KARACHI: The unnecessary use of steroid-containing rash creams on children’s delicate skin is triggering serious health risks, including Cushing’s syndrome, immune suppression, and organ damage.
Dr Liaqat Ali, Additional MS (OPD Incharge) and pediatrician at Civil Hospital Karachi, told The Express Tribune that rash creams fall into three categories for skin diseases, beauty creams, and creams used on children. He said many mothers, when visiting hospitals for diarrhea complaints, report using steroid creams on their child’s diaper area.
Dr Ali explained, “Often, the child’s cheeks are swollen, the nose and mouth appear hidden, and hands, feet, and the body show swelling. These signs indicate the child has been using steroid cream for several months.”
He noted that parents frequently rely on “neighbors or relatives for advice” rather than consulting a doctor, unaware of the risks. Such prolonged use weakens the immune system, increasing vulnerability to infections like pneumonia and HIV.
According to Aga Khan University Hospital’s website, Cushing syndrome occurs when a child’s body has abnormally high levels of the hormone cortisol. While relatively rare in children, those affected often appear obese and show slowed growth. The most common cause is an adrenal tumour, though pituitary gland tumours can also trigger the condition, and in rare cases, it may be inherited.
Dr Ali explained that steroid content varies between creams. “If a doctor prescribes steroid cream, it is usually one percent or less and given for three to five days. Some creams are steroid-free and safe. Petroleum jelly or mustard oil can also be used without harm,” he said.
He warned that steroid creams affect thyroid, parathyroid, and other endocrine glands, and abrupt discontinuation after long-term use can cause complications like fits or hypoglycemia.
“Steroids applied via cream or injection enter the bloodstream immediately. For example, a child using steroid cream on eczema for three months may start showing body swelling,” Dr Ali said.
He added that OPD cases often reveal parents initially denying use of steroid creams, only to present the same cream the next day, which contains steroids.
“Self-medication is dangerous, especially in children under six months. Some parents apply creams even without a rash, which causes harm,” he said.
He also warned that unnecessary steroid use can be life-threatening, reducing immunity by up to 50% and making children prone to chest infections, colds, cough, and diarrhea.
“Such children are not given polio drops, but once steroid use is stopped, polio vaccination is administered the next day,” he added.
Dr Ali advised, “If a child has a rash, use creams only on a doctor’s advice. Steroid creams, if necessary, should be limited in duration.”
He added, “Children showing symptoms of Cushing’s syndrome must see an endocrinologist immediately for kidney, liver, and other organ evaluation.”
Article Published in Express Tribune on October 23rd, 2025.
