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Topical steroids PowerPoint Presentation

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Description : Check out this medical presentation on Pityriasis Rosea, which is titled "Topical steroids", to know about common indications for topical steroids including Eczema, Pityriasis rosea, Lichen planus, Alopecia areata, Psoriasis (some forms), and vitiligo.

Tags : Pityriasis Rosea, Topical steroids, common indications, Eczema, Pityriasis rosea, Lichen planus, Alopecia areata, Psoriasis, vitiligo

Published on : Jul 05, 2021 | Views : 2557 | Downloads : 2

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Slide 1-

Topical steroids Dr. Amal Kokandi MB,BCh, MSc, MD
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Mode of action Anti-inflamatory Immunosuppression Vasoconstriction Antimtotic Glucocorticoid activity Cushing’s syndrome Mineralocorticoid activity Antimetabolic effect striae, dermal atrophy, and ecchymosis)
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Uses Common indications for topical steroids: Eczema Pityriasis rosea Lichen planus Alopecia areata Psoriasis (some forms) vitiligo
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Special considerations Face Intertriginous areas Children Effect of occlusion infections and combination formulas (with antibiotics and antifungals)
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Finger tip unit
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Finger tip unit 2 FTU = nearly 1 gram Enough for twice size of adult hand A hand and fingers (front and back) = 1FTU A foot (all over) + 2FTU Front of chest and abdomen = 7FTU Back and buttocks = 7FTU Face and neck = 2.5 FTU An entire arm and hand = 4 FTU An entire leg and foot = 8 FTU
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Potencies (European) Weak Moderate Potent Very potent
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Potencies (American) Class1 (superpotent) Class2 (potent) Class3 (potent) Class4 (midstrength) Class5 (midstrength) Class6 (mild) Class7 (least potent)
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Examples Weak Hydrocrtisone 0.5-2.5% (Alfacort, Mycoheal with miconazole, Fucidin H with fucidic acid) Moderate Clobetasone butyrate 0.05% (Eumovate) Hydrocrtisone with urea (Carmol HC)
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Examples Potent Mometasone dipropionate 0.025% or furoate 0.1% (Elica, Elica M with miconazole, Momenta with miconazol & gentamycin) Betamethasone esters as valerate 0.1% or diproprionate 0.05% (Betnovate, Betaderm, Fucibact B with Fucidic acid, Betazol with miconazole, Diprosalic with salicylic acid)
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Examples Potent (cont.) Hydrocortisone 17 butyrate 0.1% (Locoid) Trimcinolone acetonide 0.1% (Panderm with gentamycin, nystatin & neomycin)
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Examples Very potent Clobetasol propionate 0.05% (Dermovate, Gamavate) Diflucortolone valerate (Nerisone)
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Side effects Perioral dermatitis and rosacea Tachyphylaxis & steroid addiction Infections (tinea incognito, herpes simplex, pityriasis versicolor, scabies……) Adrenal suppression Glucoma and cataract Angina bullosa purpura (hard palate)
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Side effects Local side effects Telangiectasia, purpura, epidermal, dermal and subcutaneous atrophy, striae, psuedoscars…… Folliculitis Allergic reactions Hypopigmentation Hypertrichosis Delayed wound healing Alteration in skin elasticity & mechanical properties
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Dermatitis due to topical steroid
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Tinea incognito
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