stop topical steroid abuse - amazon s3...•do not run behind fairness. just avoid sun exposure to...
TRANSCRIPT
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Stop Topical Steroid Abuse
An Appeal to Public by IADVL
( Indian Association of Dermatologists, Venereologists & Leprologists)
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THEME IADVL 2019- “FIGHT TOPICAL STEROID MISUSE”
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A man had itching in the groin
He went to a chemist’s shop
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Hi, give me something for itching in the groin
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Please go to a doctor. Let him examine you and decide the disease and the medicine.
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Please give me now. I do not have time to visit a doctor.
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Then try this.
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Invariably he gives you combination of steroid, antifungal and antibacterial
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Momentarily you saved your time and money
See what happened next
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You apply the cream
You feel better
You stop applying the cream
Relapse
And the vicious cycle continues…
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Waves of remissions and exacerbations
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And then remission stops
Only exacerbation
and
Now SIDE EFFECTS start.
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• So initially you thought you saved your time and money by getting a cream on the counter ( OTC).
• But in fact it cost you more time and money.
• Remember, a stitch in time saves nine.
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And you also modified the disease by applying steroid cream. The doctor who examines you may not be able to diagnose such modified disease.
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• Nowadays almost 20 to 25 % of patients seen by a dermatologist in India are of Ringworm ( Fungal Infection)
• Almost all are modified by application of topical steroid.
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Large body area involvement
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Disease common in even kids
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And Infants
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Waistline and groin commonly affected
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Creams also have side
effects like tablets and injections.
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It thins out the skin and leads to stretch marks.Walking becomes troublesome.
Stretch mark is permanent damage to the skin.
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Ulcers occur in the stretch marks
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Bleeding occurs underneath the skin
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Steroid cream applied for a fungal infection.
Multiple stretch marks, thinning of skin.
Fungus still prevails.
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It modifies infection
Simple diagnosable ringworm
Complicated, difficult to diagnose ringworm
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Steroid cream applied all over – irreversible stretch marks
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Severe recalcitrant fungal infection
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Severe recalcitrant fungal infection
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Doctor prescribes once
Patient continues lifelong
Leads to obesity, raised blood pressure & diabetes( Cushing’s syndrome)
Cream gets absorbed through skin.
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• Many steroid combination creams are available with antifungal and antibiotics.
• There is no rationale behind it.
• We also educate general practitioners not to prescribe them.
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For your skin problem consult a doctor,preferably skin
specialist.
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One more issue which requires your attention
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Tremendous craze for fairness in public, males are not behind.
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We become prey of such advertisements and ruin our face
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Growing craze of Fairness in youth
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• There is rat race in the society to look fair.
• Market is flooded with fairness creams.
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• Many such creams contain steroids.
• Youngsters use them on recommendation of friends, relatives, parlors, chemists and even pharmaceutical companies.
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• Most of these youngsters then approach us (Dermatologists ) with variety of side effects on face.
• Some of them are irreversible side effects.
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Permanent dilated blood vessels seen through thinned out skin- irreversible side effect
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Perioral Dermatitis
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Rosacea
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Persistent Erythema ( Redness)
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Erythema and unwanted hairs on face
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Unwanted hairs on face – irreversible side effect
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Pimple like rash on the face
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Pimple like rash and unwanted hairs on face
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Exacerbation Of Acne
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30 Dec 2013 Prepared by IADVL egroup members 52
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Melasma was unaffected but developed severe acne
She applied steroid cream for melasma
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Even very low potency steroid cream can cause side effects
Skin becomes thin, sensitive with burning& stinging.
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She applied steroid cream even on hands for fairness
Skin became thin leading to unsightly prominent veins –permanent damage.
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Steroid cream applied near eyes caused Glaucoma
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A spotless face with glow and confidence looks more beautiful than a fair face with spots and blemishes.
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Still more important is “ BEAUTY LIES IN THE EYES OF BEHOLDER” You are /will be a special for somebody.
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Total 6 skin types according to body colour. European- type 1, African- type 6 .We are between 2 to 5.
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Craze to run behind something which we don’t have. She wants tanned skin.
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Type 1 skin burns by sun exposure , Ours’ tan.. More darker the skin type, more the tanning.
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So if at all you want to look fair , just avoid sun exposure. Use stroll, hats, sunscreens etc.
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Just don’t bother what people say. BE YOURSELF , LOVE YOURSELF.
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So is topical steroid dangerous to skin health?
NO
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It is like other inventions like atomic energy, television, internet, mobile etc.
These inventions can be used for our benefit but can be misused also.
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• Topical steroid is very safe and very useful if used for proper indication and in right potency.
• We dermatologists use it properly and judiciously. We use it daily for various skin indications.
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• Even oral and injectable steroids are life saving and used for various inflammatory and allergic disorders.
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How to identify whether a cream contains steroid
Those creams or their contents having letters like vate, derm , sone, sol, gm, mg, nm ,plus, mix or numbers like 3,4,5 or signs like + in their names are likely to have steroid in them.
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There is an App prepared by a dermatologist to find out steroid in a cream. It’s name is “Steroid finder for your cream”. It is available on Playstore.
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Many companies market their “combination” creams
as a” Blanket” treatment for all skin diseases.
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One cream for ALL skin diseases.
Is it possible?
It is up to you to decide .
दाद, खाज, खुजली व एग़जजमा, जले, कटे, फोड,े फुनसी, जख्म, जाांघो की खुजली से तुरांत राहतत
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Take Home Message
• Do not buy any cream without doctor’s advice/ prescription.
• Do not use any cream and especially steroid containing creams without doctor’s advice.
• Do not use any cream recommended by friend, relatives, parlor staff, chemists. It may contain steroid.
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Take Home Message-contd.
• Do not use creams claiming for fairness without consulting a doctor. It may contain steroid and may ruin your face.
• For your skin problem consult a doctor, preferably a skin specialist.
• Do not use any cream prescribed to you long ago. This time your disease might be different or modified.
• Do not give your cream to your friend or relatives. His disease may be different.
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Take Home Message-contd.
• Do not run behind fairness. Just avoid sun exposure to retain your original skin type.
• Skin is an important organ of the body. Kindly do not ruin it by using creams recommended by anybody else than a doctor or skin specialist.
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A presentation by ITATSA(IADVL’s Taskforce Against Topical Steroid Abuse) in public interest
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THANKS