Corticosteroids are generally teratogenic in laboratory animals when administered systemically at relatively low dosage levels. The more potent corticosteroids have been shown to be teratogenic after dermal application in laboratory animals. There are no adequate and well-controlled studies in pregnant women on teratogenic effects from topically applied corticosteroids. Therefore, topical corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.
Vitamin D, which we produce naturally from sun exposure, is essential to the healthy functioning of every organ in the body. Vitamin D deficiency has become an epidemic of modern indoor living, so a supplement is necessary. Look for naturally sourced (from lanolin or fish liver oil) Vita min D3 (cholecalciferol) , which is the type of Vitamin D made in skin in response to sunlight. It is more biologically active than Vitamin D2 ( ergocalciferol ). However, it is NOT vegetarian. Vegetarians should use Vitamin D2, which is derived from plant sources and will be labeled "vegetarian vitamin D." For the latest research on Vitamin D, go to .
The obvious priority is immediate discontinuation of any further topical corticosteroid use. Protection and support of the impaired skin barrier is another priority. Eliminating harsh skin regimens or products will be necessary to minimize potential for further purpura or trauma, skin sensitivity, and potential infection. Steroid Atrophy   is often permanent, though if caught soon enough and the topical corticosteroid discontinued in time, the degree of damage may be arrested or slightly improve. However, while the accompanying Telangectasias may improve marginally, the Striae is permanent and irreversible.