Tag Archives: perioral dermatitis

Update: Month 8

Standard

Hi Boys and Girls!

Another month down. Just to clarify, I am done with month 8 and into my ninth month of withdrawal. I went off Clobestol Propionate completely sometime mid-December 2012… not sure what day exactly. So I’ve said January 1st to simplify things. Technically I could be at 9.5 months!

August has been an interesting month. There has been major markers of improvement and feel lucky to have gone through only moderate withdrawal symptoms. I continue to visit the sunbed every 2-10 days for 2 minutes at a time. Yes, I’ve been inconsistent and have seen a positive relationship between improved skin condition and sun therapy. The 10 days I went without it, my perioral area worsened — more sensitivity to allergens, sweat, kisses, etc. Every 5 days seemed to be a happy compromise between my self that wants to avoid tanning at all costs, and my other self that wants to keep my mouth area looking normal.  Otherwise, if things were rashy, I would go more often though for a shorter time.

Anyway, I’ll start with the cons…

Downs:

The biggest downer was my perioral area regressed in the last couple of days of August. It acted up after giving Dexter (my Beagle) a bath. Raised bumpy red rashes and little oozing and crusting. Taking salty baths and getting “sun” has helped only some, though I’m thinking that it will be better in a 1-2 months time.

Scratching. Healing is progressing slowly, but surely. Not many open wounds this last month. I’ve avoided using my hands to scratch, which seems to be less damaging. Instead I use flat surface objects which seems to be moderately better because using my nails seems to break skin open quickly. This advice may seem… irresponsible. I should be telling you to not scratch at all throughout withdrawal, but I have accepted that scratching is inevitable. It gets me through the morning, afternoon, night.

The deep wrinkles and linchification from scratching in the early stages of topical steroid withdrawal are still very visible. And upset me time to time, but it is was it is.  Itching has evolved into a burning and shock-y sensation. Fellow TSW-ers have talked about a burning sensation that was alien to me until now. The only way I can describe it is… it feels like a large area of nerves are excited and feels like a fiery sensation. It hasn’t been very intense at all, but worries me because I’m only experiencing it later into my withdrawal (while others have it much earlier on). It makes me think that the infamous 2nd flare is around the corner.

Hair loss isn’t as bad anymore. I lose hair at a normal rate and my bald spots continue to fill in and grow with baby hairs. It’s crazy to think back to 3 years ago when I was losing hair in bunches when I was unknowingly going through withdrawal (and consequently, going back to steroids).

Ups:

No more antihistamines! Though I continue to struggle with scratching, the itching has decreased by a significant factor. On a scale from 1-10, itching was about 6/10 in August. (Month 2 and 3 was at 10/10 intensity, Month 4 – 8/10, Month 6 – 7/10) I was able to taper off antihistamines until stopping them completely. So I am no longer dependent on Benedryl to fall asleep at night. That’s right!!!! This is the biggest feat this month – hands down.

Taking antihistamines every night was troubling me as I read an article about antihistamines (and similar other drugs) having a negative affect on cognitive functioning over long periods of use.  I was using up to 3 Benedryls and reduced to down to 2.5, then 2.0, then 1.5, then 0.5 from the beginning of my withdrawal. Though in Feb and March, no number of Benedryls helped me fall asleep or lessened the intensity of itching, so I wasn’t bothering with Benedryl back then. I continue to take Licorice Root pills to alleviate the itching at night, which generally reduces my itching noticeably.

Healing on the outside. Despite the sluggish pace of progress that is accompanied by topical steroid withdrawal, I have noticed improvement in my worst problem areas (eg. neck, wrists, stomach, arms). Things are smoothing out some and are looking better than a couple months ago. Comparing my skin to how it was 2-3 months ago makes my outlook on withdrawal seem hopeful.

I avoid potentially unsafe situations like laying on the sand or swimming at the beach where my broken skin would parent an unwanted skin infection. Also, I only use stand-up sunbeds since there is no direct skin contact with the bed. This may seem overly vigilant for a heedless spirit, but it’s not worth the risk. A friend of mine – happy & healthy, no steroid addiction – contracted a skin infection whilst in a horizontal, laydown sunbed. Being more vulnerable to infection, I don’t get into trouble.

As an aside, scratching has become a guilty pleasure. I physically feel better after a good scratch. Somehow more relaxed. Speaking of which… For the last month now, I’ve been able to to have a glass of wine without going into a flare-up. I last tested this in May with no success. I poured a glass — perhaps with foolish bravado — and regretted it deeply. But August has been good to me, so I’ve been enjoying a little bit of wine throughout the month.

Overall:

Slight regression in perioral area after handling Dexter in the bathtub. Itching  is reducing, though experiencing increasing burning and shock-y itch sensations. No longer using antihistamines is a wicked milestone to reach. I was thinking about it for a long time and finally felt ready to do it despite the incessant nightly itching. This new level of healing really tells me that my body is moving forward and repairing itself. I definitely still have many months of healing ahead of me, but hopefully have already seen the worst of it behind me. I’m not sure if I’m prepared to deal with the infamous 2nd flare if it is to happen. But if it would follow a lifetime of health, I’m ok with that.

Advertisements

Month 7.5

Standard

7.5 months down. It’s amazing how time can heal the body. The last pair of photos of my face/neck (below) are the most drastic change I’ve seen. My neck and face were incredibly raw. I had to keep it covered in various ways to avoid infection and allergens. Those red areas in the Before picture were oozy, open, linchified wounds now coming down and healing up. I was barely leaving the house back then – I was too itchy and raw. I try to use a light scarf around my neck to conceal my neck, which is my worst problem area. Something with a loose weave that’s breathable and non-abrasive. Kinda like this…

Loosely woven, soft scarves are nice for summer

HOT WEATHER. The weather lately has been so ridiculously hot (45C /112F) that I haven’t really bothered with a scarf in this heat, but I was sporting a scarf in late June when it was in the high 20’s (Celsius, or high 70’s/low 80’s F).  I was anxious about the outdoor concert (Tegan & Sara) I went to a couple weeks ago, but managed fine. I took off my very light long sleeve and wore a sleeveless tank. It felt a little weird at first but got over it quickly. Regarding body temperature regulation, I’m tolerating the warm weather more normally. In late May, I was heating up too quickly in 21C degree weather (69F) and flared. Though no human would tolerate 45C well, I was handling 27C (80F) fine. So no irregular body temperature issues. That seemed to be a thing of the early stages of TSW and addiction.

Remember: I used to use steroids only once (1 week course) every 3-4 months, so I was probably withdrawing as I was using it. I would overheat in 19C (66F) very easily and needed a fan on me whenever possible. I believe that the lack of body temperature regulation in the past is closely linked to steroid use and addiction, as I have seen a dramatic difference in how my body tolerates warm temperatures, and will be studied in the future when the bulk of the medical community recognizes (and acts upon) steroid addiction.

SUN BEDS. My face doesn’t seem to show obvious signs of TSW. Though I there was some minor ooze above my upper lip over the last couple weeks, as I stopped sun exposure for a month. I went into the sun bed for 5 mins and the wounds are closing up. Before you say anything, I am NOT recommending sun bed or tanning salons. I am using it to my own discretion. I’ve never used sun beds regularly and am generally anti-tanning. But given the medical situation I’m in, I am using sun beds minimally and cautiously. I was going 5 mins every 2 days, but this ended up being too much. I was becoming dark quickly after 2 weeks of that.

So I will be doing 2 mins twice a week for the next little while to see how that goes. Sun beds work for me because going out in this incredible heat for too long is just crazy, and I want to keep my perioral area in check as it has helped to close those open wounds and stop the oozing. I was going for UVB treatments at a dermatology office, though it was becoming inconvenient (a 2-hour bus ride roundtrip, every other day).

Dr. Rapaport recommends light sun exposure in the later stages of withdrawal. Listen to the ITSAN teleconferences or read the transcripts to learn about Dr. Rapaport’s view on sun exposure. I started getting some sun around month 4-5. At first, I experienced resultant itching afterwards though that is no longer the case – though it is difficult to pinpoint what causes some itching. I did not use sun exposure when I was raw and red, but when the redness was down.

SLEEPING. I’ve been sleeping regularly… as in my 36-hour long days are over. Yes, I was staying up for 36 hours at a time because the itching was so intense; I simply could not rest even after taking antihistamines. Benedryl seems to be my drug of choice. I was prescribed Atarax (a recommendation by my doctor and Dr. Rapaport), but didn’t fill the prescription for reasons unknown. Sleep has never seemed so precious after experiencing itch-induced insomnia. Existence was miserable. Now, if I sleep a regular 8 hours, I usually feel tired by early afternoon. Lately, I’ve been sleeping heavily and for longer hours (10-11) now that I can rest calmly. There seems to be a consensus amongst TSW-ers that they become fatigued easily and need rest more than healthy folk.

MOOD. I seem to be moving back into my same ol’ self. I’m starting to think about my academic future again and have been debating when that should resume. The infamous “Second Flare” that all my fellow red-skinners (others who are also experiencing Topical Steroid Withdrawal) experience seems to happen around the 8-10th month mark, so I am feeling apprehensive about going back too soon… My self-esteem is bouncing back from zero to some. I have a feeling it has to do with getting out more, seeing friends/family and frankly… being able to wear makeup again. It can camouflage my skin/face fairly well.

See!

My summer has been good so far. I’went to the local Sun Fest, which is a summer festival celebrating ethnic food and music. I saw Tegan & Sara in Toronto (though I would not recommend the VIP tickets for Downsview Park!) and had some good fun. I’ve been hanging out with friends and spending hot days indoors. 7.5 months feels like a comfortable spot. My need for baths are lessening – once a day for an hour, though that sometimes ends up being more like 1 bath every other day. I should be better about it, but the bathtub gives me the creepy crawlies.

Now for the update pictures. Some of these are pretty graphic, so Viewer beware if you haven’t seen what TSW looks like.

Read the rest of this entry

Month 5 + Juliana’s Healed Story

Standard

I’ve pat down another month of healing. It’s gone by fairly quickly – more quickly than previous months! I remember in Feb and March feeling like a single week felt like an entire month. It was very slow going and wasn’t sure how I’d make it through, but my time perception has changed greatly and feel like I’m just trucking along until I can finally feel close to 100% again. May has been a month of improvements, as well as back-tracking. I’ll give you the bad first…

The Bad:

Had a pretty big flare after drinking a glass of wine. Not quite there yet! Perioral area has worsened (mainly the region around my mouth) has been raw, sensitive, red and flakey. Nightly itching is a regular occurance. Still taking antihistamines to put me to sleep. Otherwise, I’m awake half the night. Skin still looks pretty gnarly – deep fissures and wrinkling, especially on my arms and neck. Also still pretty dry… but who isn’t in a time like this? I have rough linchified areas on my inner calves, neck, lower back, wrists, below the navel and arms.  Anxiety still pretty high. Not nearly as bad as it was just a couple months ago when I was experiencing a feeling of doom before laying my head to rest. The increasing temperatures and humidity of summer has caused flaring, so I’ve been avoiding the outdoors. Taking the bus is still very difficult as the waiting periods are long enough for my body to heat up in warm/hot weather, so i’ve been taking taxis to go places. Also, I’ve had a noticeable B.O. this last month for no apparent reason and wonder if it has to do with what I’m eating or the withdrawal. I’ve read about many people having the same issue going through TSW. Has anyone found out conclusively if it’s caused by TSW?

The Good:

My skin is feeling and looking better. My face looks near normal. My thighs look untouched by TSW. My bum feels pretty darn smooth! The itching usually only ever happens during the night. Daytime itchies are common, but not as distracting as the night time ones. Still using apricot oil (was using the heavier grapeseed oil) but feel like I’ll soon be moving on a lighter oil soon. Coconut is next! Confidence is gradually reappearing. I notice myself smiling and laughing more 🙂 Able to tolerate cosmetics/makeup, so I can leave the house with eyebrows and lipgloss. Yay.

I went to Fabricland yesterday to pick up a couple different silky fabrics to get some summer scarves made. I’d really need to learn how to sew myself and have a few to choose from. Most of the current scarves I own now are too heavy for summer and want something to just cover my neck since it’s the most damaged/raw area.

I had a chance to meet Natasha from the ITSAN forum in Toronto. She was lovely and a pleasure to meet. Her strength and composure was inspiring and gave me something to hold on to. Hope to meet you again, Natasha!

Impressed that I’m able to slap on some makeup and run around outside. It feels good to finally go out on a regular basis. Oh, right – I also just started working again! I’m working at a retirement home as a “Companion” for en elderly woman, part-time.  Hands down, it’s the best job I’ve ever had. It’s kept me on my toes and surprisingly has given me a new appreciation for life.

My birthday is right around the corner. I’ll be turning 27 on June 25th. I think about how quickly time has passed me by and how great life can be when I’m healthy again. I’ve been thinking more about my career path and travelling I’d like to do next year. I guess that’s another post.

There’s news of a recent Healed Story by Juliana! She had it pretty rough. If you look at her photos and read about her experiences with TSW, it’s amazing to see how much happier and healthier she’s become. I believe it’s taken her 2 years to come to this point. The body truly does miraculous things and can heal. Another beautiful testimony to Topical Steroid Withdrawal and how these prescription creams can do more harm than good. Congratulations to you Juliana!

Sending warm healing vibes to you, xoxo.

Month 3 of Withdrawal from Corticosteroids

Standard

Hi Everyone,

Sorry my posts have been so far and few. I’ve been having a hard time coming up with positive posts as my withdrawal from steroids has been a very dark and lonely road. I read others’ posts and feel like I should be jumping for joy in comparison. I admire those who can take the positive from this experience and use it as fuel to go on. I’ve never been a true optimist, maybe fleetingly, so trying to deal with the daily grief of the deep down itch, uncomfortable, ripped up skin and anxiety that comes with it has been difficult. I am into my 4th month of withdrawal now and have started seeing major improvements.

I still wake up itching in the middle of the night and throughout the day, but not nearly as often as before. Every living moment was itchiness up until a couple weeks ago. I’m getting breaks. Some days I itch maybe only 30-40% of the day and with less intensity versus a full on 95% with intensity. I noticed improvements when I started using the Epsom salts again. I stopped salts for a few weeks thinking that it might be drying me out. I became dry during this time I was off the salts but thought it was maybe just a part of the natural progression of TSW. I gave salts another chance since I figured I had nothing to lose. Has made a world of a difference.

My skin is retaining moisture finally and for longer. I still weep when I scratch too hard, but overall I see that I’m a few steps closer to healing. Today I noticed that my nose felt greasy from its own oils (I haven’t moisturized since last night). If I told my 17 year old self that I’d be excited about an oily nose, I’d roll my eyes and say “whatever” – I was an oily, pepperoni face at that time.

I haven’t been working for the last 2 months now. There are many TSW friends who continue to work full-time hours and applaud them for braving it. I’m not sure when I’ll feel ready to work again. I’ve always had somewhat low self-esteem and am trying to gauge when I can start getting out again. Going to the mall or somewhere to do errands on my own just terrifies me; I’ve become utterly anti-social. I do mean anti-social… as in as little people contact as possible. At 26? Yeah I know, but hell – I’m allowing myself excuses for now. When I’m much closer to healing, I can go back to my normal contentedly quiet, shy self amidst the social butterflies of the outside world. For now, Dexter (my Beagle) and Charlie keep me company when I’m home alone. More frequent updates to come!

Image

Dexter, the Beagle keeps me company

A Little Rant and Literature

Standard

I think that it’s important that anyone using corticosteroids know about the possibility of addiction, especially since it’s likely that their doctors know about the influence on the HPA axis (Hypothalamic–Pituitary–Adrenal axis — pretty much your adrenal glands which produce your body’s natural corticosteroids), though not its extent of influence.

But first – a rant. From the stories I’ve read from ITSAN members, it’s unfortunate how complacent so many derms and MDs are with the the medical knowledge they attained in school insofar that they’re willing to turn down medical literature written by other doctors offered by patients in their practises. This is where I get aggravated…

The fact is that doctors are people too, so I can understand why someone would be hesitant to read medical literature that has not yet been widely accepted. The ironic thing is that it takes individual doctors to create awareness, so who’s waiting for who? There’s also the issue of pharmaceutical sway on doctors.

There’s enough people who say that it’s illegal for doctors to accept payment from drug companies for prescribing their product, but where there’s loopholes, there’s advantages. Dr. Irene Abramovich in West Hartford, CT was paid large amounts of money by Janssen Pharmaceuticals to speak on their behalf. $47,000 in 2010 for “speaking and travel.” Abramovich was also the state’s top prescriber of Invega in 2010 and 2011, and in the top five for Zyprexa in 2008 and 2009. See: http://www.articles.courant.com/2012-07-30/health/hc-doctor-prescribers-20120730_1_second-highest-prescriber-top-medicaid-prescribers-pharmaceutical-companies

Oh, but she’s a psychiatrist right? What else is she going to do? She’s just doing her job, you say? Get out of here and don’t talk to me… Here’s some lit I found on steroid addiction. Read and evaluate for yourself.

Adrenal Suppression From Topical Corticosteroids Surprisingly High

By By Alicia Ault. Reviewed by Zalman S. Agus, MD. I think what’s most interesting about this article is that the panelists of this meeting looked at honest, raw data of side effects from studies done and made judgements based on that information, rather than generalizations of its benefits.

Topical corticosteroid addiction may be to blame when ‘rash’ defies treatment

By Paula Moyers. This article is interesting as it describes how my eczema has progressed to a tee with the use of steroids. I was on a mild steroid since age 6 (26 now) and started more serious dosages about 7 years ago. The most dramatic change happened 3 years ago when I was using it to control allergic skin reactions to cat dander.

Eyelid Dermatitis to Red Face Syndrome to Cure – Clinical experiences in 100 cases

By Dr. Marvin Rapaport. Luckily I still have access to Western University’s journal database, so I was able to get a hold of Dr. Rapaport’s article on the relationship between perioral and facial eczema and steroid use. Hopefully, I don’t get slaughtered for sharing Rapaport’s academic work freely. Dr. Rapaport is not the greedy type who writes scripts of an extra buck anyway (I wouldn’t be here if he was!).

Rebound Vasodilation From Long-Term Corticosteroid Use

By Dr. Marvin Rapaport. This is a short one going over how steroids affect the nerve endings, thus how and why we itch so badly after coming off steroids. This “rebound” is a symptom of withdrawal from steroids.

Corticosteroid Addiction and Withdrawal in the Atopic

By Dr. Marvin Rapaport. This goes over how steroid addiction and withdrawal progresses over time. The great news here is that we may be able to have near-normal skin (and life!) once our bodies have expelled the steroids completely out of our system. Before I started Clobestol, my skin was 95% normal, barely flaring or itching.

Serum Nitric Oxide Levels in Red Patients

Another one by Dr. Marvin Rapaport. He distinguishes between true eczema patients and steroid-induced eczema patients by looking at nitric oxide levels in individuals. Very interesting as he’s able to quantify what true eczema looks like.

Forced Bravery

Standard

It’s hard enough looking at the reflection in the mirror. I think I’ve finally come up with the courage to post photos of my current condition. Sliding it out for the world to see feels more like forced bravery than fearless conviction. But I believe that if you put on a smile, cheer will follow. Here they are…

Image

Left side of my neck and face. Thickened and weeping skin. Yum.

This is the left side of my face and neck. It’s looked like this for at least a month now. I have lumpy lymph nodes on my neck where the large blotchy rashes are located. I wrap nice Cottonelle paper around my neck to catch the weeping ooze and hide my neck. It stresses me out every time I feel something like my scarf brush against my neck or see it. So wrapping for the last week has made a difference in healing. Wrapping my neck with paper and securing it with a bobby pin has helped a lot. The skin there has a few creases and has sagged, so that the folds stick to each other and it feels icky, so I end up tending to it and it turns into a mess. It was just by coincidence that I started doing this as mom bought this Cottonelle brand toilet paper. It’s gotta be a 50-ply paper with strong fibres, so it wouldn’t stick to weepy skin like regular paper would. Now, I don’t feel the folds sticking and I don’t have to see it throughout the day.

Image

Perioral dermatis developed with steroid use. This is it on a really good day.

The area around my lips, especially above it, flared one day when I was approximately age 12 when I was playing with Lucky, my aunt’s Labrador Retriever, and probably touched that area. It’s been a frequent problem area since then. I’ve used anything for 1% Hydrocortisone to Protopic/Elidel to Clobestol Propionate. It has gradually gotten worse to the point that it’s permanently cracked (tiny hills and valleys from epidermal damage) and oozes when anything touches that area. It was oozing a yellow fluid and was given several different oral and topical antibiotics; it continues to be a problem. It looked like this for a good month, but went downhill last week when my bf’s stubble hit that area despite our carefulness. I’m really hoping that it will no longer be extremely sensitive after the TSW deal.

Image

Blotchy, thickened, weepy, tight dry face

This is what my face pretty much looks like at the moment. The affected areas are my temples, around the eyes and mouth, jawline and some of my cheeks. Makeup is my friend most days, although I don’t bother unless I’m going out, which is almost never at this point. My eyelids do this funny thing where there’s not one, not two, but three folds. I’ve heard another fellow Asian mention this on the ITSAN forums. Think it’s because the skin’s just so dry that it creates more creases than I need.

Image

My hands never looked like this before TSW. I never really used steroids on my hands or wrists except for the odd time when this little spot would get out of control. Working at the hospital and having to constantly sanitize them brought them to this state. Although I no longer work there, it hasn’t bounced back since then; it’s been 1 1/2 months. The skin here is very dry and thick. Think I should use my Dermasilk gloves to help with moisture retention.

Overall, you could say that things have improve in the last little while. I started TSW from the beginning of January 2013, so I’m into my third month of withdrawal. I experience some “pins & needles” itching throughout the night, but the itching usually happens when I tend to a small spot that initially always seems harmless and then the itch spreads in all directions. I have to admit that I probably scratch even when I’m not itchy. Even though the itch isn’t bad, scratching gives me immense relief, it’s almost orgasmic. I’m trying really hard tonight to keep my fingers away from my skin. Feel like I should take up knitting to re-train my hands to keep away from my body. I’ve created so much damage already and need to distract myself.  In the meantime, I’, debating whether I should buy this Calendulis Cream or EczeHerbal Ointment found in The Eczema Company (http://www.eczemacompany.com/eczema-creams-salves/) for my face as it’s been so dry lately.  Shea butter sinks in nicely but like everyone else, I wonder if there’s something better out there.

Lotions and Potions

Standard

I came to conclude that I’ve grown dependent on steroids after numerous trials with alternative and natural treatments. Although some things have helped with the condition of my skin, no single treatment has resolved my itchy, hot, irritable skin. I’ve spent too much time and energy into researching for the causes of my curs’d skin, but I’m not yet ready to lay down my armour and accept that my life will be ruled by how my skin feels. For those who have skin issues, you know exactly what I mean. You feel like going for a bike ride? You can’t! Because — very predictably — you flush/sweat too easily, fall into an itching fit and must hasten home to a cold shower.

Below is a list and brief description of things I’ve tried to resolve my skin issues, which is what I now realize to be steroid-induced eczema. I gave most things a chance, as long as it made sense and was meant to resolve eczema. Although some things have helped (i.e. moisturizing with grape seed oil), the underlying symptoms of whatever-the-f&(% is going on with my skin was/is very present. Some of these things I continue to use as it minimizes any flare ups or keeps my skin in good condition, while some other things I no longer bother with as it wasn’t worth while (i.e. too much money and unsuccessful).

I moisturized incessantly with different types of oils.

I thought that if I brought moisture back into my skin, it would be happy and functioning. Dermatologists believe that eczematous skin does not function properly because the skin cells are not as “dense” as normally functioning skin (this has been called the Defective Skin Barrier Theory). As a result, moisture retention in eczematous skin is lesser than those who have normal skin. I thought, “If I could get my skin to act normally by adding more moisture, maybe…”

Neem oil, jojoba oil, emu oil, grape seed oil, almond oil, castor oil, sea buckthorn, oregano oil, coconut oil… All in 3-4 week rotations throughout the year to give each oil a chance to reap its benefits. While these all had their benefits and disadvantages, my skin was always thirsty for more. The redness, irritation, itching wouldn’t give out with all the loving I gave my skin. I’ve been using coconut, castor and grape seed oil for months now. I liked the emu oil, but have decided against it for ethical reasons. They kill emus for their oil.

Some people going through TSW complain of a metallic smell from their skin, which has been attributed to fungi growing on the skin, so using the coconut oil for its antifungal properties isn’t a bad idea. I use it for this reason. Castor oil is too thick and heavy, and would take ages for it to sink into the skin. I like the grape seed oil because it’s fairly lightweight and inexpensive. Jojoba oil is nice but over my budget. Coconut oil is also pretty expensive if you get the raw, unprocessed, extra virgin version, so I compensate by using it only on my face, neck, hands, basically exposed skin areas. I would like to give avocado oil a chance but have not found a bulk size that would make the purchase worth my money. I didn’t care for almond oil; it was sort of like grape seed but a tad bit heavier. Sea buckthorn is often sited for eczematous skin, but did not see a difference. I would argue that any slight benefits that it offers would be difficult to discern as skin going through TSW is too damaged to notice its benefits. I will probably go back to it if I need to in the future. For now, I’m happy using grape seed oil as my main emollient.

Gluten

I eliminated gluten, a common food allergy, from my diet. 

I removed gluten from my diet for 90 days (3 months) without success. When I re-introduced it into my diet again in December, I did not see a noticeable difference in my itching responses. The only things that made me itchier was some nightshade vegetables like eggplant and squash, as well as shellfish. I avoided these, but still continued to experience itching in and around my body. Despite my newfound allergens, there was a strong residual itch that could not addressed by eliminating those foods stated above. It was expensive but very healthy. When my income allows it, I would go back to this diet. I was desperate at the time and sacrificed some money in going gluten-free thinking it would help me. Eliminating gluten also allowed me to follow the anti-candida diet, which is often sited as a solution to eczema.

GI Tract

I followed the Leaky Gut and anti-Candidiasis protocol.

I also reduced sugars from my diet to eradicate Candida from my GI tract, which is believed to affect the skin because the GI tract houses 90% of the immune system. The thinking behind the eczema-candida connection is that the skin is the last organ to expel toxins from the body since it’s the outermost surface of the body. Candida overgrowth meant that there was excess faecal matter in my intestines, resulting in intoxication in the thick of my immune system.

Because sugars feed the bacteria which supports Candidiasis, I stopped eating fruits, glutonous breads, pasta, candy, all things sugar for 3 months without any apparent improvement or success. In following the anti-Candidiasis diet, I would also be addressing my leaky gut problem too. Leaky gut is a condition in the GI tract where the overgrowth of candida damages the intestines, making the gut hyper-permeable, thus allowing the toxins created by the candida to seep through the walls of the GI tract and contaminate the bloodstream. Because the body works to remove toxins from the host, toxins in the GI tract and bloodstream means that they will show up in the skin, or so the thinking goes.

Dander

 I reduced environmental allergens from my surroundings.

My real problems started when I started sleeping over my boyfriend’s place where cat dander also resided. My face developed these strange, itchy blisters where my face touched his pillow cases, but no asthma. After a few months, I finally clued in (doh!) I started using an anti-dander laundry detergent on everything I laid my skin on (bedsheets, curtains) as I was convinced that the cats living in my boyfriend’s building was effecting my skin reactions.

As a child, my asthma and skin flared around cats and dogs, so I deduced that it was the cats although they did not enter his room. We used an anti-dander solution in our shower soap, an allergy reducer spray by Febreeze. I saw improvement as I wasn’t getting blisters on my face anymore, but still felt unsatisfied, so I completely removed myself from that environment to see if it would make a difference. After weeks and weeks of not visiting his place, I saw no improvement and continued to experience itchy, hot, irritable skin.

Homeopathy

I went to a Naturopath who offered natural solutions. 

I am a strong believer in Naturopathy or at least its principle. Afterall, Western medicine a la steroids is the reason I’m where I am health-wise. I was given Unda 12, 17, 22 & 30, all to assist with my skin’s functioning. I took these for 2-3 months without seeing any marked improvement, while on steroids. I also saw another naturopath who gave me a number of supplements (probiotics, vitamin D, vitamin B, fish oils…). I saw some improvement here in my skin, but still continued to experience intense itching. I continue to use supplements such as fish oils, zinc, silicea, vitamin D, which are all good for the skin, which I can always use some help with.

Mild products

I used mild skin products meant for sensitive skin and avoided fragrance like the Plague. 

I’ve tried CeraVe, Cetaphil, Avene, Aveeno, and so many other brands, though my skin continued to  experience irritation. At times, I would feel stinging/burning sensations when I applied these things. This was especially apparent when I used Protopic (aka Elidel). I eventually stopped Protopic as I saw little to no improvement, and with the price tag on that stuff, it just wasn’t worth it ($93/ 50ml). I’m sure avoiding common irritants like fragrance and using mild product did good for me, but did not completely eliminate my issues. I continue to use mild products to avoid reactions, though I no longer experience sensitivity to them as I did when I was using Protopic. A few weeks ago, I had gotten a little too bold for my own good and went to Lush to grab an old favourite, the Angels on Bare Skin, which I used before my Clobestol days. Serves me right for overreaching. It stung like crazy.

Love life

Thoughts/Conclusion

As a moderately long-time steroid user, eliminating steroids/corticosteroids was the only thing I hadn’t tried. In 2012, I used Clobestol Propionate approximately 30-40 days cumulatively of 365. The diagnosis and pathology of Topical Steroid Addiction suits my experiences with my skin, and is very compelling. Every time I used a round of steroids, I saw an apparent improvement, but saw continued itching, hotness, irritability. I saw a noticeable overall decline in the health/condition of my skin (increased dryness, irritability, redness) soon after I started using Clobestol. Although it gave me anti-flammatory relief, it was temporary and often resulted in “angrier” skin after each use.

I am willing to further endure the symptoms of TSW. It will require a long time to see results, but the before and after photos of healed TSW veterans are profoundly promising. If Joey Brown or Kelly Palace (users of steroids for 30-40+ years) can heal, there is something definite to what Dr. Rapaport is reporting in his medical literature and teleconferences. There are a dozen red-winners (red-skinners / red-winners… haha, get it!?) on ITSAN who show a profound improvement in their skin. This evidence is under-publicized and should be further investigated – but not if the pharms can help it. Dr. Rapaport’s 2,000 healed TSW patients and ITSAN success stories, as well as my skin’s matching pathology to Topical Steroid Addiction (TSA) is strong evidence and worth my while. After several months of researching and trials, TSW just makes sense. If 1… 1 1/2… 2 years from now, I am right where I left off, I’ll let you know. Otherwise, I’ll be living life and loving it. Now that’s a thought I can live with! The song below is by Tegan and Sara, whom I’ve been following for a long time now. Their new song, “Drove Me Wild” begins with the lyrics, “When I think of you, I think of your skin golden brown from the sun.” This brings ideas of fun, comfortable days on the beach – something I look forward to.