A 25-year-old woman with chronic atopic dermatitis develops skin atrophy and telangiectasia on her eyelids after using a potent topical corticosteroid for 4 weeks. Which topical corticosteroid is the safest choice for long-term management of eyelid eczema?
- A Clobetasol propionate 0.05%
- B Betamethasone valerate 0.1%
- C Hydrocortisone 1% ✓
- D Fluocinonide 0.05%
Correct answer: C. Hydrocortisone 1%
Explanation
The eyelids have very thin skin and are highly susceptible to steroid-induced atrophy and systemic absorption. Low-potency corticosteroids such as hydrocortisone 1% are the safest choice for these areas. Clobetasol and fluocinonide are high-potency agents, and betamethasone valerate is moderate-potency, all of which carry a high risk of skin atrophy and glaucoma when applied near the eyes.
Reference: IADVL Textbook of Dermatology, 4th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.