Beyond the Steroid Script: Rethinking Inflammatory Skin Disease Treatment

In this episode of Cutaneous Miscellaneous, incoming 2027 host Joshua Burshtein, MD, welcomes Alexandra Golant, MD, to discuss the role of topical and systemic corticosteroids in modern dermatology practice.

Dr Golant examines how corticosteroids became a mainstay of inflammatory skin disease management and how recent therapeutic advances are changing prescribing practices. The conversation addresses steroid stewardship, balancing topical corticosteroids with newer nonsteroidal options, and recognizing and mitigating the risks of long-term use. They also discuss patient counseling, navigating treatment preferences, and why systemic corticosteroids have become less appropriate for managing chronic inflammatory conditions such as atopic dermatitis.

Tune in to the episode for practical perspectives on corticosteroid use, incorporating steroid-sparing therapies into treatment plans, and educating patients on their options, followed by a rapid-fire segment covering common prescribing mistakes, steroid phobia, and emerging therapeutic advances.