Guidance on prescribing topical steroids reminds practitioners to prescribe the least strong steroid which is effective for the least possible length of time. A balance must be struck between efficacy and reducing adverse effects. Education is crucial to maximise efficacy and reduce adverse effects. Use of printed information may be helpful (including detail of how to use emollients and topical steroids) and education involving practice nurses to help improve efficacy of treatments and information for patients. Examples can be obtained from the British Association of Dermatologists and the National Eczema Society.
Hello. I’m 16 years old, as of yesterday, January 7. I read that lumps can occur in boys with neurologic diseases. Well, I was wondering if it can occur in boys with multiple sclerosis? And how often? I’ve got a lump and I’ve also got multiple sclerosis. Should I do something about it? It’s very small, my family doesn’t have a history of gynecomastia, and last year in May, I was hospitalized and diagnosed with MS. And when I got discharged, the doctors put me on prednisone: 6 for three days, then 5 for three, then 4 for three, then 3, then, 2, then, 1. But the lump appeared before then, I’m not sure exactly when, though. But should I tell my doctor about it?