Gérer l'eczéma et la dermatite: TSW et alternatives

Managing Eczema and Dermatitis: TSW and Alternatives

Topical Steroid Withdrawal (TSW) has become a growing concern among patients suffering from eczema and dermatitis, as well as among healthcare professionals.

In February 2024, the National Eczema Society and the British Association of Dermatologists published an article highlighting the challenges associated with TSW, its potential causes, and alternatives to conventional topical steroids.

Topical Steroid Withdrawal: Causes and Symptoms

TSW is a skin reaction that often occurs after discontinuing prolonged use of topical steroids (or cortisone). Symptoms may include skin inflammation, redness, intense itching, and in some cases, persistent skin reactions that last for months or even years.

The causes of TSW are still poorly understood, but it is believed to be linked to physical dependence on topical steroids and changes in the function of the skin barrier. Prolonged use of steroids can suppress the skin's natural function, which can exacerbate symptoms when they are stopped.

Recommendations and Alternatives

While topical steroids remain an effective treatment for many people with eczema and dermatitis, it is important to take steps to reduce the risk of TSW.

  1. Here are some recommendations and alternatives to consider: Short-term use: Topical steroids should be used only as needed and under the supervision of a healthcare professional. It is recommended to limit their use to the short term to avoid the risk of dependence and TSW.
  2. Natural skin care: Natural skin care products can offer a safe and effective alternative to topical steroids. Ingredients such as borage oil, coconut oil, and shea butter can help moisturize, soothe, and protect the skin without the side effects of steroids. Essential oils recommended by an aromatherapist can also help.
  3. Education and Awareness: It is essential to educate patients and healthcare professionals about the risks associated with prolonged use of topical steroids and the signs of TSW. A better understanding of this condition can help prevent cases of TSW and provide appropriate support to those affected.
  4. Exploring food intolerances in the management of eczema and dermatitis: Diet plays a significant role in skin health, and food intolerances can worsen symptoms of eczema and dermatitis in some individuals. Research shows that an immune reaction to certain foods can trigger or worsen skin conditions. Common food allergens such as gluten, dairy products, eggs, nuts, and food additives can be potential triggers for skin reactions in sensitive individuals. Exploring food intolerances can offer valuable insights into the management of eczema and dermatitis. Patients are encouraged to keep a food diary to identify foods that may be associated with flare-ups of skin symptoms. In collaboration with healthcare professionals, food allergy tests may be considered to establish a tailored dietary plan for each individual.
  5. Lifestyle and hygiene also plays a crucial role in the management of skin conditions. Factors such as stress, sleep, physical exercise, and exposure to environmental allergens can influence skin health. Adopting a holistic approach that integrates a balanced diet, stress management techniques, and healthy lifestyle habits can effectively complement the treatment of eczema and dermatitis, promoting healthy skin and overall well-being.

Avoiding potential triggers

In addition to topical steroids and conventional skin care products, it is essential to identify and avoid potential triggers that can worsen eczema and dermatitis. This may include environmental allergens such as dust mites, pollen, and mold, as well as irritants such as detergents, household chemicals, and fragrances.

Additionally, some individuals may be sensitive to certain fabrics, clothing, or jewelry. By choosing soft and natural fabrics such as cotton and avoiding rough or irritating materials, patients can reduce skin irritation and promote comfort.

éméo's commitment to natural skincare

As a skincare brand, éméo is committed to providing natural and safe products to help alleviate the symptoms of eczema and dermatitis without compromising long-term skin health. Our products are formulated with organic and natural ingredients, without the use of topical steroids or other harsh synthetic products.

Our product range includes facial oils (serums), hydrosols, and body butters, specially designed to meet the needs of sensitive and irritated skin. We firmly believe in the importance of a holistic approach to skincare, focusing on skin health, protection, and regeneration.

By listening to the needs of our customers, we strive to provide effective and safe solutions for those struggling with eczema and dermatitis. With Eméo, you can trust in natural and caring skincare for your skin and overall well-being.

Here are specific skincare solutions for sensitive skin:

  • The Organic Calm Butter
  • The Premium Organic Sensicalm Serum

While a zero-risk is impossible, our éméo solutions significantly reduce this risk.


In conclusion, the treatment of eczema and dermatitis requires a holistic approach that takes into account the physical, emotional, and environmental needs of individuals. While topical steroids remain an important tool in managing these conditions, it is crucial to understand the risks associated with TSW and explore natural and conscious alternatives.

As a skincare brand committed to providing natural and safe products, Eméo is here to support you on your journey to healthy and balanced skin.

In our quest to offer holistic skincare, we are committed to continuing research and development of innovative and effective products.

We firmly believe in the importance of education and awareness to help individuals make informed decisions about their skin health. With our commitment to quality, safety, and effectiveness, we are determined to support your dermatological well-being at every step of your journey.

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