Conditions which augment systemic absorption include the application of the more potent steroids, use over large surface areas, prolonged use, and the addition of occlusive dressings. Therefore, patients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests. If HPA axis suppression is noted, an attempt should be made to withdraw the drug, to reduce the frequency of application, or to substitute a less potent steroid.
My itching started 10 days after giving birth to my son. my obgyn said it was not Pupp because “Pupp only occurs during prgnancy.” So I went to my family doctor and he said he had treated 3 cases of Pupp after delivery and he was sure what I had was Pupp. He prescribed prednisone for 7 days and the itch went away after day two. However 3 days after i finioshed the dosage, the itch came back. Its been two weeks since then and I am still itching. Hot compresses before bed seem to give me enough relief for me to fall asleep.
In those children with allergy causing the eczema, they will usually get rashes or more extensive eczema soon after eating a particular food or drinking milk (in the case of babies). If you notice this, remove that food from your child's diet ( if you have a baby, this will need to be done under supervision with an appropriate other formula ). If there is a marked improvement on removal of the suspected food, then the food may have been the cause - cautious reintroduction of the food after 3-4 weeks will enable you to be sure. If on reintroduction of the food, the skin remains clear, the food can continue in the diet. If the skin flares up again, that food needs to be removed from the diet. In those toddlers who do have an allergy to a food causing eczema, a trial of reintroduction can be made in 6 - 12 months time as many children will grow out of these allergies.