Abstract

Background: Topical corticosteroids (TCs) which were once considered a panacea of dermatological conditions, have now become a double-edged sword due to irrational use for their magical effects like increased fairness of skin after applying TCs. Prolonged and irrational use of TCs on face is globally prevalent and has reached a monstrous proportion in India. Objectives: Aim of this study was to analyze various factors leading to TC abuse on the face (like socio-demographic) and assess the influence of personality traits among them who attended the dermatology OPD. Methods: A cross-sectional questionnaire-based study was done on total of 1000 patients, out of which 500 patients with history of topical corticosteroid abuse on face were in the study group and 500 patients visiting dermatology OPD for facial dermatoses not using TC on face were in the control group and they were analyzed for various factors including personality traits. Results: Out of 500 patients from study group, majority were females 411 (82.2%) and the most common age group was 21-25 years in 137(27.4%) patients. Majority were educated till secondary school 143(28.6%). Most common reason for TC usage and abuse was melasma i.e., 180(36%) patients and most common source was recommendation by friends 252(50.4%). Commonest TC abused was clobetasol propionate in 218(43.6%) patients. Most common localized side effect seen were acneiform eruptions and acne aggravation in 171(34.2%) patients. There was no statistically significant difference in personality traits between the study and control groups. Conclusion: Topical corticosteroids abuse was more common in youngsters, especially females. Majority of TC abusers were from rural background, lower socio-economic-status, lesser educated and were influenced by their friends. Personality factors were not identified as a contributory factor. So, creating awareness among the rural population regarding the hazards of TCs would help prevent its abuse.