Is steroid cream safe?

Elomet cream

In my post on “Are you suffering from Steroid-Phobia?”, I have encouraged parents to be open to using steroids under the doctor’s supervision. My baby girl Marcie has taken a one-time 3 weeks oral steroid course and has been applying steroid cream prescribed by her specialist doctor, like the o.1% Elomet Cream.

A recent research study confirmed that there is no major negative effect on the skin of children who have applied topical steroid over approximately 10 months. I couldn’t find the original study, supposedly published in Pediatric Dermatology. You can however find a summary of the report, widely published by numerous online news websites here. Main points reported by the online news are:

- 70 children tested versus a control group of 22 children

- 10 months’ usage with experts checking on skin transparency, flattening, shiny ‘glazed’ appearance or dilated blood vessels

- Result is no evidence of skin thinning, stretch marks or scars

- Do note that there is also comment that the sample size is too small, with information such as their age, doses not provided

For parents fearing the use of too potent steroid, below is a potency ranking chart from National Skin Centre’s website.

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13 thoughts on “Is steroid cream safe?

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  7. hi can I pls check wat is de charges lik for dr hugo if I make a direct appt with him instead of gg thru referral? also do all kids with eczema meed to go thru de skin test?? thks alot :)

    • Hi Yee!

      I can’t quite remember the charges, but I think it’s standard fees for different grades of consultants and whether by referral/not. Can simply call up NUH to ask.

      Whether or not eczema kids need to go through skin prick test depends on the conversation you’d have with the doc, say you suspected some foods, the condition is more than mild case, based on family medical history – it may be a good idea to investigate further the allergens. Personally, I’d say go for it just so to have some ideas on how to manage the eczema going forward.

      Cheers!
      Mei

  8. Hi Mei, your blog is very informative! Thanks for sharing your experiences and I think you have done a good job for Marcie. Anyway, could you tell me which are the steroid creams that you are using of different potency (besides Elomet)? My 2 year old daughter has quite serious eczema and I am only using Fucicort cream as prescribed by her GP.

    • I’m using the mild ones for my daughter, Elomet and Hydrocortisone. Fucicort is a high potency I think.. you may want to visit a pediatric specialist who would have lower potency creams, allergy testing as well as other medication (non-steroidal, wet wrap) for your child. From experience, GP usually don’t carry lower potency and continually using a strong cream may not be the optimal treatment option for a 2 year old. Take care, hugs,
      Mei

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