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. 2016 Jul-Aug;7(4):259-63.
doi: 10.4103/2229-5178.185492.

Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients

Abhijeet Kumar Jha  1 , Rajesh Sinha  1 , Smita Prasad  1
Affiliations

Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients

Abhijeet Kumar Jha et al. Indian Dermatol Online J. 2016 Jul-Aug.

Abstract

Background: Topical corticosteroids (TC) are being misused widely on the face without a prescription from the dermatologist.

Aim: To evaluate the misuse of TC-containing preparations on the face and the adverse effects due to its application.

Materials and methods: A questionnaire-based analysis was done among patients attending the dermatology outpatient department of a tertiary care hospital between March 2014 and March 2015. Patients with various facial dermatoses were asked about their current use of topical preparations and on further followup questioning, those who revealed the use of TCs (25g or more) continuously or intermittently for a minimum duration of four weeks were included in the study and observed for local adverse effects.

Results: A total of 410 patients were observed, 306 were females (74.6%) and 104 were males (25.3%). One hundred and seventy-eight patients (43.4%) used topical steroids alone, 124 (30.2%) used creams containing TC, hydroquinone, and tretinoin, 108 (26.3%) used creams containing a combination of TC, antibiotic, and/or antifungal. One hundred and seventy-six patients (42.9%) bought TC or TC containing creams over the counter on their own, without the prescription of a dermatologist, 35 (8.5%) were recommended TC by a beautician (beauty parlors), 82 (20%) by their friends, family members, or neighbors, 75 (18.2%) by a non-dermatologist practitioner, and 42 (10.2%) by a dermatologist.

Limitations: The sample size was small.

Conclusion: Dispensing of TCs must be regulated in India; they should only be issued against a doctor's prescription.

Keywords: Misuse; combination cream; topical steroids.

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Figures

Figure 1
Figure 1
Steroid-induced acne
Figure 2
Figure 2
Steroid-induced hypopigmentation
Figure 3
Figure 3
Steroid-induced erythema
Figure 4
Figure 4
Perioral dermatitis with hyperpigmentation
Figure 5
Figure 5
Steroid induced rosacea
Figure 6
Figure 6
Hirsuitism
Figure 7
Figure 7
Steroid-induced hyperpigmentation
See this image and copyright information in PMC

References

    1. Smith EW. Do we need new and different glucocorticoids. A re-appraisal of the various congeners and potential alternatives? Curr Probl Dermatol. 1993;21:1–10. - PubMed
    1. Lu H, Xiao T, Lu B, Dong D, Yu D, Wei H, et al. Facial corticosteroid addictive dermatitis in Guiyang city, China. Clin Exp Dermatol. 2010;35:618–21. - PubMed
    1. Liu ZH, Du XH. Quality of life in patients with facial steroid dermatitis before and after treatment. J Eur Acad Dermatol Venereol. 2008;22:663–9. - PubMed
    1. Al-Dhalimi MA, Aljawahiry N. Misuse of topical corticosteroids: A clinical study in an Iraqi hospital. East Mediterr Health J. 2006;12:847–52. - PubMed
    1. Saraswat A, Lahiri K, Chatterjee M, Barua S, Coondoo A, Mittal A, et al. Topical corticosteroid abuse on the face: A prospective, multicenter study of dermatology outpatients. Indian J Dermatol Venereol Leprol. 2011;77:160–6. - PubMed