If you are among the many sufferers of topical steroid withdrawal eczema, characterised by red, itchy, painful rash, you must have realized just how much this condition can affect your ability to lead a normal life.
What is TSW?
TSW eczema is an adverse effect that is associated with a discontinuation of the use of topical steroid creams or ointments for the management of the condition, after a long term, with dependency. This is because, although topical steroids provide a quick and successful relief of inflammation, the body becomes used to them. When you remove the steroids, patients immediately have the opposite effect they were trying to cure: rebound redness, burning, peeling, shedding, and itching.
TSW Symptoms and Stages
There are often several stages to TSW:
● Red Skin Syndrome – skin becomes red hot and the affected part of the body becomes irritated.
● Oozing and crusting – Lesions which secrete a watery fluid and become covered with a scab allowing fluid re-accumulate.
● Skin Condition: Skin Thickening – Areas on the skin turn rough and leathery.
● The extremities demodulation experience characteristically presents episodically which means one could be good for a while then is bad for a while. The entire TSW process can take months and even years for the process to run and complete a cycle.
Lifestyle Management Treatments for TSW
Are you looking for TSW treatment? While TSW cannot be cured instantly, the following remedies can provide relief:
Skin should be moisturized often and one should avoid using creams with fragrance as they make the skin drier. Avoid places that trigger your usual complaints. Products containing oatmeal or coconut oil are usually very effective.
Stay Cool - Heat worsens itch and inflammation. Staring with warm water if you have had the chance to prepare the bath oils or use the oatmeal powders. Avoid hot showers. Take the necessary steps you would to cool yourself down; use fans, ice packs, keep rooms cold.
Have Proper Clothing – Dress comfortably as this means soft and loose clothes made from natural fibers, close to your skin. This enables the skin to breathe, and does not chafe. Wet wrap therapy can also soothe episodes in which the atopic dermatitis worsens.
Lessen stress- stress exacerbates TSW Reducing stress can improve TSW. Take deep breaths, meditate or do yoga on a regular basis. See a counselor if you are experiencing emotional problems.
Supplements – Fish oil, vitamin D, evening primrose oil and probiotics help nourish and repair the skin and block inflammation. Remember, this is just generic advice based on normal, healthy patients without comorbidities, so first consult your doctor before sampling any supplements.
Therapies for TSW Dermatitis
While lifestyle remedies help take the edge off TSW, advanced treatments provide more intensive healing support:
Phototherapy – Such light treatment as NB-UVB appeases the excessive immune response that leads to the inflammation. The above methods take about two to several weeks to produce the best results.
Biologics – Drugs such as Dupixent (dupilumab) work solely to counter some popular inflammatory chemicals accountable for the flare of eczema. If adopted as long-term treatment strategies, they lead to more years of remission.
JAK Inhibitors -This new class of oral agents (Rinvoq, Opzelura) targets specific immune signalling pathways, essentially halting a person’s eczema in its tracks, without having to put the brakes on the person’s entire immune system. In a cross-sectional study, TSW recovery has indicated great potential in research.
You can get rid of your TSW eczema – with time and the help of the proper protocols of treatment for TSW, specific to you. But there are solutions if you are interested and do not want to give up. Look out for more tips in future posts or better still, contact us if you have any questions.
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