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Magnitude, characteristics and consequences of topical steroid misuse in rural North India: an observational study among dermatology outpatients.在印度北部农村,外用皮质类固醇滥用的程度、特征和后果:皮肤科门诊患者中的一项观察性研究。
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Asian consensus on assessment and management of mild to moderate plaque psoriasis with topical therapy.亚洲共识:轻度至中度斑块型银屑病的外用药物治疗评估与管理。
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Over-the-counter and Prescription Medications for Acne: A Cross-Sectional Survey in a Sample of University Students in Saudi Arabia.治疗痤疮的非处方药和处方药:沙特阿拉伯大学生样本的横断面调查
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本文引用的文献

1
Facial corticosteroid addictive dermatitis in Guiyang City, China.中国贵阳市面部糖皮质激素成瘾性皮炎。
Clin Exp Dermatol. 2010 Aug;35(6):618-21. doi: 10.1111/j.1365-2230.2009.03761.x. Epub 2009 Dec 8.
2
Quality of life in patients with facial steroid dermatitis before and after treatment.面部激素性皮炎患者治疗前后的生活质量。
J Eur Acad Dermatol Venereol. 2008 Jun;22(6):663-9. doi: 10.1111/j.1468-3083.2008.02639.x. Epub 2008 Mar 7.
3
Misuse of topical corticosteroids: a clinical study in an Iraqi hospital.外用糖皮质激素的误用:伊拉克一家医院的临床研究。
East Mediterr Health J. 2006 Nov;12(6):847-52.
4
Adverse effects of topical glucocorticosteroids.外用糖皮质激素的不良反应。
J Am Acad Dermatol. 2006 Jan;54(1):1-15; quiz 16-8. doi: 10.1016/j.jaad.2005.01.010.
5
Use of nonprescription topical steroids: patients' experiences.非处方局部用类固醇的使用:患者的体验
Br J Dermatol. 2005 Jun;152(6):1193-8. doi: 10.1111/j.1365-2133.2005.06513.x.
6
Skin diseases associated with the cosmetic use of bleaching products in women from Dakar, Senegal.与塞内加尔达喀尔女性使用美白化妆品相关的皮肤疾病。
Br J Dermatol. 2003 Mar;148(3):493-500. doi: 10.1046/j.1365-2133.2003.05161.x.
7
Tinea incognito and "over-the-counter" potent topical steroids.隐匿性癣和“非处方”强效外用类固醇。
Cutis. 1996 Oct;58(4):295-6.

农村人群中局部类固醇药物滥用的患病率。

Prevalence of Topical Steroid Misuse Among Rural Masses.

作者信息

Sinha Amit, Kar Sumit, Yadav Nidhi, Madke Bhushan

机构信息

Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.

出版信息

Indian J Dermatol. 2016 Jan-Feb;61(1):119. doi: 10.4103/0019-5154.174081.

DOI:10.4103/0019-5154.174081
PMID:26955124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4763634/
Abstract

BACKGROUND

A lot of cosmetic and Ayurvedic products containing unlabeled depigmenting agent and steroids are available readily over the counter sale. The side effects of these products are not documented and can lead to adverse effects of continuous usage.

OBJECTIVE

By this study, we aimed to find out the true nature of the above problem and it's implication in the Indian rural scenario.

METHODOLOGY

All patients attending dermatology department during the period of 3 months from May to June 2013 for skin diseases were enquired about unsupervised use of any cosmetic product on their facial skin, duration of use, any side effect experienced through the prescribed questionnaire.

RESULTS

Total 50 patients were recruited for the study. Out of which, 48% were males and 52% were females. Seventy-four percent of people had applied topical products/steroids in an attempt of attainment of fair complexion, 14% for melasma, 8% for acne induced hyperpigmentation, and 4% for dark circles. About 80% people had obtained one or the other products over the counter sale, 8% had followed the attractive advertisements, 8% had started the application on the recommendation of friends/family while only 4% people had correctly gone through the proper channel to consult a dermatologist.

CONCLUSION

The problem of topical products or steroids abuse is rampant and significant, and unless and until immediate steps are taken to root out this problem from our setup, the condition will become worse all the more.

摘要

背景

许多含有未标明的色素脱失剂和类固醇的化妆品及阿育吠陀产品在柜台销售中很容易买到。这些产品的副作用没有记录在案,持续使用可能会导致不良反应。

目的

通过本研究,我们旨在查明上述问题的真实性质及其在印度农村地区的影响。

方法

对2013年5月至6月这3个月期间到皮肤科就诊的所有皮肤病患者,通过规定的问卷询问其面部皮肤是否无监督使用任何化妆品、使用时间、是否有任何副作用。

结果

共招募了50名患者进行研究。其中,48%为男性,52%为女性。74%的人使用局部产品/类固醇是为了获得白皙肤色,14%是为了治疗黄褐斑,8%是为了治疗痤疮引起的色素沉着,4%是为了治疗黑眼圈。约80%的人通过柜台销售获得了一种或另一种产品,8%是受诱人广告影响,8%是在朋友/家人的推荐下开始使用,而只有4%的人通过正确渠道咨询了皮肤科医生。

结论

局部产品或类固醇滥用问题猖獗且严重,除非立即采取措施从我们的体系中根除这个问题,否则情况将变得更加糟糕。