September 2022. Volume 18. Number 3

Topical corticosteroids in eczema: types, ways of using and safety

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Lax SJ, Harvey J, Axon E, Howells l, Santer M, Ridd MJ, et al. Strategies for using topical corticosteroids in children and adults with eczema. Cochrane Database Syst Rev. 2022, Issue 3. Art. No.: CD013356.

Reviewers: Martínez Rubio M.V1, Aparicio Rodrigo M2.
1Pediatra. CS Los Fresnos. Torrejón de Ardoz. Madrid. España.
2Pediatra. CS Entrevías. Facultad de Medicina. Universidad Complutense de Madrid. Madrid. España.
Correspondence: M.ª Victoria Martínez Rubio. Email: victmrubio@gmail.com
Reception date: 29/08/2022
Acceptance date: 07/09/2022
Publication date: 21/09/2022

Abstract

Authors´ conclusions: potent and moderate topical corticosteroids are probably more effective than mild topical corticosteroids, primarily in moderate or severe eczema; however, there is uncertain evidence to support any advantage of very potent over potent topical corticosteroids. Effectiveness is similar between once daily and twice daily (or more) frequent use of potent topical corticosteroids to treat eczema flare-ups, and topical corticosteroids weekend (proactive) therapy is probably better than no topical corticosteroids/reactive use to prevent eczema relapse (flare-ups). Adverse events were not well reported and came largely from low- or very low-certainty, short-term trials. In trials that reported abnormal skin thinning, frequency was low overall and increased with increasing potency.

Reviewers´ commentary: moderate or high potency corticosteroids are recommended for the treatment of eczema, preferably once daily and preventively twice a week if the patient has frequent relapses. Very high potency corticosteroids should be avoided because they do not improve clinical efficacy and have more side effects.

How to cite this article

Martínez Rubio MV, Aparicio Rodrigo M.Corticoides tópicos en el eccema: tipos, formas de uso y seguridad.Evid Pediatr. 2022;18:28.

AVC | Critically appraised articles

Lax SJ, Harvey J, Axon E, Howells l, Santer M, Ridd MJ, et al. Strategies for using topical corticosteroids in children and adults with eczema. Cochrane Database Syst Rev. 2022, Issue 3. Art. No.: CD013356.

Reviewers: Martínez Rubio M.V1, Aparicio Rodrigo M2.
1Pediatra. CS Los Fresnos. Torrejón de Ardoz. Madrid. España.
2Pediatra. CS Entrevías. Facultad de Medicina. Universidad Complutense de Madrid. Madrid. España.
Correspondence: M.ª Victoria Martínez Rubio. Email: victmrubio@gmail.com
Reception date: 29/08/2022
Acceptance date: 07/09/2022
Publication date: 21/09/2022

How to cite this article

Martínez Rubio MV, Aparicio Rodrigo M.Corticoides tópicos en el eccema: tipos, formas de uso y seguridad.Evid Pediatr. 2022;18:28.

21/09/2022

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