Topical corticosteroids (TC) are currently the standard local treatment for psoriasis, both as a standalone therapy and as a supplement to a systemic treatment. These are anti-inflammatory preparations for local use, composed of cortisone derivatives. They are particularly used for patients with localized, moderate dermatosis, with spaced out flare-ups.
These medications are, on one hand, appreciated for their invisible and non-staining properties on the skin. On the other hand, they possess several useful properties in the management of psoriasis, including immunoregulatory, anti-inflammatory, and antimitotic characteristics.
How do dermocorticoids act on psoriasis?
Applied topically, dermocorticoids help soothe the skin by combating inflammation. They inhibit the NF-kB transcription factor by activating the transcription of the IkB gene, thereby conferring anti-inflammatory effects. Additionally, glucocorticoids negatively regulate the expression of certain pro-inflammatory genes through transrepression, including cytokines, growth factors, adhesion molecules, nitric oxide, etc.