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What are corticosteroid creams? Corticosteroid creams or CS are the mainstay of treatment. They are safe, provided you follow the instructions given to you by your dermatologist. There are different types of steroids based upon their concentration, potency & vehicle. CS suppresses skin inflammation & this reduces the amount of damage to your pigment cells. One of the side effects of corticosteroids is excess hair production or hypertrichosis. This is a wanted outcome as pigment is derived from the cells that hide within the hair follicles. . . Are steroids safe? Yes, however you will need to adhere to the directions. I choose an appropriate steroid preparation based upon the site of vitiligo. For acral patches, the concentration of corticosteroids is higher compared to facial vitiligo. Side effects of steroid ointments & creams include- thinning of skin, acne eruptions, perioral dermatitis, bruising & systemic absorption. These side effects can be mitigated by following the instructions on the prescription. . . Corticosteroids reduce inflammation & can promote hair growth as a side effect (hypertrichosis). This increased hair growth can add more pigment cells in patches of vitiligo. Coupled with pigment stimulation light, re-pigmentation can be accelerated. . . My clinic: @Cutis_dermatology on Instagram Website: www.cutis.com.au Instagram: @drdavinlim @101.skin Intro: (0:00) Common conditions to use steroids: (0:27) How to use: (1:09) The BIGGEST mistake patients make: (2:27) What are the side effects?: (3:22) Summary: (5:07)