Topical corticosteroids have been used for about 50 years and
their introduction was a milestone in dermatology. They are used
to treat inflammatory skin conditions by suppressing the
inflammatory reaction and relieving symptoms. However, they are
not curative and attempts to increase potency have often been
associated with more adverse effects. The emphasis should be on
limited, selective, and careful use with clear explanation and
instruction to patients. - Eczema - the most important because
it is very common both in adults and children (affecting 15-20%
of schoolchildren and 2-10% of adults). Children are most at
risk from misuse and adverse effects. See separate article
Atopic Dermatitis and Eczema. - Contact dermatitis. -
Seborrhoeic dermatitis (antifungals probably more appropriate).
- Insect stings. - Eczema associated with infection - with
caution. - Psoriasis - with caution. - Other inflammatory skin
conditions including: discoid lupus erythematosus; lichen planus
under specialist supervision. Evide