Illinois SR 377: TSWS AWARENESS DAY

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SR0377LRB104 14379 MST 27515 r

1SENATE RESOLUTION

2 WHEREAS, Topical steroid withdrawal syndrome (TSWS), also 

3known as topical steroid addiction or red skin syndrome, is a 

4severe, debilitating condition that can arise from intentional 

5or unintentional exposure to topical steroids; and

6 WHEREAS, Topical steroids are widely prescribed and 

7purchased over the counter to treat acute as well as chronic 

8skin conditions, such as eczema, psoriasis, vitiligo, and 

9alopecia areata; and

10 WHEREAS, TSWS is characterized by skin flushing, 

11inflammation, diffuse spreading rashes, profuse skin flaking, 

12burning, and itching worse than the original condition that 

13typically appear after use of topical steroid treatments, 

14between treatments, or after discontinuing topical steroids; 

15and

16 WHEREAS, It can take several months to several years for 

17symptoms to subside, leaving some TSWS sufferers bedridden and 

18housebound and unable to work, to care for children, or to go 

19to school; and

20 WHEREAS, A prolonged withdrawal and recovery period can 

21take a significant toll on patients' mental health as well as 

SR0377- 2 -LRB104 14379 MST 27515 r

1their physical health; 81% of adults and 56% of children 

2experiencing TSWS report feeling anxious and/or depressed, and 

347% of adults and 11% of children experiencing TSWS report 

4suicidal ideation; and

5 WHEREAS, The prevalence of topical steroid addiction is 

6unknown due to a scarcity of published research; and

7 WHEREAS, The scarcity of research on TSWS impedes efforts 

8to define diagnostic criteria for TSWS, understand its causes, 

9mechanics, and effects, develop appropriate treatment 

10protocols, and educate providers and patients abou