Most Read Articles
Dr. Joseph Delano Fule Robles, 20 Dec 2016

Researchers from the US recently demonstrated synergistic effects of topical calcipotriol and 5-fluorouracil (5-FU) for the treatment of actinic keratosis, a known precursor to squamous cell carcinoma (SCC) of the skin. 

11 Nov 2016
Non-purulent cellulitis and cutaneous abscesses, despite both belonging to the spectrum of skin and soft-tissue infections, are aetiologically different, a new study reports. Further, atypical bacteria may be present in cellulitis patients, indicating novel disease mechanisms.
Audrey Abella, 19 Mar 2019
Long-term use of the humanized immunoglobulin G1K monoclonal antibody tildrakizumab generated durable responses in adult patients with moderate-to-severe chronic plaque psoriasis*, according to the results of the 3-year extension phases of reSURFACE 1** and 2*** presented at AAD 2019.

Short-term systemic corticosteroid therapy may be useful in atopic dermatitis

03 Apr 2018

Optimal delivery or duration of systemic corticosteroids in atopic dermatitis (AD) cannot be established as there is not enough strong evidence in existing literature, suggests a recent study.

Findings from previous reports generally agreed that use of systemic steroids should be limited to short courses as a bridge to steroid-sparing therapies.

Systemic side effects were as follows: osteoporosis, osteonecrosis, Cushing syndrome, adrenal insufficiency, diabetes, glucose intolerance, gastro-oesophageal reflux, gastritis, peptic ulcer disease, weight gain, emotional lability and behavioural changes.

Other side effects included growth suppression in children, glaucoma, cataracts, myopathy, hypertension, dysaesthesia, myalgia, pseudotumour cerebri, hyperlipidaemia, malignancy, thrombosis, skin atrophy, rebound flaring and sleep disturbance.

The investigators searched PubMed, Embase, Scopus, Web of Science and Cochrane Library to systematically review published studies on efficacy and safety of systemic corticosteroid use (oral, intramuscular and intravenous) in AD. Included were systematic reviews, guidelines and treatment reviews of systemic corticosteroid use among patients of all ages with AD (52 reviews and 12 studies).

The study was limited by the incomplete and heterogeneous reporting of baseline clinical severity, corticosteroid delivery and dose, and treatment response across studies, according to the investigators.

In a previous systematic review of published trials of topical corticosteroids (TCS) or topical calcineurin inhibitors (TCIs) treatments in patients <12 years with AD, Siegfried and colleagues found robust data supporting long-term use of TCIs, while data supporting long-term TCS use were limited to low- to mid-potency products. [BMC Pediatr 2016;16:75]

“Our review identifies a lack of information on the safety of commonly prescribed, long-term monotherapy with mid- to high-potency TCS in paediatric AD, and supports standard-of-care maintenance therapy with TCIs and intermittent use of low- to mid-potency TCS for flares,” said Siegfried.

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Most Read Articles
Dr. Joseph Delano Fule Robles, 20 Dec 2016

Researchers from the US recently demonstrated synergistic effects of topical calcipotriol and 5-fluorouracil (5-FU) for the treatment of actinic keratosis, a known precursor to squamous cell carcinoma (SCC) of the skin. 

11 Nov 2016
Non-purulent cellulitis and cutaneous abscesses, despite both belonging to the spectrum of skin and soft-tissue infections, are aetiologically different, a new study reports. Further, atypical bacteria may be present in cellulitis patients, indicating novel disease mechanisms.
Audrey Abella, 19 Mar 2019
Long-term use of the humanized immunoglobulin G1K monoclonal antibody tildrakizumab generated durable responses in adult patients with moderate-to-severe chronic plaque psoriasis*, according to the results of the 3-year extension phases of reSURFACE 1** and 2*** presented at AAD 2019.