Steroid-induced skin atrophy

Common card · No. 327541

Steroid-induced skin atrophy is thinning of the skin at the level of the epidermis as a result of prolonged exposure to topical steroids. This is the most common side effect of overuse or misuse of topical steroids. Topical steroids are typically prescribed for psoriasis, atopic dermatitis (eczema), and other itchy rashes. In people with psoriasis using topical steroids it occurs in up to 5% of people after a year of use. Intermittent use of topical steroids for atopic dermatitis is safe and does not cause skin thinning. Skin atrophy can occur with both prescription and over the counter steroids. Potency of the topical steroid will influence its propensity to cause skin atrophy. Oral prednisone and intralesional steroids may also result in atrophied skin. Alternatives to topical steroids are available, depending on skin condition, with a reduced and different side effect profile.

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