When we try to define corticosteroid we should know many things about it and which skin problems, we used corticosteroids

Definition of corticosteroids:

we define Corticosteroids as one of the oldest and most useful treatments for dermatologic problems psoriasis, vitiligo, eczema, atopic dermatitis, acute radiation dermatitis, and lichen sclerosus and you can put it on face, hands, legs and genital areas. Steroids are available in a variety of potencies and preparations.

Things you should care about when use corticosteroids:

1- diagnosis of skin problems

2- knowing corticosteroid potency

3- amount of using steroid

4- places you put it

5- duration and time for using steroid

6- side effects of corticosteroids

Corticosteroid and skin problems:

These are some of skin problems we use corticosteroids with it:

- eczema which is skin condition with red and scales on body and face

- dermatitis which means any skin inflammation like eczema

- alopecia areata which means loss of hair in circle on scalp

- psoriasis which is chronic skin problem

- vitiligo which is pigmentary skin disorder

- urticaria which means itching problem

- discoid lupus

- lichen planus

- severe hand eczema

- atopic dermatitis

Corticosteroid special consideration:

1- Ultra high topical steroids should not be used for longer than three weeks.

2- Low to high corticosteroid should not be used for longer than three months

3- Do not use corticosteroid by your self

4- Follow up your doctor advice

5- There are corticosteroid for face and some for hands and body

6- Use the same amount doctor tells you

Which is safe to use?

It depend on many things as some skin problems need high potency corticosteroid even with other combination for its treatment and the love potency corticosteroid can be use more times, on thin skin and of course face of the children , so always ask your doctor for which is good for your skin problem

How many times I can use corticosteroid every day?

Most recommendation say once or twice daily to avoid side effects

Types of corticosteroids:

1- systemic corticosteroids which is more powerful and can used in chronic skin problems and can be used in some acute skin problems too

2- topical corticosteroids which is less effectiveness but used widely in many skin problems and have many classifications like:

- Ultra high potency like clobetasol propionate 0.05%

- High potency like betamethasone dipropionate 0.05%

- Medium potency like betamethasone valerate

- Low potency hydrocortisone 1%, 2.5%

3- Corticosteroids injections

Side effects of corticosteroids:

There are many adverse effects of corticosteroids and some are from topical and some from systemic types of corticosteroids like:

1- Heart problems like Hypertension, Accelerated atherosclerosis

2- Endocrine system like obesity, delayed growth and diabetes

3- Myopathy and Osteoporosis

4- Cataracts and Glaucoma

5- Hirsutism, Striae and Skin atrophy

6- Peptic ulcer and fatty liver

And there are some other problems due to uses of corticosteroids especially with long term use of them and following up doctor advise is always a must as using corticosteroid should comes with high precautions because of their side effects when used as topical or systemic  therapy

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