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Solutions Chevron Icon. Care Navigation. Sections Icon. What is topical steroid withdrawal? When to see a doctor. Skin Conditions. Buoy Chat Icon. Symptom Checker. Verified By Experts Icon. Verified by experts 7 min read. No Ads. Tom Liu, MD. Ophthalmology Resident, University of Pennsylvania. Jeffrey M. Last updated August 27, Heart Icon. Speech Bubble Icon. Share Icon. Facebook Icon. LinkedIn Icon. Pinterest Icon. Pocket Icon. Share Link Icon. Copied to clipboard. Table of Contents.
Topical steroid withdrawal questionnaire Use our free symptom checker to find out if you have topical steroid withdrawal. Topical steroid withdrawal symptoms Topical steroid withdrawal symptoms usually develop within days to weeks after stopping a topical steroid medication. Erythematoedematous rash People with topical steroid withdrawal who develop the erythematoedematous form of rash will experience the following.
Redness and swelling of the skin: This will be at the site of topical steroid application. Skin that is scaly or peeling Red bumps may or may not be present Defined rash border: In some people who develop this type of rash on the face, there may be a sharp cutoff between the red and normal-appearing parts of the skin, with sparing of the nose and ears.
Papulopustular rash People with topical steroid withdrawal who develop the papulopustular form of rash will experience the following. Redness with prominent red bumps and pus-filled bumps: These will appear over the area of topical steroid application. Less prominent swelling No skin peeling Other symptoms Other symptoms associated with topical steroid withdrawal include the following.
Burning and stinging of the skin: Most people experience a burning and stinging sensation over the skin where the topical steroid was applied. This is usually more prominent in the erythematoedematous type of rash than in the papulopustular type of rash. Home arrow-right-small-blue Topics A—Z arrow-right-small-blue Topical corticosteroid withdrawal Print. Topical corticosteroid withdrawal — codes and concepts open. Topical steroid addiction. Reaction to external agent. Red burning skin, Steroid rosacea, Periorificial dermatitis, Prolonged use of potent topical steroids, Clinical features and diagnosis of topical steroid withdrawal, Prevention and treatment of topical corticosteroid withdrawal.
PE88, EH Y, ED Topical steroid addiction in atopic dermatitis. Drug, Healthcare and Patient Safety ; 6: — J Am Acad Dermatol. Sign up to the newsletter. Full name. Each article tells the story of an eczema sufferer whose skin became 'addicted' to their medication. With these kinds of horror stories all over the internet, topical steroid withdrawal has begun to attract widespread attention. This being so, you could be forgiven for wanting to steer clear of topical steroids, perhaps seeking alternative strategies for treating your eczema.
However, topical steroid withdrawal also known as red skin syndrome remains an emerging diagnosis that isn't always acknowledged by dermatologists. What's more, the benefits of topical steroids far outweigh the risks when the medication is used appropriately.
So is the risk of 'steroid addiction' really anything more than internet scaremongering? And if you've been prescribed topical steroids, how can you be sure you're using them safely?
For background, topical corticosteroids steroids are prescribed for a number of skin conditions, such as eczema and psoriasis. First used more than 50 years ago, they are highly effective at controlling flare-ups.
They come as a cream, ointment, lotion or scalp preparation, and are typically used for short courses of treatment until your symptoms settle down. Generally, they are classified according to their strength and there are four main categories: mild, moderate, potent or very potent.
Most are available only on prescription, although you can buy small tubes of the mildest kind under advice from your pharmacist. Most of the time, the treatment is used for just one or two weeks, together with an emollient moisturiser. Your doctor will tell you the exact dosage required, and how frequently you need to apply it.
In some cases, you may be advised to apply a milder steroid on thin skin areas like the face where the medication is well absorbed and a stronger one elsewhere on your body. Some people experience additional symptoms, such as hair loss or depression. They can help you adjust to an alternative topical medication or suggest other treatments. There are seven types of eczema. Each type has its own identifying characteristics.
If you live with eczema, you might be looking for home remedies for symptom relief. Check out these 8 natural eczema remedies to soothe your symptoms…. Eczema is an inflammatory skin condition that can cause skin irritation, oozing blisters, and itchy rashes.
It can also result in leathery skin…. A dry, scaly scalp might be scalp eczema. Learn what symptoms to look for, causes, how to treat the condition, and how to prevent flare-ups.
Topical steroid creams are one of the most commonly used eczema treatments. We explain what they are, how to use them, possible side effects, and more.
PUVA is a treatment for severe atopic dermatitis that hasn't responded well to other options. PUVA combines phototherapy and medications called…. The hallmark symptoms of eczema are itching and inflamed skin.
However, other symptoms may include inflammation, hyperpigmentation, rash, or oozing.
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