[The use of topical corticosteroids in atopic dermatitis in children].
BACKGROUND
Topical corticosteroids are the treatment of reference in atopic dermatitis in children, but their administration may lead to a certain number of side effects.


METHODS
They are based on a review of the literature and the author's personal experience.


RESULTS
Topical corticosteroids are classed in four groups: weak, moderate, strong and very strong, depending on their efficacy. Their side effects are usually proportional to their efficacy. The complications with topical corticosteroids are well known, not only on local but also systemic level. Appropriate use of such topicals avoids these side effects, which depend on the product used, the age of the child and the extent and age of the lesions.


CONCLUSIONS
For the past 50 years, topical corticosteroids represent the most effective treatment in the management of atopic dermatitis in children. When used correctly, they are safe. Failures are related to corticosteroid phobia and poor compliance, and their complications to inappropriate use. The modalities of their withdrawal and the interest of immunosuppressive macrolides are discussed.
Service de Dermatologie, Hôpital Nord, 42055 Saint-Etienne Cedex 2. frederic.cambazard@univ-st-etienne.fr
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D000287:Administration, Topical; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage* / Q000009:adverse effects; D002648:Child; D003876:Dermatitis, Atopic / Q000188:drug therapy*; D006801:Humans
D000305:Adrenal Cortex Hormones