Steroid-induced hyperglycemia in primary care

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  • The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.

    Steroid induced glaucoma may develop after application of steroid preparations applied to the skin of the eyelids. This elevation occurs most frequently with chronic use, such as in patients with atopic dermatitis. Close IOP monitoring of these patients is essential and consideration of a non-steroidal topical medication, such as tacrolimus and pimecrolimus, should be considered as an alternative. Elevation in intraocular pressure has also been noted with application of steroids on skin that was not periocular, either from ocular contamination or systemic absorption. [22] Patients should be advised to wash their hands after applying dermatologic steroids or to use gloves.

    “Topical steroid addiction” seems related to an inappropriate, excessive use of topical steroids, which is “abuse” – rather than correct “use”. It may arise especially when topical steroids are relatively easily available and are used without proper conventional and on-going dermatological advice, over very long periods.
    Paradoxically another psychiatric term is used in this context: “steroid phobia”- a phobia being an irrational fear associated with avoidance behaviour. It is easy to see how hearing about “steroid addiction” can lead to “steroid phobia”.
    Atopic eczema has no single cause: it originates from multiple causes, and the best treatment outcomes are based on this understanding. Conventional dermatological wisdom remains firm that topical steroids have an important part to play in the correct treatment of atopic eczema, and it is much more often their under-use, rather than their over use, that explains treatment failure.
    https:///articles/Revolutionary

    Steroid-induced hyperglycemia in primary care

    steroid-induced hyperglycemia in primary care

    “Topical steroid addiction” seems related to an inappropriate, excessive use of topical steroids, which is “abuse” – rather than correct “use”. It may arise especially when topical steroids are relatively easily available and are used without proper conventional and on-going dermatological advice, over very long periods.
    Paradoxically another psychiatric term is used in this context: “steroid phobia”- a phobia being an irrational fear associated with avoidance behaviour. It is easy to see how hearing about “steroid addiction” can lead to “steroid phobia”.
    Atopic eczema has no single cause: it originates from multiple causes, and the best treatment outcomes are based on this understanding. Conventional dermatological wisdom remains firm that topical steroids have an important part to play in the correct treatment of atopic eczema, and it is much more often their under-use, rather than their over use, that explains treatment failure.
    https:///articles/Revolutionary

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