User:Mr. Ibrahem/Topical steroid withdrawal

Topical steroid withdrawal, also known as red burning skin and steroid dermatitis, may occur in long-term users of topical steroids after they stop the use. Symptoms include redness of the skin, a burning sensation, skin swelling, and itchiness. This may then be followed by skin peeling. Onset is within days to weeks after steroids are stopped. Complications may include trouble sleeping and secondary infection.

It generally requires the application of a topical steroid, at least daily, for more than a year. It does not occur with normal use. People with atopic dermatitis are most at risk. It is believed to be a specific side effect of steroids. Diagnosis is based on symptoms, with skin biopsy generally being unhelpful. It is difficult to separate from a recurrence of the original skin disease the steroids were used to treat.

Treatment involves discontinuing the use of topical steroids. These can either be stopped gradually or suddenly. A short and gradually decreasing dose of steroids by mouth may be used. Counseling and cold compresses may also help. Other measures may include antihistamines or gabapentin. The condition may last for weeks to years.

Topical steroid withdrawal is rare. Cases have been reported in adults with a few possible cases in children. About 80% of those affected are women. In some areas of the world it occurs due to the use of steroids in skin lightening products. It was first described in 1979. Discussion of the topic has become common on social media.