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[Internal and external therapy with corticoids].

J Pichl1, H Schell

  • 1Medizinische Klinik I mit Poliklinik, Universität Erlangen-Nürnberg.

Zeitschrift Fur Hautkrankheiten
|June 1, 1990
PubMed
Summary
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Corticoids offer therapeutic benefits but cannot separate beneficial effects from side effects. Increasing corticoid dosage or potency elevates risks for both topical and systemic applications.

Area of Science:

  • Pharmacology
  • Toxicology
  • Clinical Medicine

Context:

  • Corticoids are widely used for their anti-inflammatory and immunosuppressive properties.
  • Their therapeutic actions are mediated through a unified mechanism of action.
  • Understanding corticoid properties is crucial for safe and effective clinical use.

Purpose:

  • To elucidate the inherent challenges in separating beneficial effects from adverse effects of corticoids.
  • To highlight the dose-dependent relationship between therapeutic activity and side effect risk.
  • To emphasize the potential for systemic side effects even with topical corticoid application.

Summary:

  • The mechanism of action for corticoids makes it impossible to isolate therapeutic benefits from adverse effects.

Related Experiment Videos

  • Both systemic and topical administration of corticoids carry risks, with higher potency and prolonged use increasing these risks.
  • Systemic corticoid use can impact various organs beyond the skin, necessitating careful patient monitoring.
  • Impact:

    • This understanding is vital for optimizing corticoid therapy, balancing efficacy with safety.
    • It informs clinical decision-making regarding appropriate dosing and duration of corticoid treatment.
    • Highlights the need for vigilance regarding potential systemic toxicity, particularly with potent topical formulations.