A Treatise on Topical Corticosteroids in Dermatology by Koushik Lahiri

Description This treatise aims to fill up the lacuna and contribute significantly to the dissemination of knowledge about the indication/contraindication, mechanism of action, ethical use, side effects, and various other facets related to topical corticosteroids. Topical corticosteroids (TC) have greatly enhanced dermatologists’ ability to effectively treat several difficult dermatoses. The available range of formulations and potencies allows them to treat all groups of patients flexibly, different phases of the disease, and different anatomic sites. Improper/incomplete knowledge about topical corticosteroids’ mechanism of action, indications, classifications, and contraindications has produced a rapid rise in the incidence of inappropriate use of these drugs, which could potentially bring disrepute to this entire group of amazing drugs. Responsibility for disseminating proper knowledge regarding when, where, and how to use TC both to internists and patients primarily rests with dermatologists. In this regard, the benefits of rational and ethical use and the potential harm of overuse and misuse for nonmedical, especially cosmetic purposes, should be conveyed before prescribing TC.