Topical Steroid Withdrawal
What is Topical Steroid Withdrawal?
Topical steroid withdrawal, also known as steroid addiction syndrome or red skin syndrome, occurs when the skin becomes dependent on topical corticosteroids and reacts adversely when their use is reduced or stopped. This condition is characterized by a rebound effect, where the skin condition initially treated by steroids worsens dramatically upon cessation.
Why Does TSW Happen?
Topical corticosteroids are anti-inflammatory medications prescribed for conditions like eczema, psoriasis, and dermatitis. While effective in reducing inflammation and itching for a short time, prolonged use can lead to several issues:
Skin Thinning: Long-term use of steroids can thin the skin, making it more fragile and prone to damage.
Tolerance: Over time, the skin may require higher doses of steroids to achieve the same effect, leading to overuse.
Dependence: The skin becomes dependent on the steroids to maintain its normal state. When steroids are stopped, the skin struggles to regulate itself, resulting in withdrawal symptoms.
Symptoms of Topical Steroid Withdrawal
TSW can manifest in various ways, typically beginning days or weeks after stopping steroid use:
Redness and Burning: Intense redness and a burning sensation, often referred to as "red skin syndrome."
Itching: Severe itching that can be relentless and distressing.
Swelling: Puffiness and swelling, especially around the eyes and face.
Oozing and Crusting: The skin may ooze clear fluid and form crusts.
Dryness and Scaling: Extreme dryness and flakiness of the skin.
Hyperpigmentation: Darkening of the skin in affected areas.
Topical steroid withdrawal can be a very serious condition that often causes severe insomnia and low mood. Patients that suffer from this condition require a lot of support and treatment usually involves an abundance of nourishing from the inside out.
If you are someone that suffers from TSW, reach out to a professional practitioner that knows how to truly support you.
With love,
Jacinta