Abuse of topical corticosteroid as cosmetic cream: A social background of steroid dermatitis

Abstract

Topical corticosteroids (TC) are used frequently for approved and nonapproved indications in dermatology. This improper use and misuse has now also spilled over to TC being used for cosmetic purpose as fairness cream which is accepted fairly well in the society with recommendations originating from relatives, friends, neighbour, beautician, chemists, etc. This addiction and abuse of TC particularly on the face as cosmetic cream has led to development of unique 'steroid dermatitis', manifesting as perioral, diffuse, centrofacial and malar variants. Rapid effect, cheap, easy availability, ignorance of adverse effects, inappropriate marketing and society's attitude towards fair skin colour are few reasons which tempt patients (mostly females) to start TC as cosmetic creams. TC-damaged face is really difficult to treat which therefore calls for measures preventing its development in the first place. Proper education regarding TC needs to be imparted at individual and community levels using all available resources to prevent its misuse as cosmetic creams. Administrative, regulatory and enforcement measures need to be strengthened to ensure that TC are only available through proper channel of prescription by authorised specialists.