Test Your Topical Steroid Withdrawal Knowledge!

After an initial phase of redness, which of the following typically develops next in TSW?

Scabbing phase with widespread scabs

Bleeding phase with thin skin

Itchy phase with thickened skin

Bacterial phase with widespread infection

Which of the following symptoms is common in topical steroid withdrawal?

Scaling

Peeling

Burning/Itching

Redness

Which of the following appears to be associated with developing topical corticosteroid withdrawal?

Severity of underlying dermatologic condition

Age of patient

Duration and frequency of topical corticosteroid use

Ethnicity of patient

Due to the possibility of allergic contact dermatitis to topical corticosteroids, what test is suggested in patients presenting with TSW?

IgE testing

Blood testing

Patch testing

Lipid panel

Are males or females at higher risk of developing TSW?

Females

Males

What two locations are most commonly affected by TSW? (select two)

Face

Hands

Back

Genitals

What is the most common appearance of TSW?

Swelling

Redness

Pustules

Scaling

What is the treatment of topical corticosteroid addiction and withdrawal?

Continue use of topical corticosteroids

Discontinue topical corticosteroid use and consider getting patch tested

Increase the potency of topical corticosteroid

Apply the topical corticosteroid more frequently

An increased awareness among patients and health care providers of TSW can help prevent this condition from occurring.

True

False

Which of the following may help alleviate the symptoms of TSW?

Cool compresses

Steroid-sparing (a steroid sparing agent is an alternative to steroids) water-in-oil emollient cream

Psychological support

All of the above

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