From the Guidelines
Topical steroids can be used in the groin area, but with caution and consideration of the potential risks of skin atrophy and systemic absorption, especially with higher potency corticosteroids. When using topical corticosteroids in the groin area, it is essential to balance the need for effective treatment with the risk of side effects 1. The use of low-potency topical corticosteroids is recommended for inverse psoriasis, which often affects intertriginous areas such as the groin 1.
Some key considerations when using topical steroids in the groin area include:
- Using lower potencies of topical corticosteroids to minimize the risks of irritation and toxicity 1
- Diluting calcipotriene with a moisturizer to reduce irritation, although the stability of calcipotriene may be affected by certain ingredients in the moisturizer 1
- Using calcitriol, a less irritating vitamin D analog, as an alternative to other topical corticosteroids 1
- Considering the use of calcineurin inhibitors, such as topical tacrolimus, which are helpful in the treatment of inverse psoriasis 1
It is crucial to weigh the benefits and risks of using topical steroids in the groin area and to carefully monitor patients for signs of skin atrophy, systemic absorption, and other potential side effects 1. Additionally, identifying and addressing the underlying cause of the inflammation is essential for effective treatment, as groin inflammation can result from friction, infection, or underlying medical conditions.
From the FDA Drug Label
Directions for itching of skin irritation, inflammation, and rashes: ... for external anal and genital itching, adults: when practical, clean the affected area with mild soap and warm water and rinse thoroughly gently dry by patting or blotting with toilet tissue or a soft cloth before applying apply to affected area not more than 3 to 4 times daily
- The hydrocortisone (TOP) drug label provides guidance on using the medication for external anal and genital itching, which includes the groin area.
- According to the label, adults can apply the medication to the affected area not more than 3 to 4 times daily.
- For children under 12 years of age, the label advises to ask a doctor before using the medication. 2
From the Research
Treatment for Inflammation in the Groin Area
The use of topical steroids in the groin area is a common practice for treating inflammatory skin conditions. However, it is essential to consider the potential risks and benefits associated with their use.
- Topical corticosteroids can be effective in treating inflammatory skin conditions such as psoriasis and atopic dermatitis 3.
- The risk of adverse effects, including atrophy, striae, rosacea, telangiectasias, purpura, and other cutaneous and systemic reactions, increases with prolonged use, large area of application, higher potency, occlusion, and application to areas of thinner skin, such as the face and genitals 3.
- When prescribing topical corticosteroids for use in sensitive areas, lower potencies and shorter durations should be used to minimize the risk of adverse effects 3.
Recommended Treatment
The recommended treatment for inflammation in the groin area depends on the severity and cause of the condition.
- Topical corticosteroids can be used to treat mild to moderate inflammation, but their use should be carefully monitored to avoid adverse effects 3, 4.
- For more severe cases, alternative treatments, such as topical calcineurin inhibitors, may be considered 5.
- It is crucial to follow proper application guidelines, such as using the fingertip unit method, to ensure safe and effective use of topical corticosteroids 3, 6.
Important Considerations
When using topical steroids in the groin area, it is essential to consider the following: