Skin health and disease · 2026
Clinical and epidemiological study of topical steroid abuse in Nepal: an observational study from a tertiary hospital.
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Pudasaini Prajwal, Sagar G C, Paudel Sushil, Yadav Ranjeet, Salas-Garza Mauricio, Shekhar K C, Adhikari Sadiksha, Jaiswal Sunil
Аннотация
BACKGROUND: Abuse of topical corticosteroids is an emerging problem. The irrational and nonjudicious use of steroids can cause disastrous cutaneous and systemic adverse effects.
OBJECTIVES: To study the clinical and epidemiological profile of topical steroid abuse.
METHODS: A total of 124 patients who were misusing topical steroids were included in this hospital-based observational study. Details of the patients, indications of topical corticosteroid use and adverse cutaneous effects were recorded in a proforma and analysed.
RESULTS: The majority of patients (n = 52; 41.9%) were aged between 21 and 30 years. A female predominance (n = 75; 60.5%) was recorded. Students formed the largest subgroup of the study population. The major indication for topical steroid abuse was dermatophytic infection (n = 52; 41.9%). The face was the most common site of topical steroid application (n = 68; 54.8%). Ultrapotent steroids were commonly used (n = 55; 44.4%). The majority of patients applied topical steroid once daily (n = 91; 73.4%). Topical steroid use was predominantly advised by a pharmacy (n = 70; 56.5%). Erythema was the common adverse effect observed (n = 59; 47.6%).
CONCLUSIONS: This study highlights the pattern and epidemiological profile of topical corticosteroid misuse. Thus, policymakers should raise awareness of this issue and introduce laws for regulation.
OBJECTIVES: To study the clinical and epidemiological profile of topical steroid abuse.
METHODS: A total of 124 patients who were misusing topical steroids were included in this hospital-based observational study. Details of the patients, indications of topical corticosteroid use and adverse cutaneous effects were recorded in a proforma and analysed.
RESULTS: The majority of patients (n = 52; 41.9%) were aged between 21 and 30 years. A female predominance (n = 75; 60.5%) was recorded. Students formed the largest subgroup of the study population. The major indication for topical steroid abuse was dermatophytic infection (n = 52; 41.9%). The face was the most common site of topical steroid application (n = 68; 54.8%). Ultrapotent steroids were commonly used (n = 55; 44.4%). The majority of patients applied topical steroid once daily (n = 91; 73.4%). Topical steroid use was predominantly advised by a pharmacy (n = 70; 56.5%). Erythema was the common adverse effect observed (n = 59; 47.6%).
CONCLUSIONS: This study highlights the pattern and epidemiological profile of topical corticosteroid misuse. Thus, policymakers should raise awareness of this issue and introduce laws for regulation.