Steroid striae treatment

The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.

There is some controversy over the precise mechanism by which striae occur. There seems to be damage to the elastic fibers of the dermis (the deeper layer of the skin) accompanied by inflammation which eventually results in scar-like changes. These changes appear to be induced by excessive physical stretching of the skin. There are a number of clinical situations which will predispose the skin to the formation of striae. These include rapid and excessive increase in body mass, the excessive use of topical or systemic glucocorticoid drugs (steroids), Cushing's disease (overproduction of glucocorticoids by the adrenal gland), puberty , Marfan's syndrome and Ehlers-Danlos syndrome (two uncommon genetic diseases), excessively large breast implants , and pregnancy.

Patients rarely require drains after adrenal surgery; however, if the surgeon thinks it is necessary, an abdominal drain will be placed. Drains are more often required after open adrenalectomy than after laparoscopic adrenalectomy. Drains are relatively easy to take care of, and the output is recorded on a daily basis. Once the output decreases to a certain level, the drain will be removed. Removal of the drain is not particularly painful. It is more of a strange sensation. In general, the drain will be removed several days after surgery.

A common mistake is to be too cautious about topical steroids. Some parents undertreat their children's eczema because of an unfounded fear of topical steroids. They may not apply the steroid as often as prescribed, or at the strength needed to clear the flare-up. This may actually lead to using more steroid in the long term, as the inflamed skin may never completely clear. So, you may end up applying a topical steroid on and off (perhaps every few days) for quite some time. The child may be distressed or uncomfortable for this period if the inflammation does not clear properly. A flare-up is more likely to clear fully if topical steroids are used correctly.

Peripheral Light Spectrum (PLS)
Peripheral Light Spectrum (PLS) is a temporary phenomenon whereby patients report the perception of a spoke-like spectrum of light in
the periphery of their vision. PLS has no clinical examination findings and no effect on visual acuity; however the potential diffractive
effects may be bothersome to some patients. Reported in only % of cases, the onset of symptoms occurs during the immediate
postoperative period, and typically resolves within three months but may be slightly persistent in rare cases. The visual impact of PLS is
clinically inconsequential for the vast majority of patients.

Steroid striae treatment

steroid striae treatment

A common mistake is to be too cautious about topical steroids. Some parents undertreat their children's eczema because of an unfounded fear of topical steroids. They may not apply the steroid as often as prescribed, or at the strength needed to clear the flare-up. This may actually lead to using more steroid in the long term, as the inflamed skin may never completely clear. So, you may end up applying a topical steroid on and off (perhaps every few days) for quite some time. The child may be distressed or uncomfortable for this period if the inflammation does not clear properly. A flare-up is more likely to clear fully if topical steroids are used correctly.

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