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Perianal ulcerations from topical steroid use.
Brian B Adams1, Pranav B Sheth
1Department of Dermatology, University of Cincinnati, College of Medicine, Ohio 45267-0523, USA. brianadams@pol.net
Cutis
|February 7, 2002
Summary
Topical steroids are crucial for skin conditions but require caution due to side effects. A case study highlights perianal ulcers from Lotrisone use, emphasizing careful application of potent steroids.
Area of Science:
- Dermatology
- Pharmacology
Background:
- Topical steroids are widely used for dermatologic conditions.
- Their use necessitates caution due to potential adverse effects.
Observation:
- A case of iatrogenic perianal ulcers is reported.
- This resulted from twice-daily application of Lotrisone (clotrimazole and betamethasone dipropionate).
Findings:
- High-potency topical steroids can cause significant side effects.
- Perianal ulcers developed due to inappropriate application of Lotrisone.
Implications:
- Judicious and brief use of potent topical steroids is recommended in intertriginous areas.
- Healthcare providers should exercise caution when prescribing potent topical steroids for perianal conditions.