Atrophy or striae occur if fluorinated corticosteroids are used on the face or in skin folds. Systemic absorption of steroids may occur if large areas of skin are treated, particularly if high-potency medications and occlusion are combined. With the above therapeutic strategy, the majority of patients improve. They will never be cured and need to understand this. By following prevention strategies, the incidence of exacerbations can be minimized.
Chronic disease tends to burn out with age.
Patients should keep bathing to a minimum, keep skin well lubricated, use mild soaps, and avoid known triggers. The goal is control, not cure. Given the chronic nature of this disease and the patient's concern about appearance, emotional support and psychological counseling may be helpful. Physicians need to be sensitive to the needs of the patient and family. Principles and Practice of Dermatology.