Chandigarh: Dermatologists from PGI and Command Hospital have raised concerns about the increasing prevalence of fungal infections, attributing their spread to the widespread use of steroid creams. This issue was highlighted during a discussion on skin diseases at a Continuing Medical Education (CME) session held on Sunday.
The experts pointed out that the growing epidemic of fungal infections, particularly ringworm (Tinea), is being exacerbated by both the mutation of the fungi and the widespread use of fixed-dose combination creams. These creams, often marketed as fairness or anti-itch treatments, contain a mix of corticosteroids, antifungals, and antibacterials.
Historically, fungal infections could be treated within two weeks, but today, they often take years to resolve, dermatologists noted. A key factor in this shift is the uncontrolled use and misuse of these combination creams. These products are commonly prescribed by general practitioners and alternative medicine providers, and patients frequently purchase them over-the-counter for various skin conditions.
According to the specialists, the rise in fungal infections has now become a serious challenge for dermatologists. “What was once considered an easily treatable condition has escalated into a growing concern, with more cases becoming chronic, recurrent, and resistant to standard antifungal treatments,” said Maj Gen Rajesh Verma, a dermatologist with the Western Command.
The misuse of these combination creams is contributing to antifungal resistance, experts warn. “Corticosteroids in these creams suppress local immunity, which is critical in fighting off fungal infections. This allows the fungi to flourish and become more resistant to treatment,” explained Prof. Sunil Dogra from PGI’s Department of Dermatology.
As the use of these creams continues to rise, dermatologists are increasingly concerned about the long-term implications for public health. The misuse of steroid-based treatments is not only hindering effective treatment but also creating a cycle of resistance that could lead to more severe and persistent fungal infections in the future.
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