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Review for International Topical Steroid Awareness Network (ITSAN), Dacula, GA, USA

Rating: 5 stars  

I find these 1 star reviews interesting. I am a person going through
RSS/TSW. I am not an affiliate of Itsan in any way. I would like to
add my own response to some of the 1 star points that have been made.

1. Itsan makes money off selling people creams.

Itsan is a nonprofit. Yes NON profit. They profit from nothing.
Yes, there is a woman affiliated with Itsan who makes her own
creams/balms and sells them on Etsy. No Itsan does not make tons of
money from their sale or advertise them as a cure to RSS. Even the
woman who makes the creams does not advertise or sell them in any way
to people in the forums or groups. She does 1-2 give away type things
a year, around Thanksgiving time, to give FREE balms to people in
need. She NEVER acts like these balms will cure RSS. They won’t, just
like nothing else will besides time. They are for comfort during
withdrawal, and/or to be used during natural childhood eczema.

2. A derivative of #1- Itsan wants people to stay sick so they can
make money off them. They even ask for donations.

Just a reminder about that nonprofit thing. No reason for them to
want people to stay sick, because they make no money off of anyone.

Yes, Itsan asks for donations. As with any nonprofit, the
organization will not run without donations. The money goes to many
things including website upkeep and plane tickets to and attendance at
Eczema and Dermatological forums and meetings, etc. Look up any
nonprofit organization and there will be funds received to keep the
organization running. Truly the goal of Itsan is to eradicate the need
for itself. The goal is to get enough information out in the world
about the possibility of Topical Steroid Addiction (TSA) that people
can make informed decisions about using topical steroids and hopefully
never become addicted to them in the first place. NO TSA = No need for
Itsan.

3. Itsan is steroid phobic and is telling people that steroids cause
RSS when actually it is a staph infection.

To address the first part of the sentence, Itsan is not steroid phobic. They are very clear that steroids have a place in the medical world. The issue is not necessarily steroids themselves, but how they are being prescribed. Topical Steroids should not be used long term, nor should they be used on areas such as face, groin, and skin folds. It is well known that absorption in those areas is much higher. It states this in most pamphlets but then adds this magical little blurb "unless directed by a medical professional."

If every person suffering from RSS only had to contend with a Staph infection, wouldn't you say those same people should be able to discontinue steroid use with no difficulty once the infection has been cleared? This does not seem to be the case. Speaking from personal experience, I have no active Staph infection (which has been verified through lab testing), yet am still going through RSS. I have yet to hear of someone from the Dr. Aaron camp (those that say the "cure" is to use a steroid cream mixed with topical antibiotics diluted in an emollient in order to taper off the steroids) actually taper off the creams fully.

Speaking from my own personal experience, I have seen vast and major life improvement since stopping topical steroid treatment. On 10/3/14 I was sitting at my computer with my legs propped up and my "eczema" red and weeping through towels I had wrapped around them. All I can remember thinking is "how can this just be eczema, it keeps getting worse, this isn't normal." I had been using topical steroids (TS) for 4 years at that point. I developed a small nickel sized rash on my left hand after the birth of my daughter. I left it alone for a few months in hopes that it would go away, but when it persisted I went to my PCP. She referred me to a dermatologist. Without asking any questions about possible causes of my symptoms, he prescribed Triamcinolone. It worked in the beginning. I used it as prescribed- 2x/day for 7 days. Then I would go without for 7 days. I started to notice that the days I was using the ointment my hand would improve, but it would get bad again during the days I was not using it. I went back to the derm. He decided I needed a stronger ointment and prescribed Betamethasone, telling me to use it under saran wrap at night. Again I noticed that the days I wasn't using the ointment my skin would get worse. Then I slowly stopped seeing improvement even when I was using the ointment. Eventually my eczema spread from just that small nickel size spot on my hand to cover both hands and elbows and the lower portion of both legs.

I immediately stopped using the steroids when I found Itsan. Things have not been easy, and it truly is a hellish experience. I was red, weepy, itchy, raw, burning, emotional, unable to regulate body temperature etc etc for months. I am 16 months in and I have a quality of life again. I still deal with skin problems daily, and still have flares that are pretty awful, but I am able to be me. I 100% believe that I made the right decision. How could I possibly go back to using steroids when they stopped working for me to begin with? The first picture is 13 days off steroids, this is really similar to what my legs looked like while still using steroids but with some weeping and edema added in. The next picture is 15 months off steroids. No creams or potions or money paid, the only thing I did was to stop using steroids. That's it. If the steroids weren't the problem, why did my skin get so much better?

Role:  Client Served
ITSAN (Nonprofit Staff) wrote:

Thank you for a fair and honest review. ITSAN understand the reality of addiction to this drug and the painful process of topical steroid withdrawal. We hope that the future will bring more methods of comfort for those who are suffering from topical steroid addiction. ITSAN also never advises anyone to stop topical steroids or how to withdraw from them, we share our experiences and leave it up to the individual how to proceed. We also strongly encourage a supportive doctor's guidance for those who take this route. Our mission is not to have conflict with Dr. Aron supporters as we are sure he feels he is helping many children but there are serious concerns of the safety of his method to treat eczema. Using topical steroids combined with antibiotics 6 times a day for 6 months is not an approved method of treatment by the mainstream dermatologists. In fact India just banned several drug combos which include corticosteroid/antibiotics mixes due to the danger of using them. Topical steroid addiction or steroid-induced eczema has been studied and cited in medical reviews just as steroid-induced rosacea has. There are studies that date back to the onset of corticosteroids that prove it has side-effects that should be taken seriously and that eczema was never considered a life-long disease. The burn that comes with tsa is not a symptom of original eczema along with several other side-effects that come with the withdrawal. Here are some cited facts and the reason India just banned some of the same medications once thought to be safe. "Several studies report improvement of clinical scores after treatment.12–14 The use of crystal violet as a topical agent led to improvement in S aureus–colonized AD.12 Topical application of retapamulin also led to improvement of atopic skin lesions.13 The use of topical mupirocin was shown to reduce S aureus colonization and, in the short term, improve clinical scores.14 Nevertheless, improvement was temporary and carried the risk of potential adverse events such as contact dermatitis and enhanced drug resistance.15 Staphylococcus aureus–associated resistance has been recognized as a growing problem. A report indicated that resistance levels to fucidin increased from 2% in the past decade to 10% to 38%.9 In the face of increased prevalence of antibiotic resistance and the lack of satisfactory data on benefits, long-term use of systemic or topical antibiotics for AD is not recommended.15,16 When overt signs of bacterial superinfection are present on skin lesions, short-term use of oral or topical antibiotics is justified.15" http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114666/ "In a recent study, researchers examined 75 patients (62 women, 13 men) between the ages of 18 and 60 who had steroid-induced rosacea-like dermatitis. The patients had used topical corticosteroids for anywhere from three months to 10 years. More than 90 percent suffered facial redness and hotness, and 97 percent reported burning or itching. More than three quarters suffered from telangiectasia (visible blood vessels), and 40 percent had the bumps and pimples associated with subtype 3 (papulopustular) rosacea. Many patients reported emotional stress, heat or sun exposure as triggers for their outbreak of symptoms. The good news is that effective treatment of rosacea-like symptoms due to topical corticosteroids is usually very simple: stop using the medication. " http://www.rosacea.org/weblog/great-impostor-steroid-induced-rosacea Steroid cocktails, which are in fixed dose combinations, are mixed with various antifungal and anti-bacterials thus making the drugs extremely dangerous and irrational. Use of irrational topical steroid combinations can lead to drug resistance. “Dermatologists are seeing increasingly widespread fungal diseases where the use of irrational combination drugs has been implicated. The fungal diseases do not respond to conventional drugs for conventional duration and dose,” said Dr. Shyam B Verma, dermatologist based in Vadodara, Gujarat. “Indian doctors are witnessing a pandemic of adverse effects induced by topical corticosteroids,” Dr. Verma writes in a news piece published on Thursday (November 26) in the medical journal The BMJ. "Topical steroids can cause substantial and permanent damage, especially to thin skin such as on the face and groin, even if used for a short period of 15 days. Side effects include pigmentation and atrophy of the skin. “Misuse of steroid combinations can cause bacterial or fungal resistance, which can make infections difficult to diagnose and treat,” Dr. Verma writes. According to a 2011 study, nearly 15 per cent of dermatology patients were found using topical corticosteroids. Of the 15 per cent, over 90 per cent had adverse effects." http://m.thehindu.com/sci-tech/health/irrational-topical-steroid-combinations-can-cause-drug-resistance/article7918516.ece