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Principles of Dermatological Diagnosis - Dermatology

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Applying Corticosteroids<br />

There are many ways that corticosteroids are applied.<br />

The topical steroid can also be applied to spot lesions<br />

Soak and smear: smear:<br />

this involves the patient soaking in a<br />

tub for 15 min (to open pores) and then “smearing smearing” the<br />

topical steroid on the skin<br />

Sometimes, occlusion is used which is the placing <strong>of</strong><br />

saran wrap or vinyl suit over the topical steroid to<br />

increase penetration<br />

Typically mid-low/lowest mid low/lowest potency topical steroids are<br />

used on the face with a stronger one for the body as a<br />

stronger steroid on the face may cause atrophy as a<br />

result <strong>of</strong> thin skin and strong steroid!<br />

68

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