Dermatitis is often treated by doctors
with prescribed Glucocorticoid (a
corticosteroid steroid) ointments or
creams. For mild-moderate eczema a weak
steroid may be used (e.g.
Hydrocortisone or Desonide), whilst
more severe cases require a
higher-potency steroid (e.g. Clobetasol
propionate). They are highly effective
in most cases, but must be used
sparingly to avoid possible side
effects, the most significant of which
is that their prolonged use can cause
the skin to thin and become fragile
(atrophy).
High strength steroids used over large
areas may be significantly absorbed
into the body causing bone
demineralisation (osteoporosis).
Finally by their immunosuppression
action they can, if used alone,
exacerbate some skin infections (fungal
or viral). If using on the face, only a
low strength steroid should be used and
care must be taken to avoid the
eyes.
Hence a steroid of an appropriate
strength to promptly settle an episode
of eczema should be sparingly applied.
Once the desired response has been
achieved, it should be discontinued and
not used for long-term
prevention.

