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afya Topical steroids

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20160425222444 Ben  
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Use weakest steroid cream which controls patients symptoms

|Mild|Moderate|Potent|Very potent|
|Hydrocortisone 0.5-2.5%|Betamethasone valerate 0.025% (Betnovate RD)|Fluticasone propionate 0.05% (Cutivate)|Clobetasol propionate 0.05% (Dermovate)|
||Clobetasone butyrate 0.05% (Eumovate)|Betamethasone valerate 0.1% (Betnovate)||
	
Finger tip rule - 1 finger tip unit (FTU) = 0.5 g, (sufficient to treat a skin area about twice that of the flat of an adult hand)

1 FTU -  Hand and fingers (front and back)	
2 FTU -  foot (all over)	
2.5 FTU Face and neck	
7 FTU -  Front of chest and abdomen
7 FTU -  Back and buttocks	
4 FTU -  An entire arm and hand	
8 FTU - An entire leg and foot	

BNF - quantity of topical steroids needed by adult for a single daily application for 2 weeks:
15-30g Face and neck	
15-30g Both hands	
15-30g Scalp	
15-30g Groin and genitalia
30-60g Both arms	
100g    Both legs	
100g    Trunk