Topical Steroid Abuse: Clinicoepidemiological Profile
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Topical corticosteroids are today among the most commonly prescribed medications in dermatology clinics. Steroid abuse is a common problem due to easy availability of steroid creams as over-the-counter drugs. This study was conducted to see the magnitude of this problem of steroid abuse and the clinical profile of these patients in our population. Material and Methods: All patients with a history of topical use of steroids on face for a period greater than one month were enrolled in this study after taking an informed consent. A detailed history about the type of steroid used, duration of application, source of prescription of the drug (doctor/chemist/ self/acquaintances) and indications were recorded. A detailed clinical examination of these patients was carried out and results were recorded. Results: This study was conducted over a period of 6 months and 180 patients who fulfilled the inclusion criteria were enrolled in this study. There were 33 males and 147 female patients. The range of age of these patients varied from 5 years to 60 years. Melasma/hyperpigmentation was the most common indication for steroid use. Chemists were the most common source of prescribing steroids. Atrophic changes of the skin were the most common adverse effects seen. Conclusion: Topical steroids are very commonly abused drugs. This problem is more common in youngsters, especially females. Over the counter availability of these drugs in our part of world is a major cause of their abuse.
Authors and Affiliations
Sheikh Manzoor, Syed Shahab ud din Bukhari, Suhail Rahim Rather, Samia Aleem, Mohamad Rafiq, Mohmad Iqbal Rather
Keywords
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