From TSW to Living Life Again

TSW is a painful process that is both poorly documented and evaluated. The evidence that it works is minimal, if it exists at all. While the vast majority of medical professionals do not believe in TSW, the internet is rife with reports that ceasing all use of topical steroids can have a beneficial effect. While the jury is still out on this hypothesis, there are hundreds of people who are now reporting that even after years of topical steroid withdrawal, their symptoms and pain only increased while all aspects of increased health benefit decreased. Please be aware that topical steroid withdrawal lacks the scrutiny and support of all science that laymen purport as evidence of the condition. The haphazard approach to TSW can lead to massive amounts of inflammation in the body and inflammation is largely responsible for the vast majority of health issues that occur in the body. The following video highlights a large number of individuals who engaged in the painful process of TSW and ultimately found a safer alternative to TSW, allowing the body to heal in a pain-free manner, respective of good health and the many benefits that accompany it – all while ridding the body of atopic eczema and the associated redness that many believe to be the result of topical steroid use.

an illustration of 4 people trying different methods for red skin syndrome

Dr. Aron vs Topical Steroid Withdrawal (TSW)

Eczema can be a brutal and almost unbearable skin condition. The first response to treating the itching and associated pain is typically a combination of self-care techniques, home remedies, diet and medical therapies. In more severe cases, the next step often involves a prescription for topical steroids.

Topical steroids (TS) are most often prescribed every few weeks for an average period of 7 to 10 days. This reduces the inflammation and when the steroid therapy is complete, the inflammation quickly returns – and with it, a worsening of the red skin that is signature of severe eczema.

At this point, individuals (who we will collectively refer to as “patients” from this point forward) become more disenchanted with each application of conventional steroid therapy. Simply put, the method is ineffective in treating eczema and the resulting skin often looks worse than before the topical steroid treatment began.

Patients begin to look for solutions on their own and this had led to a hot topic debate between two modern approaches that appear to be helping where modern medicine is failing – but are they helping? Are these solutions viable? Are there risks involved? What are the benefits? This article attempts to present a fact-based comparison, regarding the pros and cons of topical steroid withdrawal and the Aron Regime in resolving red skin syndrome.


Topical Steroid Withdrawal (TSW) stems from the belief that the skin can become “addicted” to steroids. When the skin worsens after a round of steroids, it is believed that the body has become dependent on TS and this explains why a patient must keep using greater amounts of TS to achieve the same effect. As the body is now addicted, the only solution is to quit “cold turkey” – as advised by proponents of TSW.

TSW was popularized by Mototsugu Fukaya, MD JDA Certified Dermatologist, who has since retired from the field of Dermatology. Dr. Fukaya acknowledged the appearance of increasingly red skin after using TS that was becoming more commonplace among patients using TS on a routine basis. He saw the resulting red skin as an iatrogenic condition (illness caused by medical treatment) and he advised that the discontinuation of TS would eventually bring the skin to it’s former state.

Red Skin Syndrome

The red skin that results from topical steroid use has just this decade been coined “red skin syndrome” or RSS. It is characterized by red, inflamed skin that occurs after the cessation of topical steroid use. RSS is separate and distinct of atopic eczema. The process of curing RSS may or may not influence eczema.

Dr. Aron

Dr. Aron has been treating Atopic Eczema for the last four decades with a treatment plan popularly known as the “Aron Regime”. He is a Pediatric Dermatologist, based in South Africa and he is insistent that the conventional approach to treating eczema is a failure. His concern is that treating eczema only with steroids will simply reduce inflammation temporarily but it will do nothing to help heal the skin. Once the topical steroids are discontinued, the eczema will quickly return and often, it will be worse. Why?

Dr. Aron offers a published medical study as evidence that 90% of chronic eczema sufferers carry Staphylococcus aureus (staph) bacteria on their skin (and he believes the incidence to be higher). Topical steroids have no effect on bacterial infection so why are they all that is conventionally prescribed when a patient is suffering with eczema?

It gets worse. When TS are applied to the skin, they will most certainly reduce inflammation but as patients are also typically advised to moisturize during this period, this creates the perfect “breeding ground” for staph bacteria to spread. When the steroid treatment is complete, the skin can be in a worse state than just days before. Dr. Aron states that RSS isn’t an iatrogenic condition at all. It’s a condition that is perpetuated by the use of topical steroids alone, as they make conditions more favorable for massive amounts of bacteria to spread due to the reduced skin inflammation. This explains why TS are quickly blamed for the resulting red skin after treatment.

Dr. Aron believes that an antibiotic must be used in conjunction with the TS and longer than 10 days (conventionally prescribed) to heal eczematic/red skin as Staphylococcus aureus, associated with eczema, is a more severe bacterial infection than is currently recognized by doctors. Just as strep throat can worsen if an antibiotic course is not completed, Staphylococcus aureus can worsen when the prescribing dose is not sufficient. It is interesting to note that Dr. Aron’s method cures RSS in nearly every case, leaving only the underlying eczema to deal with. This gives supporting evidence to RSS not being iatrogenic, but bacterial in nature. Indeed, if it were not the case, it would be inexplicable that the Aron Regime would have such a high success rate in curing RSS, as the Aron Regime will typically increase TS applications in the beginning and then taper this frequency over the next few weeks/months until little or no TS is needed to manage eczema.

While TSW advocates attribute RSS to a reaction of using TS, Dr. Aron views RSS as a sign of untreated bacterial infection. TSW advocates often acknowledge the existence of staph but deny the role of staph as the primary culprit in dealing with RSS. It’s also of interest to note that Dr. Aron doesn’t make any claims regarding RSS as it’s simply not an issue on the Aron Regime. His treatment is specifically for atopic eczema and he regards the curing of RSS as a simple by-product to his treatment.

Why the Debate?

Atopic eczema affects countless individuals all over the world. An improper diagnosis can mean years of extended suffering and since children have the highest incidence of eczema, the choice of treatment can prolong suffering in children by months and years.

TSW has also had instances of children dying while going through the process. TSW advocates argue that the resulting deaths were not directly correlated to TSW but in every case, the child had deteriorating health conditions that ultimately led to loss of life. There are news reported cases of close calls, deaths and other stories that don’t get reported. The latest story was a child who passed away just this summer. His Mother promptly left a Facebook TSW group and asked anyone with information correlating TSW and death to please message her. The fact that there are even arguments about it should have patients questioning TSW – and advocates questioning their decision to recommend TSW to others who are suffering an already debilitating skin condition.

Alternatively, the side effects of topical steroids are often promoted by TSW advocates, in defense of using TSW as alternative therapy. They believe there is a greater risk of side effects from TS than TSW. However, this uncommon view is not shared by most doctors and there is much evidence that TS have no side effects when prescribed and used correctly.

“It’s very important to continue medical treatment that’s been prescribed and speak to the doctor who’s prescribed that before you make a decision,”
“Alternative therapy doesn’t have much place in the treatment of dermatological conditions like eczema. Following proven, known safe methods of treatment is the way to go.”
~The chair of the Australian Medical Association’s Council of General Practice, Dr Brian Morton

What Are the Risks?

Topical steroids always carry “potential” side effects and antibiotic resistance is a community concern however, it is worth noting that Dr. Aron has treated thousands of patients suffering from both eczema and RSS and there has never been a single report of systemic/local side effects from the use of TS. Likewise, there has never been an incidence of antibiotic resistance developing from the Aron Regime.

Topical steroid withdrawal advocates typically oppose doctor prescribed medications while enduring TSW and this often leads to increasing health risks. Suffering is increased and this means the body’s metabolic processes will slow down. Infection is not typically dealt with. Enlarged lymph nodes (a sign of infection) are common throughout TSW while they tend to disappear completely on the Aron Regime.

There are also psychological implications to going through TSW, including many cases of severe depression and social isolation/alienation.

HPA Axis Suppression is another concern. The body regulates the amount of naturally produced steroids through the Hypothalamus-Pituitary-Adrenal (HPA) Axis. TS get absorbed into the skin, and can also be absorbed into the blood stream. If too much gets absorbed, it will “fool” the HPA Axis into thinking the body is producing too many steroids. The production of steroids will be reduced accordingly. This explains why the advice to stop steroids “cold turkey” can cause issues for many patients who immediately cease using steroids. Oddly, this advice is still given on many internet forums.

HPA Axis Suppression is commonly diagnosed for patients going through TSW while none of Dr. Aron’s patients see this. It should come as no surprise that HPA Axis Suppression and TSW share many of the same symptoms.

“The most feared complication of abrupt withdrawal of prolonged or high-dose corticosteroid therapy is suppression of the HPA axis, which leads to secondary adrenal insufficiency. The symptomology of chronic adrenal insufficiency is characterized by anorexia, nausea, vomiting, abdominal pain, weakness, tiredness, asthenia, prostration, myalgia, arthralgia, weight loss, postural hypotension, somnolence and depression.”

From the Book ‘Phobias: The Psychology of Irrational Fear’, by Randi E. McCabe Ph.D

ACTH stimulation, A.M. plasma cortisol, and urinary free-cortisol tests can all detect HPA Axis Suppression and ensure that it is not a concern.

What Does the Research Say?

A Random Controlled Trial (RCT) is the gold standard in medical research.

There is not a single RCT that supports Topical Steroid Addiction. There is strong evidence that the discontinuation of topical steroids will ultimately cure the skin of red skin syndrome but the “wait time” will do nothing to help with the skin condition of eczema during this period. It is unlikely that a RCT will be seen in the future as this would require that a sample group be allowed to suffer for a period of months to several years.

Is Topical Steroid Addiction an actual clinical condition? The National Eczema Association created a task force to look into this after an increasing amount of patient concerns. After several months of investigation into Topical Steroid Addiction and the resulting RSS, they published their finding here and in conclusion, it is stated, “TCS withdrawal is likely a distinct clinical adverse effect of TCS misuse. Patients and providers should be aware of its clinical presentation and risk factors.”

This doesn’t necessarily mean that a patient is misusing TS – as “misuse” can happen when TS are not properly prescribed. Once again, it seems that the system of conventionally prescribed TS are failing many patients.

The Aron Regime does not offer a RCT as evidence either. While Dr. Aron has successfully used this treatment over 40 years, it has just recently become “mainstream” and it is very likely that a RCT will be conducted in the next decade as hundreds of doctors have now adopted this treatment program in the last few years. Professor Peter Lio of Northwestern University ( Chicago Integrative Eczema Center ) has been following the AR precepts and has expressed interest in performing a trial at some point . Dr Carol Hlela ( Head of Pediatric Dermatology ) at Red Cross Children’s Hospital in Cape Town will be doing a trial with Dr. Aron in 2016, with the prospect of presenting a paper at the South Africa Dermatology Congress in August 2016. An academic analysis of the AR is in the pipeline. Finally, on this front, there is a significant chance that an Aron Regime clinic will be opened in London ( UK ) in February 2016 and this will enable Dr. Aron to start training doctors in the finer points of management of Atopic Eczema as well as the straightforward aspect of compounding in an appropriate way.

In continuing to look at the research, is there danger is this newer approach?

There is a published medical study in the Journal of Pediatric Dermatology with a RCT that supports extended, daily use of TS as a safe and effective treatment, as prescribed in the early stages of the Aron Regime. In this particular study, 70 out of 92 children were given TS daily for a period of 10 months and enough that they were virtually kept free of eczema. Both their treated and untreated skin were evaluated with dermoscopy, a technique which utilizes a mini-microscope to search for even the most subtle signs of TCS side effects with a result of no skin thinning in any child.

We conclude that routine, appropriate, long-term use of TCS (Topical Corticosteroids) in children with dermatitis does not cause skin atrophy. These data do not support the widely held belief that routine use of TCS will “thin the skin. Parents, pharmacists, and health practitioners should be confident about the safety of using this treatment.”

Length of Treatment

Topical steroid withdrawal takes months to years to cure red skin syndrome while the Aron Regime typically cures this condition in days to weeks. TSW does not help to improve the underlying skin condition so eczema may still be a problem of the same magnitude after TSW is completed. The Aron Regime substantially improves the condition and results are typically seen in the first few days.

After RSS is cured, the treatment of TS may again be resumed in both TSW and with the Aron Regime to manage ongoing eczema. For many, TS may be eliminated and patients may choose to treat naturally – if the severity of eczema allows for this.

I never advocate that all TS users should abandon them. I am not anti-steroid fundamentalist. What I am persisting here is only that some of them are really suffering from TSA. Both dermatologists and patients could use TS more safely without anxiety after studying TSA well.
~Dr. Mototsugu Fukaya (TSW advocate)

Quality of Life

TSW decreases quality of life substantially, usually for many months and years. It is a long-suffering, painful process and some individuals are several years in and still waiting to be healed. The Aron Regime improves quality of life almost instantly. The skin shows significant signs of improvement within hours and the patient is often living a normal quality of life again in the first few weeks.

illustration showing how to get from point a to point b and get rid of RSS

The Bottom Line

Getting to “Point B” is the goal. Both the Aron Regime and TSW will get a patient to this point. Once there, there is no more steroid withdrawal/addiction or RSS. Using topical steroids, at Point B, is completely optional for both the Aron Regime and TSW.  Regardless of the path in getting there, eczema will go into remission for some and others will need to address eczematic challenges going forward.  There is no cure for eczema so neither approach will cure the underlying eczema, however, the Aron Regime will positively affect the underlying eczema while curing RSS. TSW will eventually cure RSS but it has no effect on eczema – so patients must typically make an “educated guess” where the RSS ends and the eczema begins. There is no current approach that can promise perfect skin at the end and there are varying degrees of eczema that will always require less or more maintenance.

There is no evidence that the body will heal “better” by discontinuing the use of prescribed medications. Many illnesses require doctor intervention and for severe cases of atopic eczema, this certainly appears to be true. TSW is not a complementary therapy. It is an alternative therapy, meaning that there is no scientific evidence that it works and you are being asked to forego professional medical advice on the chance that it appears to have worked for someone else. TSW is nearly always “self-diagnosed” and rarely supported by medical doctors.

TSW does appear to be a real condition for a very small percentage of the population and evidence suggests that it only exists in adults who have used extreme amounts of TS for several decades. The idea that children need to be put through TSW is a concept founded entirely upon credulity. This is the opinion of the vast majority of all doctors and the National Eczema Association.

The strongest argument for using TS to manage atopic eczema lies in understanding that they can provide the fastest and greatest possible healing (along with relief) and that any possible side-effect can be monitored and detected early on – allowing you and your doctor to change direction if necessary. By making yourself aware of the risks, you can eliminate every one and achieve a far better quality of life and healing – without fear of getting RSS or experiencing any ongoing side effects of TS.

As the Aron Regime continues to influence and affect how the condition of atopic eczema is treated, the etiology of RSS will be better understood, the condition of RSS marginalized and likely eliminated altogether. It is a fallacy to believe that healing “naturally” is not without many side effects and risks. There are risks to any choice of therapy. It is advised that patients consider “Risk vs Benefit”, while working with a trained medical doctor, in treating the skin condition of both RSS and atopic eczema.

Visit the Dr. Aron Facebook Discussion page to learn more.

9 months of treatment by Dr. Aron

It’s Probably Not Red Skin Syndrome

There’s a distinct difference in red skin (RS) vs red skin syndrome (RSS), the former being an actual result of improper steroid use as defined by medical doctors and the latter, largely a phobia born of ignorance and propagated by self-diagnosed bloggers. It’s most often described as the red skin that appears after using a round of steroids. I can’t count the number of times I’ve seen this description given by TSW advocates on different Facebook groups for eczema. Sadly, this one simple misunderstanding is what seems to have led to the recent phenomenon of enduring TSW (topical steroid withdrawal) and causing much unnecessary suffering.

Dr. Aron wrote the following in regards to TS (topical steroids) and defining TSW:

There has been much discussion about the issue of TSW so I would like to shed some light on the matter. In patients where topical steroids ( TS ) have failed to provide a solution to the AE , there are many, it is the inappropriate use of these products that cast them into disrepute , not the TSs themselves. Potent steroids for short periods of time followed by reintroduction after the inevitable rebound of the AE is not a good treatment approach. Mild, dilute TSs for long periods of time is a much better option but this is a subject for a future post.

Now to the nub of the issue. Whatever regimen of treatment is advised , unless the bacterial infective element of the AE is treated effectively, the therapy will fail sooner or later and it this repetitive failure which leads to parents giving up on TSs. However, researchers have published an article in the respected journal Nature ( November 2013, Google alpha toxin staphyloccoccus in atopic dermatitis ) in which they note, inter alia, that 90% of patients with AE have staph infection. Yes 90 % ! These bacteria secrete a toxin ( poison ) which damage the cells relating to itching and burning and therefore it is essential to eliminate these bacteria . How best to achieve this will also be the subject of another post.

There is a doctor in America who advocates TSW as a treatment of choice, he notes on his website that .. it may take, weeks, months or years … for the eczema to subside, he takes no cognisance of the issue of secondary infection and thus is, in essence, is condemning the patients/parents who in desperation follow his line of reasoning to weeks,months or years of chronically infected skin with the attendant implications which all who read this post will be well aware. I have the greatest sympathy for followers of TSW but there is a better way .

The short of this it that Dr. Aron is acknowledging the inappropriate prescription that is standard for eczema (high doses of steroids for a short period) and pointing out that the resulting red skin is exactly what is to be expected. This isn’t a “steroid addiction” as so many have been led to believe. This is the logical outcome.

Dr. Aron’s 30+ years of expertise and treating eczema aside, those who have chosen to use the Aron Regime have the advantage of additional insight into this issue. The vast majority have all suffered with what TSW advocates have coined Topical Steroid Addiction or Red Skin Syndrome. Yes, our children (in most cases) all received topical steroid prescriptions prior to Dr. Aron and we all experienced rebound. On Dr. Aron’s Facebook Discussion page, we’ve seen children with red, flaming, oozing and leathery skin. We’ve seen bright red sleeves and children who were hot red from head to toe – almost always worse after quitting a round of prescribed steroids. We’ve witnessed this in infants, toddlers and even adults. We’ve seen it hundreds of times since the Facebook group formed in early 2014. In almost every case (and as an active admin in the group, I don’t personally recall any contrary to this), the red skin has never been an issue when the skin is treated properly, with topical steroids, as prescribed by Dr. Aron. It goes away.

If you’ve bought into the Topical Steroid Addiction hype for any amount of time, this is where you should be scratching your head asking how this is possible? It’s only possible, of course, if the diagnosis of red skin syndrome is most often wrong – and it is.

Many of the Dr. Aron Facebook members have put their kids through the emotional and physical toil of TSW before finding Dr. Aron. They’ve seen their children suffer months and years for a condition they never even had, before trying Dr. Aron and seeing the itch and suffering of eczema go away in days (in most cases). Indeed, Dr. Aron’s patients have earned their optimism whereas none of the Dr. Aron skeptics have earned their skepticism.

This has all led to a better understanding of what Red Skin Syndrome truly is and it’s something that the majority of all skin doctors have been telling us all for a long time – a condition that is possible by an enormous amount of inappropriately prescribed, high-potency steroids being used on the skin for many years but unlikely to be found in most all adults having used topical steroids and even more of an anomaly in children. If we are to use the sample size of patients that have come to be treated under Dr. Aron by way of Facebook (several hundred), a case could be made that nearly every case of self-diagnosed red skin syndrome is an incorrect diagnosis. That’s frightening as there are a great number of babies and children being forced to endure the hardships and high risks of TSW because of advice their parents found on the internet.

It’s worth mentioning that most parents that have come to adopt the philosophies of Dr. Aron have done so hesitantly. They’ve heard so many stories about the horrors of steroid addiction that they are very slow to accept the facts as Dr. Aron presents them. Many are still expressing doubt when they start treatment under Dr. Aron – often doing so out of the sheer desperation that parents of children with severe eczema often feel. It is in seeing the results for themselves and letting go of their former beliefs, that these parents (myself included) finally come to fully understand the realities of TSA and the horrors of TSW.

In a recent Facebook post, one group member describes her experience in using and coming to understand Dr. Aron’s Regime:

From all that I’ve read (I’ve been in this group since its inception), from what Dr. Aron has told me himself, and from my own personal experience with my two children, there is no rebound. The skin is never in the state that it was before.
I think what makes the difference between Dr. Aron and TSW is that Dr. Aron fixes the skin barrier almost immediately while TSW waits for the body to do this on its own, which is a huge ask and is so variable from person to person. He stops the itch, and so stops a number of knock-on effects of the itch, including the constant scratching, which further infects and inflames already broken skin, the lack of sleep, which has been proven in study after study to have a huge impact on healing, growth, development, and immunity, and the stress, the hormonal effects of which are not always immediately visible to the naked eye but nevertheless have a massive impact on a body’s functioning, including immunity, inflammation, and healing. He also calms the inflammation and nixes the incessant trigger of natural skin bacteria, which is not a problem for non-eczematous skin but a major irritant for us/our kids.
So he achieves what TSW aims for but much, much quicker and with no suffering. And I think we have to be frank about what TSW claims to be able to do in terms of giving people perfect skin and a steroid free life. I did a ton of research on TSW before I decided to go with Dr. Aron, and I was hard pressed to find even half of the cases where they had perfect skin ALL THE TIME and were steroid free. Perfect skin most of the time, sure, occasionally (though I must say, these seemed few and far between–the odd very lucky case that had got through ‘the process’ in under a year and could boast skin without a single flaw) but ALL the time? I can think of one case I read where the little girl had gone through TSW in about 9 months and didn’t have any eczema after that. Many would say that once her skin had healed, the predisposition for eczema had gone into remission and so that was why she didn’t have any flares. But she was about 6 or 7 (the age at which most docs say kids will usually ‘outgrow’ eczema)–to be totally sure that TSW has delivered on its ultimate promise of clear skin for life with no steroids, we need to wait six or seven years for her to go through puberty, or another dozen to see how pregnancy affects her.
My point is, TSW has not been happening for long enough for ANYONE to claim that it cures TSA and underlying eczema and guarantees people normal skin forever. What I see, from the ‘success’ stories I’ve encountered, is that SOME people will eventually achieve the clear skin, but they will still ‘flare’, however far and few between these flares become, or have patches of eczema that they just live with without treating. This is no different to what Dr. Aron achieves in the long term for pretty much ALL of his patients, except that the flares that occur with his patients following treatment are nothing like the horror of the TSW flares, and he recommends treating them briefly with steroid because, in actual fact, he has proven steroids aren’t the scary devils that so many believe them to be. When used effectively, pretty much anyone, including those who have previously been in TSW, can respond well and taper down.
And for some in this very group, in spite of its youth, (can’t comment on the old timers as there may well be many more), Dr A has brought them to exactly that end that TSW promises: clear skin and no creams.
Doing this treatment requires a major shift in thinking if you have a phobia of steroids, however that phobia came about (experience, hearing stories of others’ experiences, extremely poor treatment from medical professionals in the past, etc). It required a massive leap of faith for me, especially considering this group didn’t exist when I gave it a go. And it has taken months for me to relax and really believe that we were never going back to square one. But we aren’t. After years of rebound, increasing potency of steroids, spreading eczema and hopelessness, my children have completely clear skin, have tapered down their doses from 5x/day to once every 5 days for my eldest and once every 3 days for my youngest. On the rare occasions that they do flare, they calm down quickly and are straight back to their maintenance routine. I would bet good money my eldest at the very least will be off the creams all together after this winter. Nothing short of miraculous. It is the real deal. Really.

This sums up my feelings to a tee. I firmly believe that Dr. Aron just gets people to the same place that TSW gets them in days vs months or years. My own son was once suffering from the symptoms of RSS – red, oozing skin which always presented itself in the worst manner after a bout of steroids. Today, his flares are even better than the first 2 years of his life when my wife and I didn’t use any steroids at all. They’re like small rashes now, that he is barely bothered by, and they only appear once every couple months or longer.

The below video was the actual video I sent to Dr. Aron in October of 2013, when he requested pictures of my son for an online consultation. This flare was just a few days after we had stopped using a steroid – what many would call RSS (and what many did when I was posting to several different forums asking for advice) but what Dr. Aron informed me was grossly infected skin I needed to address immediately as to avoid further complications. Had I gone by the definition of Red Skin Syndrome, as it’s most often described by various internet sites today, there would have been no disputing that my son had RSS – as steroids always worked to clear the skin but as soon as we discontinued their use, the skin turned red while burning, itching and swelling almost immediately. Thankfully, I demanded more than an internet description for a diagnosis of RSS and such was not a diagnosis my son’s dermatologist was willing to give.

For those who do reach the end of TSW, many report small flares that are very easy to maintain – same as my son. Some (though it seems few) report a complete remission of eczema – just as there are few people using Dr. Aron’s regime that can claim this — because neither method is curing the eczema. Both get it to the same place and then there are those statistical cases where people truly outgrow it, as has always been documented with eczema.

9 months of treatment by Dr. Aron

After 9 months of treatment by Dr. Aron

90% of my son’s condition was made better in the first week of treatment with Dr. Aron – using topical steroids, despite the fact that the previous round of stopping topical steroids was what caused him to flare so badly.  As Dr. Aron explained above, it’s not the topical steroids causing the red skin problem – it’s stopping the steroids all at once, rather that’s due to irresponsible prescription (the case with my son) or application.

If you have previously bought into the belief system of TSA, I would challenge you to consider how you came about that diagnosis? Most tend self-diagnose on the same day they read about TSA and are unwilling to consider any other opinion that is contrary to TSW at that point. The very nature of the TSW ‘treatment’ (or lack thereof) requires the ‘patient’ to view all steroids in a negative light – but also dermatologists, doctors, and anyone who expresses a belief contrary to those held by TSW advocates as untrustworthy. The primary site for TSW information (as well as the TSW Facebook groups) censors and boots members that express an opposing view. What is there to fear if the truth is so indisputable? In Dr. Aron’s Facebook group, by contrast, all questions are welcomed – even on the topic of TSW/TSA.

What if the information you’ve been hearing is simply wrong? Why are there so few doctors and dermatologists writing about TSW and choosing to recommend topical steroids instead? What does your doctor, dermatologist or GP say? TSW advocates are generally in strong opposition to what most doctors believe and just maybe – that should be a red flag in itself?

I truly believe that Dr. Aron’s regime provides the least amount of suffering and pain for children with the least amount of side-effects – TSW included, as that is so hard on the metabolism/immune system and self-confidence. My son doesn’t itch, scratch or suffer in the slightest anymore. His skin looks immaculate. I cannot thank the good doctor enough.

For the majority of red-skin sufferers, let’s start calling RSS what it really is – RS resulting from steroid rebound due to the skin not yet being properly treated. This is by no means an indication that your body has become dependent on steroids. Get the skin properly treated and the suffering ends. It really is that simple in most cases – at least for those who are being treated by Dr. Aron.