Hi,
The unfortunate impacts of using potent
steroids long term to treat
eczema can be devastating to the patient; thinning/
atrophy of the skin is one of them. The best and most effective measure to prevent and treat the thinning is to stop or minimize the use of steroid in first place. If there is need to use steroid, mild steroids must be considered. Avoid using harsh chemicals on skin, use very mild and ph balanced skin products to prevent flare up of eczema and irritation to the thinned skin. The use of human copper-binding peptide GHK-Cu has shown some benefit in repairing the skin that is damaged and thinned, you can discuss the possibility of its use with your treating physician or a
dermatologist.
Moreover, the frequent use of steroids for almost 20 years necessitate the use of bone protective medications like
bisphosphonates to prevent
osteoporosis and fractures. Your treating physician can conduct
bone density scan, and then depending on the results bone protection therapy will be prescribed. In addition, calcium and vitamin D supplementation maybe required depending on the lifestyle and diet to help maintain healthy bones.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Ayesha Shareef, General & Family Physician