The basics of Topical Steroids Withdrawal - Dr. Satoko Minaguchi
Here is the very basics of topical steroids addiction and withdrawal. Dr. Satoko Minaguchi showed this during the TSW conference and explained where TSA and TSW stand in the arena of atopic dermatitis treatment. She is a TSW dermatologist working in Saitama area in Japan.
This is the photo of the chart she showed during her powerpoint presentation.
Here is the translated version for you.
TSA shouldn't be discussed as an opposing idea to the orthodox TS based treatment.Dr. Minaguchi's message was that TSA shouldn't be discussed as an opposing idea to the orthodox TS based treatment, because TSW is a method of a treatment to remove side effects. The opposite therapy to the TS based treatment should be a non-steroidal treatment, in other words 'natural healing'.
It's clear that the most of the TSW patients, including myself, went down on the Y route on the chart. We are now back on the route to simple atopic dermatitis or other skin condition we originally had. What I found concerning is those who are in Y'. People in this category thought their eczema was completely cured, and one day, Bam! - they found themselves with TSA. People in X' are lucky ones. Dr. Minagchi told the audience that a factor of 'no rebounds' is currently unknown. (She indicated that it seemed to be just a matter of luck).
Some people do not experience the side effects of TS at all.Another interesting point this chart shows is that some people do not experience the side effects of TS at all. I know people who used TS and Protopic(PT) and had no adverse effects after they quit. For them, "Topical steroids (or Protopic) worked well." I'm happy for them, not cynically but genuinely. When you begin the TSW/PW, it's easy to see TS/PT as an invention of evil. But I think that refusing TS/PT all together, which is steroids/tacrolimus phobia, can make your already-hard journey harder. There's such a big difference between experiencing the side effects and steroids/tacrolimus phobia. I acknowledge that TS/PT work wonderfully for some people, just not me, sadly.
Once we are done with TSW and get rid of the side effects, some people may face a question - "what should we do with simple atopic dermatitis?" Most of TSW doctors, including Dr. Kenji Sato and Dr. Mototsugu Fukaya, believe that atopic dermatitis would often go away naturally.
(it's interesting to visually compare simple atopic dermatitis pictures and steroids induced atopic dermatitis on Dr. Tarao's website)
Wishing you all a good recovery and a beginning of the lovely new season x