Topical corticosteroids: a review of properties and principles in therapeutic use

Topical corticosteroids are used to treat a variety of dermatologic conditions. Desired therapeutic endpoints can usually be achieved when an appropriate drug selection is made from the myriad topical corticosteroid agents available for use. Proper drug selection is based on the dermatosis being treated and its anticipated corticosteroid responsiveness: the anatomic site of the dermatosis, potency of the corticosteroid, appropriateness of the delivery vehicle, and the existence of particular patient factors that can effect response to therapy. Proper drug choice, coupled with good application technique, can maximize efficacy and minimize the potential of side effects experienced with topical corticosteroids.