The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.
Keratosis Pilaris DO’s
1. Do take measures to prevent excessive skin dryness , especially in colder winter months.
2. Do use mild soaps like Dove soap-less cleanser or Cetaphil cleanser.
3. Do lubricate skin with special lotions containing lactic acid like Amlactin or Lac Hydrin Lotion.
4. Do talk with your physician about using tretinoin (Retin A), alpha hydroxy acid lotions (glycolic acid), urea cream (Urix 40), and salicylic acid ( Salex).
5. Do gently massage the lotions into the affected area twice a day.
6. Do use a mild loofah or Buf Puf to gently scrub the area weekly