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发帖数: 516 | 1 http://www.babycenter.com/204_corticosteroid-creams-safe-for-ki
Long-term use of topical corticosteroids to treat children with the skin
condition known as eczema doesn't cause any major negative side effects,
according to a new study.
Many parents are concerned about the use of corticosteroid creams or lotions
applied to the skin and this can lead to poorly managed eczema in children,
the researchers explained. The most common fear among parents is that these
ointments -- which contain steroids such as hydrocortisone or fluticasone -
- will cause thinning of their child's skin. Some health care providers also
share these concerns.
This study included 70 children who were treated with enough of the topical
corticosteroids applied to the skin to consistently keep them virtually free
of eczema, plus a control group of 22 children who didn't receive the
medication.
During the study, all of the children were assessed for signs of
corticosteroid-related side effects. There were no differences between the
children receiving the medication and those in the control group.
"Our results show that normal routine use of topical corticosteroids does
not cause skin thinning, and parents should be reassured. We hope that our
work will give them the confidence to use topical corticosteroids safely and
effectively," study leader Gayle Fischer, of the University of Sydney in
Australia, said in a journal news release.
One expert was reassured by the findings.
"Cortisone phobia is prevalent around the world and results in the
undertreatment of children and adults with eczema," noted Dr. Seth J. Orlow,
chair of the department of dermatology at NYU Langone Medical Center, New
York City, and Weinberg Professor of Pediatric Dermatology at the NYU School
of Medicine.
"While the authors didn't examine for any internal effects of cortisone
absorption, we usually assume local effects would typically predate systemic
ones," he added. "Parents, pediatricians and others should take comfort
that this study supports the excellent safety record of prescription topical
cortisones when used appropriately under the guidance of a knowledgeable
physician to control a child's eczema over extended periods of time."
The study is published in the current issue of the journal Pediatric
Dermatology. |
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