The Bottom Line: Is that red flaky skin a sign of eczema or topical steroid withdrawal?

TSW is a real but uncommon condition, when the skin develops a dependence on topical corticosteroids after prolonged use or misuse. Dermatologists say diagnosis is hard. Those who suspect they have TSW should work with their doctors on alternative treatments. Read more at straitstimes.com.

SINGAPORE – Steroid-containing creams are commonly prescribed by doctors to treat inflammatory skin conditions such as eczema and psoriasis. Ideally, the cream works, the skin problem disappears and the patient suffers no other effects.

However, some find that the topical corticosteroids fail to fully address their skin issues. Patients might be prescribed stronger creams, or even oral steroids, yet the problems persist and even worsen over time.