skin problems

My husband, a severe asthmatic, has 6 weekly injected steroids. These keeps him really well but as aconsequence he has very thin skin on his hands and lower arms. The merest scratch or graze causes bruising and bleeding. Any advice? Thanks.Ruth

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Hi Ruth, unfortunately skin thinning is a well known side effect of corticosteroids, as is bruising with significant doses. I would discuss with the treating doctor, particularly to rule out other issues if he is bruising badly. Although it could be cushingoid side effects from the steroids, things like anaemia or low platelet count will also cause excessive bruising. Im curious, why does he not have oral steroids? I would be really concerned about long term side effects with a depot injection of steroid every six weeks, have they gone through all the other steps of treatment first?

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Hi, Your husband will, no doubt, have been through the range of inhaled steroids long before going down the route of six-weekly injections. Many of my friends are on those too. I have thinnest skin on my leg from an infection in my lymph transport, after an open tib & fib fracture. My first GP, prescribed very stronger and stronger steroid cream over about a year. In the end, the infection cleared, but I am left with skin on my lower leg, that rips at the slightest touch or dunt from unthinking small grandchildren. I use a pure cream with no scent from another and better, GP. I changed surgery. The cream is called Diprobase. Hope this helps. Hugs xx

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Thank you for your replies. My husband is being treated by a fantastic specialist in Manchester. We are happy for a 100 mile round trip to see a specialist as we live in rural Cumbria.Yes we have been down other routes. Injected steroids is a lesser dose than oral ones for my husband. Thank you for advice. Ruth

[KateMoss]

Yes, Diprobase is excellent ...

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Hello Ruth, these are well known side-effects of steroids (moreso IV and tablets), particularly with longterm and/or higher doses as you may well be aware of. Have your specialist team had any advice or practical tips? Off the top of my head, keeping skin well moisturised will help. Covering with long sleeves, tubigrip bandages etc may help sometimes. I will have a look and try to post more advice tomorrow.

Agree with being willing to travel for specialists too and living in rural areas. Good to hear he has a great consultant in Manchester.

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