Illinois HR 340: RECOGNIZES-TSWS AWARENESS DAY

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HR0340LRB104 13510 ECR 25972 r

1HOUSE 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, including eczema, psoriasis, vitiligo, and 

9alopecia areata; and

10 WHEREAS, TSWS is characterized by skin flushing, 

11inflammation, diffuse spreading rashes, profuse skin flaking, 

12and burning and itching worse than the original condition, and 

13these symptoms typically appear after use of topical steroid 

14treatments, between treatments, or after discontinuing topical 

15steroids; and

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

17symptoms to subside, leaving some TSWS sufferers bedridden and 

18housebound, unable to work, care for children, or attend 

19school; and

20 WHEREAS, A prolonged withdrawal and recovery period for 

21TSWS can take a significant toll on both patients' mental 

HR0340- 2 -LRB104 13510 ECR 25972 r

1health and physical health, with 81% of adults and 56% of 

2children experiencing TSWS reporting feeling anxious and/or 

3depressed and 47% of adults and 11% of children experiencing 

4TSWS reporting suicidal ideation; and

5 WHEREAS, The prevalence of topical steroid addiction is 

6unknown due to a scarcity of published research, and the 

7limited research on TSWS impedes efforts to define diagnostic 

8criteria for the condition, understand its causes, mechanics, 

9and effects, develop appropriate treatment protocols, and 

10educate providers