25 LC 112 2831
House Resolution 135
By: Representative Hong of the 103
rd
A RESOLUTION
Recognizing February 3, 2025, as Topical Steroid Withdrawal Syndrome Awareness Day at
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the state capitol; and for other purposes.2
WHEREAS, Topical Steroid Withdrawal Syndrome (TSWS), also known as Topical Steroid3
Addiction or Red Skin Syndrome, is a severe and debilitating condition that can arise from4
intentional or unintentional exposure to topical steroids; and5
WHEREAS, topical steroids are widely prescribed and available over the counter to treat6
both acute and chronic skin conditions, including eczema, psoriasis, vitiligo, and alopecia7
areata; and8
WHEREAS, TSWS is characterized by severe symptoms such as skin flushing,9
inflammation, diffuse spreading rashes, profuse skin flaking, and intense burning and itching10
that often surpass the severity of the original condition, typically manifesting after the use11
of topical steroids, between treatments, or upon discontinuation; and12
WHEREAS, recovery from TSWS can take several months to several years, leaving many13
sufferers bedridden or housebound and unable to work, care for children, or attend school;14
and15
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WHEREAS, the prolonged withdrawal and recovery period can have a profound impact on
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both physical and mental health, with 81 percent of adults and 56 percent of children17
experiencing TSWS reporting anxiety or depression and 47 percent of adults and 11 percent18
of children reporting suicidal ideation; and19
WHEREAS, the prevalence of topical steroid addiction remains unknown due to a scarcity20
of published research; and21
WHEREAS, limited research on TSWS hinders the development of diagnostic criteria; the22
understanding of its causes, effects, and mechanisms; the establishment of appropriate23
treatment protocols; and the education of both healthcare providers and patients on TSWS24
and steroid stewardship; and25
WHEREAS, a lack of awareness and education about TSWS among both patients and26
providers can lead to misunderstandings, causing patients to question their providers' medical27
oversight and leading providers to suspect medication non-compliance or, in some cases,28
parental neglect; and29
WHEREAS, all parties would benefit greatly from increased awareness and prevention30
education on the signs of topical steroid dependence and the risks associated with TSWS.31
NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES that32
the members of this body recognize February 3, 2025, as Topical Steroid Withdrawal33
Syndrome Awareness Day at the state capitol.34
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BE IT FURTHER RESOLVED that the Clerk of the House of Representatives is authorized
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and directed to make appropriate copies of this resolution available for distribution to the36
public and the press.37
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