Misuse of topical corticosteroids: A clinical study of adverse effects.
BACKGROUND
Misuse of topical corticosteroids is a widespread phenomenon among young people in India, especially women. The practice is associated with significant adverse effects and poor awareness of these effects among the general public.


OBJECTIVE
This study was conducted to examine the misuse and adverse effects of topical corticosteroids among the people in Bastar region in Chhattisgarh state of India.


METHODS
Data collected from patients presenting with at least one of the adverse effects of topical corticosteroids as the chief complaint, from November 2010 to October 2011.


RESULTS
Out of the 6723 new patients, 379 (5.63%) had presented with misuse and adverse effects of topical corticosteroids, of whom 78.89% were females. More than 65% of the patients were in the age group 10-29 years. The main reason for using the topical corticosteroids was to lighten skin colour and treat melasma and suntan. Acne (37.99%) and telangiectasia (18.99%) were the most common adverse effects noted.


CONCLUSIONS
Misuse of topical corticosteroids has a huge impact on dermatological practice, leading to a significant proportion of visits to the dermatologist. This hydra-headed problem needs multi-dimensional interventions, involving educational, legal and managerial approaches with cooperation from different sectors of society.
Department of Dermatology, People's College of Medical Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh, India.
Vivek Kumar
VK
Dey
Cutaneous atrophy; misuse; steroid acne; topical corticosteroid