Over time, the skin can become less responsive to topical corticosteroids. When they are stopped, the reaction can be more severe than the original condition, with burning, redness, weeping, flaking, and recurring intense flares.
Many people going through this experience find it is not widely recognised, which can make the process more confusing and isolating. Support that acknowledges the condition and focuses on careful recovery is often what is missing.
TSW requires a careful and individual approach. I take the condition seriously and work with people to understand what is happening in their specific case, rather than defaulting to restarting topical steroids.
The focus is on supporting skin barrier recovery while also considering the wider factors that can influence the course of TSW, moving at a pace that matches how the person is actually progressing.
If you are navigating topical steroid withdrawal and want careful, informed support, get in touch.