Pichl J, Schell H
Medizinische Klinik I mit Poliklinik, Universität Erlangen-Nürnberg.
Z Hautkr. 1990 Jun;65(6):527-30, 533.
The toxicological, pharmacological, and clinical properties of corticoids are well understood. As their main actions are based on an uniform mechanism, it is impossible to separate beneficial effects from side effects. Therefore, any augmentation of the therapeutic activity is associated with an increased risk of side effects in systemic as well as in topical use. The topical application of highly potent corticoids also bears the risk of systemic side effects, especially those with prolonged activity. In addition, it has to be kept in mind that apart from the skin, the functions of various organs can be unfavorably affected when corticoids are systemically applied.
皮质类固醇的毒理学、药理学和临床特性已为人熟知。由于它们的主要作用基于统一机制,因此无法将有益作用与副作用区分开来。所以,无论是全身用药还是局部用药,治疗活性的任何增强都伴随着副作用风险的增加。强效皮质类固醇的局部应用也存在全身副作用的风险,尤其是那些活性持续时间较长的药物。此外,必须牢记,当全身应用皮质类固醇时,除皮肤外,各个器官的功能也可能受到不利影响。