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However, given the number of patients who use topical corticosteroids, we understand reports of severe withdrawal reactions to be very infrequent. There are reports of severe withdrawal reactions taking the form of a dermatitis with intense redness , stinging, and burning that can spread beyond the initial treatment area. The papulopustular type is more common in patients who are using topical corticosteroids for pigmentary disorders or acneiform conditions. There is growing evidence of topical steroid withdrawal reactions if they are used continually for a long time.
Steroids are natural chemicals produced by the body and also are manufactured to be used as medicines. The most common type used to treat skin disorders are the corticosteroids. In eczema the skin is damaged by inflammation and loss of natural skin oils which causes drying out of the skin.
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In adults and children, Elocon is used to reduce redness and itchiness caused by certain skin problems called psoriasis or dermatitis. We identified 55 reports categorised as ‘probable topical steroid withdrawal reactions’ in the Yellow Card database and a further 62 cases of ‘possible topical steroid withdrawal reactions’. The Yellow Card scheme run by the MHRA is the UK system for collecting and monitoring information on safety concerns such as suspected side effects involving medicines. Suspected side effects are reported by health professionals and the public, including patients, carers and parents. All Yellow Card reports received are entered onto the MHRA’s adverse drug reaction database so that they are available for signal detection.
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