正确外用糖皮质激素

Rational use of topical corticosteroids

外用糖皮质激素是治疗很多皮肤病的主要方法之一，如果使用得当，安全有效，不良反应通常较小。如果患者把不同效力的外用糖皮质激素相混淆，过分地强调外用糖皮质激素的不良反应，并将其和系统应用糖皮质激素的不良反应等同起来，可造成临床上用药量不足，疗效不理想。英国皮肤病学专家就外用糖皮质激素的使用达成共识，结合该共识，介绍正确使用外用糖皮质激素的方法，消除对该类药物的恐惧感。

Topical corticosteroids are an important treatment modality for dermatoses. If used correctly, they are effective and safe with insignificant side effects. However, some patients overemphasize the side effects of topical steroids, confuse topical steroids of various potency, and equalize their side effects with those of systemic steroids, which may lead to insufficient application of steroids and unsatisfactory efficacy. A working group of dermatology experts in the United Kingdom have reached a consensus on the application of topical corticosteroids. This article describes the principles for correct application of topical corticosteroids according to the consensus, so as to eliminate the fear for topical corticosteroids.