General principles of dermatologic therapy and topical corticosteroid use
- Beth G Goldstein, MD
Beth G Goldstein, MD
- Adjunct Clinical Assistant Professor
- Department of Dermatology
- University of North Carolina at Chapel Hill
- Adam O Goldstein, MD, MPH
Adam O Goldstein, MD, MPH
- Department of Family Medicine
- University of North Carolina at Chapel Hill
- Section Editors
- Robert P Dellavalle, MD, PhD, MSPH
Robert P Dellavalle, MD, PhD, MSPH
- Section Editor — Dermatology
- Professor of Dermatology and Public Health
- Denver VA Medical Center, University of Colorado School of Medicine and Colorado School of Public Health
- Moise L Levy, MD
Moise L Levy, MD
- Section Editor — Pediatric Dermatology
- Professor of Pediatrics and Medicine (Dermatology)
- Dell Medical School, University of Texas, Austin
- Clinical Professor of Dermatology and Pediatrics
- Baylor College of Medicine
The success of dermatologic therapies is dependent upon many factors. General issues related to topical therapies will be reviewed here with a particular emphasis upon the use of topical corticosteroids.
There are five components to the successful use of topical therapies:
●Type of lesion being treated
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- GENERAL PRINCIPLES
- VEHICLE SELECTION
- Wet dressings
- TOPICAL CORTICOSTEROIDS
- Corticosteroid selection
- Treatment duration
- Use in children
- Use during pregnancy or lactation
- Side effects
- - Cutaneous
- - Systemic
- - Other
- INTRALESIONAL CORTICOSTEROID
- PITFALLS OF TREATMENT
- Suboptimal medication use
- Patient compliance
- Combination antifungal/topical corticosteroid products
- SUMMARY AND RECOMMENDATIONS