{"id":92,"date":"2021-05-13T15:52:48","date_gmt":"2021-05-13T15:52:48","guid":{"rendered":"https:\/\/itsan.net\/?page_id=92"},"modified":"2024-06-05T19:16:42","modified_gmt":"2024-06-05T19:16:42","slug":"resources","status":"publish","type":"page","link":"https:\/\/www.itsan.org\/us\/resources\/","title":{"rendered":"Resources"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1f3x14-d025bf1bb2652d160a3188c5582ff29a\">\n.flex_column.av-1f3x14-d025bf1bb2652d160a3188c5582ff29a{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-1f3x14-d025bf1bb2652d160a3188c5582ff29a av_one_full  avia-builder-el-0  el_before_av_three_fourth  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1eh6l8-e02ef8ac96e891cabe353fd08dba2713\">\n#top .av-special-heading.av-1eh6l8-e02ef8ac96e891cabe353fd08dba2713{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-1eh6l8-e02ef8ac96e891cabe353fd08dba2713 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-1eh6l8-e02ef8ac96e891cabe353fd08dba2713 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-1eh6l8-e02ef8ac96e891cabe353fd08dba2713 av-special-heading-h2  avia-builder-el-1  avia-builder-el-no-sibling '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Resources for Those Suffering with TSW Syndrome<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1dhin0-3622ca6805f9119c83bbb6a0e2df2ba4\">\n.flex_column.av-1dhin0-3622ca6805f9119c83bbb6a0e2df2ba4{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-1dhin0-3622ca6805f9119c83bbb6a0e2df2ba4 av_three_fourth  avia-builder-el-2  el_after_av_one_full  el_before_av_one_fourth  first flex_column_div av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-1czjf0-5400cc4755dc99272e5405b3ddb428fa '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 data-fontsize=\"32\" data-lineheight=\"36\">Medical and Scientific Research<\/h2>\n<p>There are hundreds of studies and articles documenting Topical Steroid Addiction and\u00a0Topical Steroid Withdrawal Syndrome. Below are a selection of some of the most salient articles that provide a good introduction to the scientific literature.<\/p>\n<\/div><\/section><br \/>\n<div  class='hr av-1cawx4-4ad740cd5db84ade21d8fd592d69f117 hr-default  avia-builder-el-4  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-4t43c-a246b2f7bd26409fce8a3742531f441d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cTopical Steroid Addiction in Atopic Dermatitis\u201d<\/h3>\n<p>Mototsugu Fukaya MD, et al. \u00a0<i>Drug, Healthcare and Patient Safety,\u00a0<\/i>2014;6: pp.131\u2013138.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-1b8nao-e465685f634816fbffd341a3a3fcb9bb  avia-builder-el-6  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-1ajmr8-60079224f14e7d0aa9f2f816efa92ff4'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-1' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-1'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-1' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Full text:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4207549\/\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4207549\/<\/a><\/p>\n<p><b>Response to questions posed by the National Eczema Association (NEA)<\/b>: \u201cHere, we describe the clinical features of topical steroid addiction or red burning skin syndrome, based on the treatment of many cases of the illness. Because there have been few articles in the medical literature regarding this illness, the description in this article will be of some benefit to better understand the illness and to spur discussion regarding topical steroid addiction or red burning skin syndrome.\u201d<\/p>\n<p><strong>Key points:<\/strong><\/p>\n<p>\u201cAs the NEA expressed the end points of its research as some interrogative sentences on its website, the authors also will try to describe the illness by answering those questions.\u201d<\/p>\n<ul>\n<li>How do you define steroid addiction?<\/li>\n<li>What are the clinical findings of steroid addiction?<\/li>\n<li>What do the skin lesions look like, and how are they different from eczema?<\/li>\n<li>Where on the body does it usually occur?<\/li>\n<li>What strength of steroid and usage pattern leads to steroid addiction?<\/li>\n<li>How is steroid addiction treated?<\/li>\n<li>How common is steroid addiction syndrome?<\/li>\n<\/ul>\n<p><b>Other resources from Dr. Fukaya:<\/b><\/p>\n<ul>\n<li>\u201cImprovement of Atopic Dermatitis After Discontinuation of Topical Corticosteroid Treatment.\u201d Mototsugu Fukaya, MD.\u00a0<i>Archives of Dermatology.\u00a0<\/i>2000;136(5):679-680. Abstract\u201d\u00a0<a href=\"http:\/\/archderm.jamanetwork.com\/article.aspx?articleid=190182\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/archderm.jamanetwork.com\/article.aspx?articleid=190182<\/a><\/li>\n<\/ul>\n<p><b>RSS risk factors underestimated:<\/b>\u00a0\u201cTopical corticosteroids are a useful form of treatment for atopic dermatitis. However, patients are likely to be addicted after long-term treatment. \u00a0This paradoxical phenomenon has so far been underestimated, and improvement following the temporary rebound flare after discontinuation of corticosteroid therapy has been entirely ignored.\u201d<\/p>\n<ul>\n<li>\u201cChange of housing environment and withdrawal of corticosteroid as treatments of atopic dermatitis.\u201d Mototsugu Fukaya, MD.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Fukaya++M+Change+of+housing+environment+and+withdrawal+of+corticosteroid+as+treatments+of+atopic+dermatitis.+Jpn+J+Allergol.+1999%3B48520-+525#\"><i>Arerugi<\/i>.<\/a>\u00a01999 May;48(5):520-5. Abstract:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10390899\">http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10390899<\/a><\/li>\n<\/ul>\n<ul>\n<li>English translation of Dr. Fukays\u2019s online book \u2013 \u201cAtopy Steroid Addiction in Japan.\u201d Full Text:\u00a0<a href=\"http:\/\/topicalsteroidaddiction.weebly.com\/\">http:\/\/topicalsteroidaddiction.weebly.com<\/a><\/li>\n<\/ul>\n<ul>\n<li><a href=\"http:\/\/mototsugufukaya.blogspot.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Fukaya\u2019s Blog about Topical Steroid Addiction<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-1a2ky0-8fc219addbcd98f38b0709bafa3b06bd hr-default  avia-builder-el-7  el_after_av_toggle_container  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-19m9d8-4279e148ada7c5bc6510f3f63a4b1a88 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cPrevalence of atopic diseases and the use of topical corticosteroids. Is there any connection?\u201d<\/h3>\n<p>AN Pampura, MD,\u00a0<em>Medical Hypotheses<\/em>, 2005;64(3):575-8.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-198jm8-c04330c1fee9e2e95993567e7369739f  avia-builder-el-9  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-188ua0-887ad5273e6bd505f1754c3fe40768ab'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-2' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-2'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-2' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Abstract:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15617870\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15617870<\/a><b>Atopic diseases on the rise in developed countries:\u00a0<\/b>\u201cThe prevalence of atopic diseases (atopic dermatitis, bronchial asthma, allergic rhinitis) has considerably increased for the last 40 years. This tendency has coincided with the beginning of the epoch of the use of the topical corticosteroids, which have a potent immunomodulation action.\u201d<\/p>\n<p><b>Key points:<\/b><\/p>\n<ul>\n<li>Use of topical corticosteroids in children of early age contributes to the increase of prevalence of atopic diseases in developed countries.<\/li>\n<li>Lower prevalence of atopic diseases in rural areas and in children from families with the anthroposophic lifestyle.<\/li>\n<li>Increased level of atopic diseases among people with higher socioeconomic level and in children from 1 child families.<\/li>\n<li>Corticosteroid use in developing countries is limited due to economic reasons and active use of complementary medicine.<\/li>\n<li>If the proposed hypothesis is correct, a revision of the therapeutic approach is necessary concerning the attitude toward application of topical corticosteroids in children suffering from various forms of eczema.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-17p6y4-a18a11c8b81dfbec3254b96004e8cdc0 hr-default  avia-builder-el-10  el_after_av_toggle_container  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-177vn8-c19b60153fbbd9b15bcb864ddbb65e44 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cA systematic review of topical corticosteroid withdrawal (\u201csteroid addiction\u201d) in patients with atopic dermatitis and other dermatoses\u201d<\/h3>\n<p>The National Eczema Association Task Force: Tamar Hajar MD, Yael A. Leshem MD, Jon Hanifin MD, Susan T. Nedorost MD, Peter Lio MD, Amy S. Paller MD, Julie Block BA, Eric L. Simpson MD,\u00a0<em>Journal of the American Academy of Dermatology<\/em>, 2015 March, 72(3), pp. 541-549.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-16kg4k-7e847b51ba1fb6329a560ac63c6edc39  avia-builder-el-12  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-15u7ww-fd9980f9916a518633628d155635f63a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-3' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-3'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-3' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Abstract:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25592622\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25592622<\/a><\/p>\n<p><b>When to consider RSS rather than a typical \u201cflare-up\u201d<\/b>: \u201cBurning and stinging are the most frequently reported symptoms with erythema [redness] being the most common sign. Signs and symptoms occur days to weeks after topical corticosteroid (TCS) discontinuation. More data are needed regarding the frequency and duration of use that predisposes to this condition. Further, there are no data regarding the prevalence of this condition. It is also unclear whether children are actually less likely to develop this disorder or that cases of TCS withdrawal in the pediatric population are underreported. \u00a0. . . \u00a0Extrapolating from our review, a clinician should favor TCS withdrawal over a flareup of the underlying atopic dermatitis if the following features are present: (1) burning is the prominent symptom, (2) confluent erythema occurs within days to weeks of TCS discontinuation, and (3) a history of frequent, prolonged TCS use on the face or genital region.\u201d<\/p>\n<p><b>Key points:<\/b><\/p>\n<ul>\n<li>Although many of the side effects of TCS are addressed in guidelines, TCS addiction is not.<\/li>\n<li>Burning and stinging were the most frequently reported symptoms with erythema [redness of the skin] being the most common sign.<\/li>\n<li>TCS withdrawal syndrome can be divided into papulopustular and erythematoedematous subtypes, with the latter presenting with more burning and edema.<\/li>\n<li>TCS withdrawal is likely a distinct clinical adverse effect of TCS. Patients and providers should be aware of its clinical presentation and risk factors.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-1596qk-7e8aedf0fb10e9b11652813b8de63317 hr-default  avia-builder-el-13  el_after_av_toggle_container  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-14zd6s-bf884052affedc1c87b74110dd5b1cb2 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cSteroid Addiction.\u201d<\/h3>\n<p>Albert \u00a0M. Kligman, M.D., Ph.D. and Peter J. Frosch, M.D.\u00a0<i>International Journal of Dermatology<\/i>. Vol 18, Jan-Feb 1979, pp 23-31.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-14d2hk-1f9d31e86b5da29390b9a60335dcf670  avia-builder-el-15  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-13ev8k-3fdf4208108d6331e175b2eceeb08e0a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-4' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-4'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-4' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Abstract:\u00a0<a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-4362.1979.tb01905.x\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-4362.1979.tb01905.x\/abstract<\/a><\/p>\n<p><b>Typical presentation of RSS:<\/b>\u00a0\u201d [Topical steroid] Treatment continues optimistically for some weeks or months. Then, deliberately or accidentally (went on vacation without drug, forgot to refill) the skin receives no drug. Promptly, within a day or two, the treated areas become reddened, tender, itchy, cracked, scaling, and erupting into pustules, especially on the face. The original disease may exacerbate, but the key event is the rebound dermatitis which is exceedingly uncomfortable and distressing. The patient rushes to reapply the steroid and secures immediate relief. The itching, dryness, and scaling quickly abate. All is well until the next lapse when rebound dermatitis returns with greater intensity than before. The patient becomes \u201chooked\u201d in order to prevent the misery producing rebound flare. But, after many months, other atrocious things are happening. \u00a0. . . \u00a0At this stage, stopping the steroids leads to a ferocious rebound within one or two days with fissuring, exudation, pustulation (of the face) and always with intolerable discomfort. The patient is now solidly addicted and cannot escape unless fortune furnishes a physician who recognizes the situation and specifies the one treatment the patient fears \u2014 withdrawal from the steroid (or starts the weaning process by substituting a weaker steroid).\u201d<\/p>\n<p><b>Key points:<\/b><\/p>\n<ul>\n<li>Etiology and presentation of topical steroid addiction<\/li>\n<li>Proper diagnosis is imperative to receiving proper treatment<\/li>\n<li>Prevalence is underreported so steroid addiction is not well characterized<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-12vnnc-10f02bda06bcdfbe7fdee59b97ba82bb hr-default  avia-builder-el-16  el_after_av_toggle_container  el_before_av_hr '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='hr av-10nzqw-50a005735bcf0483eed85fc2494bafde hr-default  avia-builder-el-17  el_after_av_hr  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-106f9g-272817540b8d013c38627bbd2dc5065b '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cTopical corticosteroid addiction may be to blame when \u2018rash\u2019 defies treatment\u201d<\/h3>\n<p>Paula Moyer, Dermatology Times, 1 October 2012.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-zke4o-093bcb7484d086feb349d573e28161b3  avia-builder-el-19  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-yosbk-bf70f1bbc5c6435d2e9539ed53d76c76'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-5' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-5'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-5' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Full text:\u00a0<a href=\"http:\/\/dermatologytimes.modernmedicine.com\/dermatology-times\/news\/modernmedicine\/modern-medicine-news\/topical-corticosteroid-addiction-may-be-b?page=full\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/dermatologytimes.modernmedicine.com<\/a><\/p>\n<p><b>RSS is different from eczema<\/b>: \u201cWhen examining the patient, look at the erythematous lesions. They will have a different appearance from classic eczema. Atopic dermatitis typically has excoriated, lichenified lesions in the antecubital and popliteal areas. In contrast, patients with steroid-induced dermatitis have distant pruritic papules, nummular wet lesions and general skin vasodilation.\u201d<\/p>\n<p><b>Key points:<\/b><\/p>\n<ul>\n<li>Rather than an elusive allergen that defies treatment, the problem may be the treatment itself<\/li>\n<li>Pain medication, sleep aids, anti-anxiety medication and antihistamines can temporarily ameliorate the itch until the withdrawal reaction subsides<\/li>\n<li>Several months may pass before the flares subside<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-yj35g-5caf9c4e92f56de36ab8e48c1a47de8d hr-default  avia-builder-el-20  el_after_av_toggle_container  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-xkydc-6841b1690e8249344e47f334c971ea0d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">\u201cTopical Corticosteroid-induced Rosacea-like Dermatitis: a clinical study of 110 cases\u201d<\/h3>\n<p>Sanjay K Rathi MD and Leishiwon Kumrah MD,\u00a0<em>Indian Journal of Dermatology, Venereology, and Leprology<\/em>, 2011,Volume 77, Issue 1, pp 42-46.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-xarbg-e94d6f280cb91daf1ce10589e2aaeb6f  avia-builder-el-22  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-wqfao-11189ce09831364f99b28b1b8838cc5b'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-6' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-6'>View Details<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-6' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Full Text:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21220878\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21220878<\/a><\/p>\n<p><strong>Use of topical steroids can cause dermatitis with no previous underlying skin disease:<\/strong>\u00a0\u201cA total of 110 patients were enrolled for the study over a period of 2 years, excluding all those with the known disease entity in which topical steroids were commonly used. . . . The duration of topical steroid use ranged from 4 months to 20 years. The most common clinical presentation was diffuse erythema (redness) of the face. Most of the patients had rebound phenomenon on discontinuation of the steroid.\u201d<\/p>\n<ul>\n<li>Varied clinical presentations are seen with prolonged and continuous use of topical steroids.<\/li>\n<li>The most common topical steroid used was Betamethasone valerate, which could be due to its easy availability and low cost.<\/li>\n<li>The treatment of this dermatitis is difficult, requiring complete cessation of the offending steroid, usually done in a tapering fashion.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-vwrbg-ff30f9f84678571ec04de107e9ad4db9 hr-default  avia-builder-el-23  el_after_av_toggle_container  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-vb3m0-22e72d84017af2afe60610271c00a8ae '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 data-fontsize=\"24\" data-lineheight=\"30\">Additional articles<\/h3>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-uryc4-3349d0915d428dc68ce657db47a1db1c  avia-builder-el-25  el_after_av_textblock  el_before_av_hr  toggle_close_all' >\n<section class='av_toggle_section av-tvnls-046fbd60019b2109fdad9a5fbef0362a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-7' class='toggler   '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-7'>View More<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-7' class='toggle_wrap  '  ><div class='toggle_content invers-color '  itemprop=\"text\" ><ul>\n<li>\u201c<a href=\"http:\/\/journals.lww.com\/nursing\/Citation\/2007\/09000\/Facing_up_to_withdrawal_from_topical_steroids.46.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Facing up to withdrawal from topical steroids<\/a>\u201d Mary C. Smith, RN, MSN; Susan Nedorost, MD; and Brandie Tackett, MD, Nursing, September 2007, vol 37, issue 9, pp 60-61.<\/li>\n<li>\u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21393945\/\" target=\"_blank\" rel=\"noopener noreferrer\">Topical corticosteroid abuse on the face: a prospective, multicenter study of dermatology outpatients.<\/a>\u201d Saraswat A, Lahiri K, Chatterjee M, Barua S, Coondoo A, Mittal A, Panda S, Rajagopalan M, Sharma R, Abraham A, Verma SB, Srinivas CR. Indian Journal of Dermatology, Venereology, and Leprology. 2011 Mar-Apr;77(2):160-6.<\/li>\n<li>\u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19445310\" target=\"_blank\" rel=\"noopener noreferrer\">Steroid-induced rosacea-like dermatitis: case report and review of the literature.<\/a>\u201d Chen AY, Zirwas MJ. Cutis. 2009 Apr;83(4):198-204.<\/li>\n<li>\u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12046812\" target=\"_blank\" rel=\"noopener noreferrer\">Steroid dermatitis resembling rosacea: aetiopathogenesis and treatment.<\/a>\u201d Ljubojeviae S1, Basta-Juzbasiae A, Lipozen\u00e8iae J. Journal of the European Academy of Dermatology and Venereology. 2002 Mar;16(2):121-6.<\/li>\n<li>\u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4171914\/\" target=\"_blank\" rel=\"noopener noreferrer\">Topical Corticosteroid Addiction and Phobia.<\/a>\u201d Aparajita Ghosh, Sujata Sengupta, Arijit Coondoo, and Amlan Kusum Jana. Indian Journal of Dermatology. 2014 Sep-Oct; 59(5): 465\u2013468.<\/li>\n<li>\u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4228634\/\" target=\"_blank\" rel=\"noopener noreferrer\">Side-effects of topical steroids: A long overdue revisit<\/a>\u201d Arijit Coondoo, Meghana Phiske, Shyam Verma, and Koushik Lahiri. Indian Dermatology Online Journal. 2014 Oct-Dec; 5(4): 416\u2013425. (this has a long section about rebound phenomenon and steroid addiction)<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<\/div><br \/>\n<div  class='hr av-tmpx8-6e1729a6afa3af5a566b2b78e0041372 hr-default  avia-builder-el-26  el_after_av_toggle_container  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-su4ak-58c38559c82a49adba9964a2ab904000\">\n.flex_column.av-su4ak-58c38559c82a49adba9964a2ab904000{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-su4ak-58c38559c82a49adba9964a2ab904000 av_one_fourth  avia-builder-el-27  el_after_av_three_fourth  el_before_av_section  avia-builder-el-last  flex_column_div av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-s89n4-3cbed8c85574231b94a7cbf1245ee0b3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-size-two fusion-border-below-title\">\n<h4 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">ITSAN Brochure<\/h4>\n<\/div>\n<div class=\"fusion-text\">\n<p>Download this ITSAN brochure to learn more about TSWS.<\/p>\n<\/div>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-rr7tw-a716959d90ac231ed9cbd17f9edc2681-wrap avia-button-left  avia-builder-el-29  el_after_av_textblock  el_before_av_hr '><a href='\/wp-content\/uploads\/2021\/05\/Updated-ITSAN_TrifoldBrochure_v10.pdf' class='avia-button av-rr7tw-a716959d90ac231ed9cbd17f9edc2681 avia-icon_select-yes-right-icon avia-size-medium avia-position-left avia-color-blue' target=\"_blank\" rel=\"noopener noreferrer\"><span class='avia_iconbox_title' >DOWNLOAD PDF <\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue87f' data-av_iconfont='entypo-fontello'><\/span><\/a><\/div><br \/>\n<div  class='hr av-2p0fk-8a3ae26f178f9d8fcaebc68cfe12f042 hr-default  avia-builder-el-30  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-qk11o-a777d85ebdb78a2fca8668ab36894ded '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-size-two fusion-border-below-title\">\n<h4 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">Member Recommended TSWS Supportive Doctor List<\/h4>\n<p>IMPORTANT: Please note that ITSAN has not vetted these healthcare providers independently. These practitioners have been suggested as \u201csupportive\u201d by members of the ITSAN community. This usually means supporting your wishes to use a \u2018no steroid\u2019 approach; they are not necessarily likely to be familiar with TSWS (Topical Steroid Withdrawal Syndrome). Please consider confirming their perspective on TSWS before booking an appointment.<\/p>\n<\/div>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-pohbk-1837f6a1828130d4901647a6e15a172d-wrap avia-button-left  avia-builder-el-32  el_after_av_textblock  el_before_av_hr '><a href='\/wp-content\/uploads\/2022\/02\/List-of-TSWS-Supportive-Docs-and-Practitioners4.pdf' class='avia-button av-pohbk-1837f6a1828130d4901647a6e15a172d avia-icon_select-yes-right-icon avia-size-medium avia-position-left avia-color-blue' target=\"_blank\" rel=\"noopener noreferrer\"><span class='avia_iconbox_title' >DOWNLOAD PDF <\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue87f' data-av_iconfont='entypo-fontello'><\/span><\/a><\/div><br \/>\n<div  class='hr av-paqn8-a6848227f327172b193c9d1f1347f0d5 hr-default  avia-builder-el-33  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ohqz0-8e0c5ec70806483474517ed63f5526aa '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-size-two fusion-border-below-title\">\n<h4 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">Important Tips for TSW Friends and Family<\/h4>\n<p dir=\"ltr\"><span style=\"font-family: times new roman, serif;\">Have you ever searched for an easy way to explain TSW to your friends and family members?\u00a0 <\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-family: times new roman, serif;\">Here is an easy print-out that can help.<\/span><\/p>\n<\/div>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-od2zs-3ae7d0071f021eedb5da4bce46591260-wrap avia-button-left  avia-builder-el-35  el_after_av_textblock  el_before_av_hr '><a href='\/wp-content\/uploads\/2021\/11\/Important-tips-for-tsw-Caregivers-2-Letter-2-1.pdf' class='avia-button av-od2zs-3ae7d0071f021eedb5da4bce46591260 avia-icon_select-yes-right-icon avia-size-medium avia-position-left avia-color-blue' target=\"_blank\" rel=\"noopener noreferrer\"><span class='avia_iconbox_title' >DOWNLOAD PDF <\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue87f' data-av_iconfont='entypo-fontello'><\/span><\/a><\/div><br \/>\n<div  class='hr av-njb5o-057fa3b5c322dd26060c8fd48f296b3e hr-default  avia-builder-el-36  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-n66xo-cab031c7ecfb547c5cd65cce27cb7180 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-size-two fusion-border-below-title\">\n<h3 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">Videos<\/h3>\n<\/div>\n<div class=\"fusion-text\"><\/div>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" style=\"border: none; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/video.php?height=476&amp;href=https%3A%2F%2Fwww.facebook.com%2FBBCWalesNews%2Fvideos%2F282749836799849%2F&amp;show_text=false&amp;width=267\" width=\"267\" height=\"476\" frameborder=\"0\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<\/div><\/section><br \/>\n<div  class='avia-video av-m9rhw-659d7e03eac838c5e63c2ad1a5bffebf avia-video-16-9 av-no-preview-image avia-video-load-always av-lazyload-immediate av-lazyload-video-embed'  itemprop=\"video\" itemtype=\"https:\/\/schema.org\/VideoObject\"  data-original_url='https:\/\/youtu.be\/7kmHe8aSs5s'><script type='text\/html' class='av-video-tmpl'><div class='avia-iframe-wrap'><iframe loading=\"lazy\" title=\"Dangers of Topical Steroids - ITSAN\" width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/7kmHe8aSs5s?feature=oembed&autoplay=0&loop=0&controls=1&mute=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/script><div class='av-click-to-play-overlay'><div class=\"avia_playpause_icon\"><\/div><\/div><\/div><br \/>\n<div  class='avia-video av-lv10o-95cb2910386f9734f93cfc479b73f380 avia-video-16-9 av-no-preview-image avia-video-load-always av-lazyload-immediate av-lazyload-video-embed'  itemprop=\"video\" itemtype=\"https:\/\/schema.org\/VideoObject\"  data-original_url='https:\/\/youtu.be\/O82WQR1yo0I'><script type='text\/html' class='av-video-tmpl'><div class='avia-iframe-wrap'><iframe loading=\"lazy\" title=\"Topical steroid addiction in atopic dermatitis - Video abstract 69201\" width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/O82WQR1yo0I?feature=oembed&autoplay=0&loop=0&controls=1&mute=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/script><div class='av-click-to-play-overlay'><div class=\"avia_playpause_icon\"><\/div><\/div><\/div><br \/>\n<div  class='avia-video av-l8sk0-3e7f3a8870ec12ef7a7bc7a231319e82 avia-video-16-9 av-no-preview-image avia-video-load-always av-lazyload-immediate av-lazyload-video-embed'  itemprop=\"video\" itemtype=\"https:\/\/schema.org\/VideoObject\"  data-original_url='https:\/\/youtu.be\/t-Swc7jop50'><script type='text\/html' class='av-video-tmpl'><div class='avia-iframe-wrap'><iframe loading=\"lazy\" title=\"A current affair 22\/01\/2015 Topical Steroid Withdrawal story\" width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/t-Swc7jop50?feature=oembed&autoplay=0&loop=0&controls=1&mute=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/script><div class='av-click-to-play-overlay'><div class=\"avia_playpause_icon\"><\/div><\/div><\/div><\/p><\/div><\/p>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ksmzw-85eccd869be369b4daf922c68d76377b\">\n.avia-section.av-ksmzw-85eccd869be369b4daf922c68d76377b{\nbackground-color:#f9f9f9;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-ksmzw-85eccd869be369b4daf922c68d76377b main_color avia-section-default avia-no-shadow  avia-builder-el-41  el_after_av_one_fourth  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-92'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jq1ho-dda7ee81a7c631782b109c058d731f46\">\n.flex_column.av-jq1ho-dda7ee81a7c631782b109c058d731f46{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-jq1ho-dda7ee81a7c631782b109c058d731f46 av_one_full  avia-builder-el-42  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-jjtyg-0da730bdfa4bbfadded41de852108e71 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">TSW Checklist<\/h2>\n<p>If you answer yes to many or all of these questions, we encourage you to explore ITSAN.org and discuss TSW with your doctor. Click here for the informational\u00a0<a href=\"\/wp-content\/uploads\/2021\/05\/ITSANBrochure_Finalv3.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ITSAN Brochure<\/a>\u00a0to print out and share with your physician and others who need information about this disease.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-iwpe8-972fa81b3fc226cb37051b576d27c0b4\">\n#top .avia-icon-list-container.av-iwpe8-972fa81b3fc226cb37051b576d27c0b4 .iconlist_icon{\ncolor:#ffffff;\nbackground-color:#57b1f2;\n}\n<\/style>\n<div  class='avia-icon-list-container av-iwpe8-972fa81b3fc226cb37051b576d27c0b4  avia-builder-el-44  el_after_av_textblock  avia-builder-el-last '><ul class='avia-icon-list avia_animate_when_almost_visible avia-icon-list-left av-iconlist-small av-iwpe8-972fa81b3fc226cb37051b576d27c0b4 avia-iconlist-animate'>\n<li><div class='iconlist_icon av-i32ng-ad861748d3423dcfd1f41f01c4c3b3d1 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Were you diagnosed with eczema or some form of dermatitis?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-hhcs8-5062541b8a9ad2fc6530a59c133423de avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Did you begin to treat your rash with an over-the-counter (OTC) or \u201cweak\u201d topical corticosteroid?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-gshkg-a499a08614c115ad29cbc6e9e0061109 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>When you stop the creams, or take breaks, does your rash return, turn red, burn, or even start to spread?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-giz1w-b35b072f6c497d50eb76dbecc7c06a3f avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Did your physician write you stronger &amp; stronger prescriptions? Did those stop being effective as well?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-fovy8-2a370f0a7d7941edd2ff85770ac35b39 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Did the eczema then begin to spread, get worse, and become chronic?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-f1t0c-a26f00aeaddca517fc6125c67c5f7735 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Do you now have erythema (redness) occurring in small or large areas of the body?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-ekbuc-3686647b2845ead8136a592c00165c90 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Is your redness accompanied by a burning sensation?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-e1kaw-8edd81c094fa8690cb94171a847374e9 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Do you think you are photo\u00adsensitive or allergic to the sun?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-dhls8-d4341fb919355cc5d62266a4ce200815 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Have you been patch-tested for skin allergies\u00a0or contact dermatitis?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-cyccc-f64eb00edc817b1eb66bb01c5775a195 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Were the patch test results inconclusive as to what is causing the rash?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-bzjes-c1d086e991153188a0f7b130ae03143c avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Did you have a skin biopsy returned as \u201cnon\u00ad-specific spongiotic dermatitis\u201d?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-485k-52dd5cfbf3a6ff94628594b45a001583 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Have you avoided everything that could be an allergen, such as cosmetics, chemicals, sun, clothing, bedding, and a large array of suspected allergens?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-b0zfg-0a1e1200542e6720f94636885ef36f27 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Have you tried elimination diets and various alternative treatments, but nothing helped?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-3syc-7fac750b6e1c7e4caf5439834e34960b avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Have you bought expensive air filters, water purifiers, and other hypo\u00ad-allergenic products?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-9utdg-f38057f8d196b9c9157f27c213055f12 avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Have you ripped out carpet, torn down curtains, and gotten rid of potentially offending fabrics?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-91ko8-ca2aa23ee8c521edd01ef233dc1d8f3c avia-font-entypo-fontello'><span class='iconlist-char' aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\"><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Is the condition of your skin\u00a0still the worst it\u2019s ever been?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<\/ul><\/div><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_2'  class='avia-section av-8kbj4-e4ab8126fe196e894686d8bab4792f85 main_color avia-section-default avia-no-shadow  avia-builder-el-45  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-92'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-84rnk-19cdbca694c4f58f915ff7e1fb09aff3\">\n.flex_column.av-84rnk-19cdbca694c4f58f915ff7e1fb09aff3{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-84rnk-19cdbca694c4f58f915ff7e1fb09aff3 av_one_full  avia-builder-el-46  el_before_av_one_half  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-7hj2w-675ae269e3b8a5b2350f88d0ded91ea4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 class=\"title-heading-left\" data-fontsize=\"32\" data-lineheight=\"36\">Support ITSAN<\/h2>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6p83k-7c36990c6bdf18761b4e9802ef5ccb1a\">\n.flex_column.av-6p83k-7c36990c6bdf18761b4e9802ef5ccb1a{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-6p83k-7c36990c6bdf18761b4e9802ef5ccb1a av_one_half  avia-builder-el-48  el_after_av_one_full  avia-builder-el-last  first flex_column_div av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-6bghw-a8f68a8b1730434f733ba7d03c9e16f2 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><a href=\"http:\/\/smile.amazon.com\/ch\/45-4556484\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-181 size-full\" src=\"https:\/\/www.itsan.org\/us\/wp-content\/uploads\/2021\/05\/amazon-smile1.jpg\" alt=\"\" width=\"300\" height=\"230\" \/><\/a><\/p>\n<p style=\"text-align: center;\">Support ITSAN by shopping at Amazon Smile! Simply choose\u00a0ITSAN as your preferred charity, then every time you purchase from\u00a0smile.amazon.com a portion of the purchase price will be donated to ITSAN at no extra cost to you.<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/smile.amazon.com\/ch\/45-4556484\" target=\"_blank\" rel=\"noopener noreferrer\">Visit site &gt;<\/a><\/p>\n<\/div><\/section><\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-92","page","type-page","status-publish","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/pages\/92","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/comments?post=92"}],"version-history":[{"count":24,"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/pages\/92\/revisions"}],"predecessor-version":[{"id":12670,"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/pages\/92\/revisions\/12670"}],"wp:attachment":[{"href":"https:\/\/www.itsan.org\/us\/wp-json\/wp\/v2\/media?parent=92"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}