Dermatological indications and usage of topical corticosteroid

Abstract

Practice of dermatology has been revolutionised with the introduction of topical corticosteroids (TCS).The ever-expanding search to maximise their effects while minimising their side effects has been complemented by synthesising newer molecules with modified chemical structures. The TCS are a class of primarily synthetic steroids with profound anti-inflammatory and antipruritic action. With this most sought-after therapeutic property, a long list of "steroid responsive dermatoses" has emerged into contemporary dermatologic practice. Success of treatment however depends on the accurate diagnosis and selection of the appropriate steroid molecule with relevant consideration of the delivery vehicle, potency, frequency of application, site of involvement, duration of treatment, and strict vigil on the side effects. One has to remember that no single agent has been proven to have the best benefit-to-risk ratio. This chapter deals concisely with the aforementioned and specially is directed against TCS abuse.