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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Used To Have Eczema. Used Steroids. Infection Likely?

Hi, I m 5 weeks pregnant and I used to have eczema on my face (just a very small area, area between the nose and the month and just in the middle)I used to put steriod cream when it is flare-up. However, my skin doctor told me have to stop it and my OB said it is okay to apply on small area and just use it as needed. They gave me different opinions and I m so confused. If I don t use it when I flare-up I m afraid I will get infection. I don t know if it is that bad if just apply to small area on my face. Can you help? thanks much
Sun, 30 Sep 2012
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OBGYN 's  Response
Hello,
It is true that steroid or in fact, any drug usage is viewed with precaution during pregnancy, especially during the stage of organogenesis,i.e., the stage when organs are formed. So your obstetrician is justified in asking you to stop the drug because even in topical application, some absorption occurs and that could be unwanted at this stage. I suggest that you consult your dermatologist again and see if you can use something safe in pregnancy. Also, try some preventive measures like avoiding stress, avoiding hot water and taking lukewarm showers, using gentle cleansers and frequent moisturizing and also avoiding triggering factors. Take care.
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Pregnant. Used To Have Eczema. Used Steroids. Infection Likely?

Hello, It is true that steroid or in fact, any drug usage is viewed with precaution during pregnancy, especially during the stage of organogenesis,i.e., the stage when organs are formed. So your obstetrician is justified in asking you to stop the drug because even in topical application, some absorption occurs and that could be unwanted at this stage. I suggest that you consult your dermatologist again and see if you can use something safe in pregnancy. Also, try some preventive measures like avoiding stress, avoiding hot water and taking lukewarm showers, using gentle cleansers and frequent moisturizing and also avoiding triggering factors. Take care.