Ramírez HW

Language: Spanish
References: 10
Page: 801-806
PDF size: 1555.75 Kb.

ABSTRACT

Topical steroids are still an elective treatment for some cutaneus disordes such as eccema in children even contact dermatitis in adults. Topical steroids were born in the 50s from the hydrocortisone molecule that has been modified throught the years to increase their solubility and their inflammatory and inmmunosupresive potencial as well as to decrease its mineralocorticoid effects. To choose which is the best topical steroid we should consider its therapeutical potencial, the formulation, the extension of the disorder, the type and location of the lesion and the age of the patient. All these to avoid secondary effects and so we can improve the benefits. We as doctors have to consider that topical steroids can be combined with antibiotics, urea, salicic acid, vitamin D depending in the disorder. The key is to know in which patient and in which specific pathology is the steroid indicated.

REFERENCES

1. Arenas, G. Roberto ¨Dermatologia, Atlas, Diagnóstico y Tratamiento”, Quinta Edición, Mc Graw Hill, 2013, pp 47-55.

2. Azparren Andia, Ana. ´´Corticoides Tópicos´´. Boletín de Información Terapéutica de Navarra, 2001 pp 1-13.

3. Ballona Chambergo Rosalía y Ballona Valdivia Cinthya. ´´Corticoides Tópicos en Pediatría: Una puesta al día´´. Revista de Dermatología Peruana Vol 13, Numero 3, 2003: pp 163-169.

4. Giuliana Carlos, Uribe Pablo. ´´Rational use of topical corticosteroids´´. Australian Prescriber , VOLUME 36 : NUMBER 5 : OCTOBER 2013; pp 158-160.

5. Goodman y Gillman ´´Las Bases Farmacológicas de la Terapéutica´´, Doceava Edición , Mc Graw Hill, 2012 , Capitulo 65 Farmacología Dermatológica: pp 1815-1839

6. Guerra A. ´´El impacto de los nuevos corticosteroides tópicos en el tratamiento de la dermatitis tópica´´. Actas Dermosifiliogr 2001; 92:483- 488.

7. Guía terapéutica en Atención Primaria basada en la evidencia. 3ª ed. Barcelona: SEMFYC; 2008. Disponible en: http://www. guiaterapeutica.net.

8. National Institute for Clinical Excellence (NICE). Atopic eczema in children: management of atopic eczema in children from birth up to the age of 12 years. 2007. Available from www.nice.org.uk.

9. Serra A Hector, Roganovich Juan Manuel, Rizzo Leonardo F. L ‘’Glucocorticoides: paradigma de medicina traslacional. De lo molecular al uso clínico’’. Revista Medicina Scielo (B. Aires) vol.72 no.2 Ciudad Autónoma de Buenos Aires mar./abr. 2012. Tomado de http://www.scielo.org.ar/scielo. php?s c r i p t=sci_ar t tex t&p id =S0025-76802012000200015.

10. Serrano Grau , Patricia. ´´Corticoides Tópicos Actualización´´Med Cutan Iber Lat am 2006; (34) -1: pp 33-38