Topical corticosteroid abuse over face: A clinical study

Autor:	Mukunda Ranga Swaroop, Mouryabha Shale K S, Sindhujaa Sreekanth S, Suman Swamynathan, Mithila Ravindranath, Yogesh Devaraj
Rok vydání:	2019
Předmět:	medicine.medical_specialty medicine.drug_class business.industry medicine.medical_treatment Therapeutic effect medicine.disease Dermatology Acneiform eruption Symptomatic relief medicine Corticosteroid medicine.symptom Medical prescription Adverse effect business Acne Topical steroid
Zdroj:	IP Indian Journal of Clinical and Experimental Dermatology. 5:299-305
ISSN:	2581-4729 2581-4710
DOI:	10.18231/j.ijced.2019.063
Popis:	Introduction: Topical corticosteroids are extensively used in modern dermatological practice for their therapeutic effects. Incorrect and inappropriate use causes undesirable adverse effects especially the face. Materials and Methods: A questionnaire based clinical study was conducted for 1 year among 100 patients presenting with chief complaints due to topical steroid abuse over face and data was analysed. Results: Out of 100 patients, preponderance were seen in females (M :F= 1:2.5). Majority were from rural areas (56%). The most common age group was 21-30yrs (35%). Students constituted 27%. Majority of them (76%) used mid potent steroids. Although Betame thasone valerate 0.1% (32%) was commonest topical preparation abused, most of the patients had adverse effects due to steroid with antibiotic and antifungal combination. Most common indication for application was acne (35%). In majority of the patients (46%), suggestion for application was given by friends. In 79% of patients, mode of purchase was without prescription. Duration of usage was more than 1 year in 29% patients. Acneiform eruptions (19%) followed by pigmentation (16%) were the most common adverse effects. Discussion: Easy availability of these over-the-counter steroid preparations, rapidity of symptomatic relief in various facial dermatoses and recurrence of symptoms on discontinuing these medications are the main reasons for abuse. Patients are unaware of the risks posed by these products and continue to use them for longer periods. Conclusion: Topical corticosteroids abuse benefits manufacturers and vendors but ultimate victims are heedless human race. A careful assessment and proper counseling of these patients and general physicians against the use of these preparations over the face is the need of the hour. Keywords: Steroid induced facies, Topical corticosteroid, Steroid abuse.
Databáze:	OpenAIRE
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