DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20172203

Topical steroids - fairness fervour to fallout

Ashok S. Hogade, Ismat Fatima

Abstract


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.


Keywords


Topical corticosteroids, Fairness creams, Steroidal dermatitis, Adverse effects, Misuse

Full Text:

PDF

References


Sulzberger MB, Witten VH. The effect of topically applied compound F in selected dermatoses. J Invest Dermatol. 1952;19:101–2.

Epstein NM, Epstein WL, Epstein JH. Atrophic striae in patients with inguinal intertrigo. Arch Dermatol. 1963;87:450–7.

Hengge UR, Ruzicka T, Schwartz RA, Cork MJ. Adverse effects of topical glucocorticosteroids. J Am Acad Dermatol. 2006;54:1–18.

Rathi S. Abuse of topical steroid as cosmetic cream: A social background of steroid dermatitis. Indian J Dermatol. 2006;51:154-5.

Chen AYY, Zirwas MJ. Steroid-induced rosacea like dermatitis: case report and review of the literature. Cutis. 2009;83:198-204.

Leyden J, Thew M, Kligman AM. Steroid rosacea. Arch Dermatol. 1974;110:619-22.

Del Rosso JQ. Management of papulopustular rosacea and perioral dermatitis with emphasis on iatrogenic causation or exacerbation of inflammatory facial dermatoses. J Clin Aesth Dermatol. 2011;4:20-30.

Frumess GM, Lewis HM. Light sensitive seborrheid. Arch Dermatol. 1957;75:245-8.

Rapaport AMJ, Rapaport V. Eyelid dermatitis to red face syndrome to cure: clinical experience in 100 cases. J Am Acad Dermatol. 1999;41:435-42.

Agarwal A, Singhvi IJ, Bele D, Sharma K, Gupta SK, Karwani G, et al. Evaluation of steroids in face creams of different marketed brands. Int J Pharm Technol. 2011;3:2480-6.

Mahe A, Ly F, Aymard G, Dangou JM. Skin diseases associated with the cosmetic use of bleaching products in women from Dakar, Senegal. Br J Dermatol. 2003;148:493-500.

Al-Dhalimi MA, Aljawahiri N. Misuse of topical corticosteroids: A clinical study from an Iraqi hospital. East Mediterr Health J. 2006;12:847-52.

Semiz S, Balci YI, Ergin S, Candemir M, Polat A. Two cases of Cushing’s syndrome due to overuse of topical steroid in the diaper area. Pediatr Dermatol. 2008;25:544-7.

Bhat YJ, Manzoor S, Qayoom S. Steroid induced rosacea: A clinical study of 200 patients. Indian J Dermatol. 2011;56:30-2.

Hameed AF. Steroid dermatitis resembling rosacea: A clinical evaluation of 75 patients. ISRN Dermatol. 2013;2013:491376.

Abir S, Koushik L, Manas C et al. Topical corticosteroid abuse on face: A Prospective multicenter study of dermatology outpatients. Indian J Dermatol Venereol Leprol. 2011;77:160-6.

Goldman D. Tacrolimus ointment for the treatment of steroid-induced rosacea. A preliminary report. J Am Acad Dermatol. 2001;44:995.

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(2):160-6.

Inakanti Y, Thimmasarthi VN, Anupama, Kumar S, Nagaraj A, Peddireddy S, Rayapati A. Topical corticosteroids: abuse and misuse. Our Dermatol Online. 2015;6(2):130-4.

Sangeeta M. Fair war. A case study on fairness cream. Int J Contemporary Business Studies. 2012;3:46-54.