How long should steroid cream for eczema be used for? (photo)

Hi,

We usually would advice applying steroid creams till the rash has cleared. When the rash resolves, it may leave a brownish pigmentation and this is termed post-inflammatory hyperpigmentation. This pigmentation will gradually resolve on it own. You should stop the topical steroid application at this stage.

Prolonged use of topical steriods can lead to thinning of the skin and skin atrophy. Striae or stretch marks can develop with overuse of topical steroids. The risk of skin thinning depends on the strength, amount and frequency of application of steroids. The site of application is also important as areas where the skin is thin such as the face and flexures are more susceptible to the thinning effects of steroids. Strong steroids should be avoided in these areas.

You should therefore be aware of the strength of the topical steroids that you are using and avoid overuse of strong steroids. You can discuss this further with your doctor.

What you have is more of a mark (post inflammatory hyperpigmentation) like what Dr Theng says. You should stop using it once the redness is gone so it already way pass that. Instead use a good moisturiser to reduce the chance of the eczema coming back.

Marks can lighten over time (may be long on the body depending on how chronic your eczema was) and if you find it too slow, you can use a suitable lightening cream or do laser but know that this may occasionally trigger eczema in itself so the doctor has to assess it.

How long you use steroids depends on where you use it on and the strenght you use it. Follow the advise of the doctors giving it as he knows the strenght and the area to be used. If it doesnt get better, go back and ask him for further instructions.

I typically dont like to use steroid creams on the body for more than 2 weeks if it is a moderately strong steroids as it can thin the skin. If it doesnt resolve, it needs to be reassess and some chronic eczema needs complex management and strategies rather than just slapping on prolonged steroids forever…Hope that helps.