12/17/2025
This client presented with severe, full-body topical steroid withdrawal, including diffuse inflammation, scaling, xerosis, and pustular lesions on the arms. The skin barrier was significantly compromised at intake.
Care began less than two months ago using custom-compounded internal herbal medicine, with no topical steroids used.
The images shown reflect early clinical improvement, including reduced pustular activity, decreased erythema, and improved skin texture, indicating a shift out of the most reactive inflammatory phase.
Flares are expected as part of long-term TSW healing. Recovery is nonlinear and unfolds over months as the skin barrier, immune response, and nervous system recalibrate but Iβm so happy to see progress and look forward to walking alongside this client toward long term healing. β€οΈβπ©Ή
Client has been under my care for under two months at the time of these images and these images are shared with permission from the client.
