Objective:To observe the effect of artesunate on pathological changes and inflammatory factors induced by glucocorticoid in guinea pig models. Methods:Thirty male guinea pigs were used 0.05% clobetasol propionate solution continuously on the shaved belly areas for 30 days to establish guinea pig models of steroid-induced dermatitis. They were randomly and equally divided into 5 groups:model groups were intraperitoneal injected with 0.9% sodium chloride solution,treatment groups were intraperitoneal injected with 5,10 and 20 mg/kg artesunate solution separately,glucocorticoid receptor blocking groups were intraperitoneal injected with mifepristone,and 6 guinea pigs only external used with 75% ethanol solution on shaving back as blank control groups. Pathological changes in skin tissue of each group were observed. Enzyme-linked immunosorbent assay(ELISA)was perfomed to detect the content of IL-1 and IL-4 in the serum of each group. The expressions of GRα mRNA and TNF-α mRNA in the skin of each group were detected by RT-PCR. Results:The levels of IL-1 and IL-4 in the serum of model groups were significantly higher than those in the blank control groups and the glucocorticoid receptor blocked groups. The levels of IL-1 and IL-4 in the serum of artesunate groups were lower than those in the model group(P < 0.05). There was no significant difference between the treatment groups. There was no significant difference in the expression of GRa mRNA in the skin tissues of guinea pigs. The TNF-α mRNA content in the skin tissue of the model group was higher than that in the blank control group and the glucocorticoid receptor blocked group(P < 0.05). The content of TNF-α mRNA in the skin tissue of the high dose and middle dose group of artesunate was lower than that of the model group(P < 0.05). There was no significant difference in TNF-α mRNA between the middle dose artesunate group and the high dose arteunate group. Conclusion:Artesunate can inhibit steroid dermatitis in guinea pig models,especially the middle and high dose artesunate,which may associate with IL-1,IL-4 and TNF-α,and the mechanism needs to be further studied.