department.Methods: A total of 100 patients with history of topical corticosteroid abuse on face for a minimum period of one month were enrolled in this study.Results: In our study, majority of the patients were females (76%) and the most common age group was 21-30 years with 49% patients. The duration of application was <6 months (45%) in majority of patients. Most common topical corticosteroids abused were betamethasone valerate in 49% and clobetasol propionate in 40% cases.Conclusions: Topical corticosteroid abuse on face is quite common with varied presentation. There is need to take urgent remedial steps and increase awareness about this problem in general population.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Topical corticosteroid abuse on face: a clinical study of 100 patients

Bains

2016

Int J Res Dermatol

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“…[11][12][13]16 Similar to the results seen in other studies done on TCs misuse on face, our study also observed 15-35 years old as the most common age group and were unmarried. 18,19 In rural areas, the major problem was the cluster of village doctors who were prescribing authority of cases in our study. Majority of these village doctors don't even possess the minimal educational qualification needed to practice medicine.…”

Section: Discussionmentioning

confidence: 99%

Topical steroids - fairness fervour to fallout

Hogade

Fatima

2017

Int J Res Dermatol

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Background: Topical Steroids (TS) are one of the most widely used therapeutic formulations in practice. Treatment was revolutionized with the advent of these anti-inflammatory corticosteroids .They provide rapid symptomatic relief in almost all inflammatory dermatoses , in short term. In India topical steroids are marketed by many pharmaceutical companies and few of these formulations are available at every medical store even without a prescription.Methods: Patients with relevant facial dermatoses (clinical features suggestive of TS abuse) with history of current TS inappropriate use were included. Diagnosis was established on clinical basis and consent was sought. Proper skin examination was performed to detect the condition related to abuse of TS.Results: Out of 100 patients studied 54 were females and 46 males. Majority were of 15-35 years age group and unmarried. 72% patients belonged to lower and 25% to middle socioeconomic class. Majority of the patients were students (42%) followed by household workers (38%). Conclusions: Unnecessary cosmetic use of TCs with or without fairness creams is quite common in facial dermatoses resulting in steroidal dermatitis resembling rosacea. Topical steroid misuse is increasing because of easy availability, Lack of awareness, Obsession for fair skin.

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Abuse of Topical Corticosteroid as Cosmetic Cream: A Social Background of Steroid Dermatitis

Rathi¹

2017

A Treatise on Topical Corticosteroids in Dermatology

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Topical corticosteroids: Abuse and Misuse

Cited by 15 publications

References 0 publications

Topical corticosteroid abuse on face: a clinical study of 100 patients

Topical corticosteroid abuse on face: a clinical study of 100 patients

Topical steroids - fairness fervour to fallout

Abuse of Topical Corticosteroid as Cosmetic Cream: A Social Background of Steroid Dermatitis

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