{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:02:14Z","timestamp":1780048934027,"version":"3.53.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Abuse of topical corticosteroids is an emerging problem. The irrational and nonjudicious use of steroids can cause disastrous cutaneous and systemic adverse effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To study the clinical and epidemiological profile of topical steroid abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 124 patients who were misusing topical steroids were included in this hospital-based observational study. Details of the patients, indications of topical corticosteroid use and adverse cutaneous effects were recorded in a proforma and analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of patients (n = 52; 41.9%) were aged between 21 and 30 years. A female predominance (n = 75; 60.5%) was recorded. Students formed the largest subgroup of the study population. The major indication for topical steroid abuse was dermatophytic infection (n = 52; 41.9%). The face was the most common site of topical steroid application (n = 68; 54.8%). Ultrapotent steroids were commonly used (n = 55; 44.4%). The majority of patients applied topical steroid once daily (n = 91; 73.4%). Topical steroid use was predominantly advised by a pharmacy (n = 70; 56.5%). Erythema was the common adverse effect observed (n = 59; 47.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the pattern and epidemiological profile of topical corticosteroid misuse. Thus, policymakers should raise awareness of this issue and introduce laws for regulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/skinhd\/vzaf111","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T13:16:32Z","timestamp":1763558192000},"page":"259-264","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and epidemiological study of topical steroid abuse in Nepal: an observational study from a tertiary hospital"],"prefix":"10.1093","volume":"6","author":[{"given":"Prajwal","family":"Pudasaini","sequence":"first","affiliation":[{"name":"Department of Dermatology, Civil Service Hospital , Minbhawan, Kathmandu ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GC","family":"Sagar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Civil Service Hospital , Minbhawan, Kathmandu 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