Topical steroids are generally very effective and safe, but people with atopic dermatitis frequently have fears about using them.
Topical steroids must be differentiated from oral steroids (steroids that are taken in the form of a tablet or syrup). Topical steroids are much safer than oral steroids, as they are applied directly on the inflamed skin without affecting the entire body.
Side effects are very rare when topical steroids are used in acute atopic dermatitis as prescribed by your clinician. Besides, they may be useful for maintenance treatment to prevent flares. However, if you are an adult or adolescent with atopic dermatitis, you should be aware of two particular situations to avoid side effects:
- Potent topical steroids should not be applied every day on the face for more than one month, because it may induce skin fragility and redness. Intermittent use, for instance application of the topical steroids every other day or 2 times a week, will reduce the risk of side effects.
- Applying topical steroids on the inside of the thighs and increases of the breasts (in females) for longer periods of time may induce stretch marks, particularly in adolescents. Similarly, pregnant women with atopic dermatitis should be cautious when applying steroids on the abdomen to avoid stretch marks.
What are TCI for atopic dermatitis and are they safe?and what are the signs and symptoms?