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