Topical corticosteroid abuse: Southeast Asia perspective

Abstract

Topical corticosteroids (TCS), since its discovery in 1952, have been very useful for many dermatologic conditions, particularly inflammatory dermatoses. TCS abuse and misuse have been published and yet continue to exist. Considering that the indication of TCS use is correct, the duration of use, areas of application, and TCS potency/vehicle are the most important factors that may lead to potential side effects. To avoid TCS abuse, it is important to educate our patients well. Adverse reactions from TCS are similar in all countries. Frequency and degree vary due to different factors such as adherence to government policies, availability of different classes of TCS, and cultural differences and beliefs. Avoidance of abuse is vital and patient education plays a major role in this aspect.