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Severe eczema costs over <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content>\u20096000\/year per child in direct medical, hospital and treatment costs as well as time off work for caregivers and untold distress for the family unit. In addition, it has a negative impact on a child's sleep, education, development and self\u2010esteem. The treatment of atopic eczema is complex and multifaceted but a core component of therapy is to manage the inflammation with topical corticosteroids (<jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content>). Despite this, <jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content> are often underutilised by many parents due to corticosteroid phobia and unfounded concerns about their adverse effects. This has led to extended and unnecessary exacerbations of eczema for children. Contrary to popular perceptions, (<jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content>) use in paediatric eczema does not cause atrophy, hypopigmentation, hypertrichosis, osteoporosis, purpura or telangiectasia when used appropriately as per guidelines. In rare cases, prolonged and excessive use of potent <jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content> has contributed to striae, short\u2010term hypothalamic\u2010pituitary\u2010adrenal axis alteration and ophthalmological disease. <jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content> use can also exacerbate periorificial rosacea. <jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content> are very effective treatments for eczema. When they are used to treat active eczema and stopped once the active inflammation has resolved, adverse effects are minimal. <jats:styled-content style=\"fixed-case\">TCS<\/jats:styled-content> should be the cornerstone treatment of atopic eczema in children.<\/jats:p>","DOI":"10.1111\/ajd.12313","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T09:09:09Z","timestamp":1425632949000},"page":"241-251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["Adverse effects of topical corticosteroids in paediatric eczema: <scp>A<\/scp>ustralasian consensus statement"],"prefix":"10.1111","volume":"56","author":[{"given":"Emma","family":"Mooney","sequence":"first","affiliation":[{"name":"Department of Paediatric Dermatology Royal Children's Hospital  Melbourne 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