The act of scratching provides transient relief but also breaks the skin barrier that can potentially lead to skin infection.ĭuring a flare or worsening of Topical Steroid Withdrawal or Red Skin Syndrome, many people report that their skin ooze, bleed and crack open. In general, people with TSW have red, itchy, dry and burning skin that affect small areas to nearly the whole body.ĭepending on the stage and time course of TSW or RSS, some patients will have significant itch and burning sensations that compel them to scratch almost incessantly for relief. There is a range of clinical presentations and symptoms. Topical Steroid Withdrawal or Red Skin Syndrome may be a relatively rare and under recognized condition, but the significant impact on people suffering from this condition is all too real. The incidence and prevalence of this condition is unknown.Īlthough many patients with TSW and some physicians believe TSW is caused by excessive and chronic use of topical steroids in the form of creams, oils, gels, ointments, and lotions, the exact cause and mechanisms are not clear because not everyone who uses topical steroids will develop TSW. This condition is not very well studied or recognized by the medical community. Other names for TSW are Red Skin Syndrome (RSS) or Topical Steroid Addiction (TSA). Topical Steroid Withdrawal (TSW) is a skin condition that may be associated with the use of topical steroids, which are medications used to treat various skin conditions such as eczema and psoriasis.

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