A common mistake is to be too cautious about topical steroids. Some parents undertreat their children's eczema because of an unfounded fear of topical steroids. They may not apply the steroid as often as prescribed, or at the strength needed to clear the flare-up. This may actually lead to using more steroid in the long term, as the inflamed skin may never completely clear. So, you may end up applying a topical steroid on and off (perhaps every few days) for quite some time. The child may be distressed or uncomfortable for this period if the inflammation does not clear properly. A flare-up is more likely to clear fully if topical steroids are used correctly.
The international scientific research study ” The response of phimosis to local steroid application” by CS Kikiros, SW Beasley, and AA Woodward at the Department of General Surgery, Royal Children’s Hospital in Australia, analysed the effect of phimosis ointment treatments (three different types) applied to a juvenile cohort (up to 16 years) with varying degrees of congenital phimosis. The conclusion of the group analysis was that local application of a steroid ointment to the foreskin produced resolution of juvenile congenital phimosis in over 60% of cases, but if the foreskin had a circumferential white scar ( phimotic ring ), this was less likely to respond to treatment. After cessation of the cream with steroids, the phimosis developed again in a percentage of patients.