Steroid atrophy presents as thinning of the skin and results from prolonged use of corticosteroids or use of potent topical steroids in occluded skin regions such as skin folds. Generalized thinning can occur as the result of long-term oral steroid use, but more severe thinning occurs with prolonged use of potent topical steroids on the skin. Atrophied skin is also found over areas where intralesional steroids have been injected or applied. In an infant, steroid atrophy can be seen when diaper dermatitis is treated with potent topical steroids for long periods.