This case illustrates (i) the tempo of systemic-steroid rebound and (ii) the potential of integrative, barrier-supportive, low-risk therapy in chronic eczema management.
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Across three of the four studies, roughly 8–9 out of 10 patients flared again after stopping their biologic. Even the IL-23 group, which many doctors think is longer-lasting, showed most relapses within a year. One study that mixed mainly IL-17 drugs saw a lower figure (about 1 in 2 relapsed by 6 months), but the authors only tracked that 6-month window, so the final total would likely be higher. Bottom line: biologics control psoriasis well while you take them, but stopping usually leads to a comeback fairly quickly.
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Dupilumab provides the best odds (≈ 25 % one-year remission), whereas JAK1 inhibitors relapse within weeks.
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Immunosuppressive medicines are powerful firefighting foam—indispensable for controlling a blaze, but they do not rebuild the wiring that keeps sparking that blaze. They deliver control, sometimes long remission, yet cure remains contingent on solving deeper genetic-barrier-immune entanglements that the drugs merely mask.
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Three Months of Topical Steroid Use Requires Ten Months of Traditional Chinese Medicine (TCM) Therapy for Full Eczema Recovery
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the patient’s positive response to TCM suggests that a holistic approach may be beneficial for similar chronic, non-systemic facial dermatoses. However, long-term monitoring remains necessary to rule out potential autoimmune evolution.
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Dupilumab Facial Redness (DFR): A Newly Identified Side Effect of Dupilumab Treatment 面部红斑(DFR): Dupilumab 治疗的新发现副作用
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The progressive softening of the nodules, reduction in lesion size, and alleviation of pruritus indicate that TCM herbal treatment effectively disrupted the chronic itch–scratch cycle, promoting sustained skin recovery and restoring skin integrity. However, after this period, the patient was lost to follow-up.
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The gradual but steady improvement over the seven-month course of herbal treatment suggests that Chinese medicine played a pivotal role in restoring his skin health. His case highlights an alternative path for individuals seeking long-term relief from psoriasis, particularly when conventional treatments fail to deliver sustainable results.
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Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition characterized by pruritus, erythema,…
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Steroids only suppress symptoms—they do not treat the root cause of eczema. Recovery takes time, and symptoms may fluctuate before clearing. A holistic approach, including Traditional Chinese Medicine, can help overcome steroid addiction and restore skin health naturally.
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The improvement is gradual but consistent, which is typical for chronic conditions like eczema, especially when transitioning from long-term steroid use. This suggests the TCM approach prioritizes long-term healing over rapid, potentially symptomatic relief.
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A patient from Northwestern Africa, successfully treated for psoriasis by us, has reached out for pemphigus treatment for a family member. We are pleased to assist.
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Traditional Chinese Medicine (TCM), including both oral and topical herbal treatments, proved effective in managing the patient’s symptoms, leading to gradual resolution of the rash, reduced swelling, and relief from itching over a 14-week period.
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Sweden findings highlight the predominant role of topical glucocorticoids (TGCs) as triggers in TSW, corroborating their direct association with the condition. The identification of oral glucocorticoids (OGCs) as an additional or sole trigger in some cases suggests the systemic impact of corticosteroids.
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Dupilumab, Methotrexate (MTX), and Cyclosporine A (CsA) have proven effective in clinical trials and practice-based studies…
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Acne is one of the most common skin conditions. Different types of acne on the face, such as blackheads, whiteheads, pimples, and painful cysts, may stem from underlying causes. While conventional treatments often address surface symptoms, Traditional Chinese Medicine (TCM) views acne as a sign of deeper imbalances within the body. This article will discuss how TCM acne treatments in Singapore can deal with both the visible and root causes of acne.
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Psoriasis is a chronic skin condition where the immune system mistakenly speeds up skin cell production. This rapid cell turnover leads to the build-up of cells on the skin’s surface, resulting in raised, red patches covered with white or silvery scales. In this article, we will discover how TCM for psoriasis can provide relief to the skin problem.
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The preliminary clinical diagnosis included facial telangiectasia, possibly induced by dermal filler injections or exacerbated preexisting telangiectasia, and acneiform eruptions likely triggered by prolonged use of topical corticosteroids or unknown cosmetics products.
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Acne is one of the most common yet misunderstood skin conditions, with countless myths circulating on what causes it and how to treat it. In Traditional Chinese Medicine (TCM) and modern science, certain lifestyle factors are believed to impact skin health and contribute to acne. In this article, we’ll debunk some popular TCM acne myths.
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Hives can be an uncomfortable and persistent skin condition. Often linked to stress, allergies, or changes in the environment, hives can disrupt daily life with itching, swelling, and inflammation. Fortunately, TCM offers a holistic approach that focuses on the Five Elements Theory, which emphasises rebalancing the body to alleviate symptoms effectively. Keep reading to learn how individuals can achieve better skin health through a natural and tailored TCM treatment.
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When the patient decided to discontinue the use of steroid creams, her condition deteriorated drastically. Intense redness, aggravated oozing, and severe pain signaled the first wave of steroid withdrawal. This phase was particularly difficult, as her skin experienced heightened sensitivity and inflammation.
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When biological drugs are withdrawn, the immune system gradually returns to its pre-treatment state, including the reactivation of pro-inflammatory pathways. This can lead to a resurgence of psoriasis symptoms, as the inflammatory processes responsible for the skin lesions resume. Furthermore, the long-term effects of biological therapies may also influence the skin’s immune tolerance, and once the suppression is lifted, the disease may return more aggressively.
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Inflammatory skin conditions like psoriasis and eczema involve immune system dysregulation and skin inflammation, which alcohol can worsen through various pathways. Facial flushing, capillary dilation, and other adverse effects from alcohol consumption are primarily caused by acetaldehyde accumulation, a metabolic byproduct of alcohol. After drinking, alcohol is metabolized in the liver by alcohol dehydrogenase (ADH), converting ethanol into acetaldehyde.
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Why does a patient with eczema experience worsening symptoms when living in Singapore, while their rashes significantly subside when they reside in the United States? Furthermore, why does their eczema improve noticeably when staying on Indonesia’s Batam Island, which shares a similar geographic location and climate with Singapore?
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Immune system booster medications, often referred to as immunostimulants or immune enhancers, are substances that enhance the immune system’s ability to fight infections and diseases. These medications can be natural or synthetic and are used in various clinical settings to improve immune response, particularly in individuals with weakened immune systems due to illness, stress, or other factors.
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A 10-year-old girl with a one-year history of vitiligo on her left upper eyelid began treatment with our traditional Chinese medicine (TCM). Over a four-year period, her condition showed gradual improvement as documented by a series of photographs.
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Singapore’s geographical position near the equator subjects it to intense sunlight, which paradoxically contributes…
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Biological immunosuppressants, often called biologics, represent a more advanced category of immunosuppressive agents. They are isolated from a variety of natural sources – human, animal, or microorganism and are designed to suppress specific pathways or molecules in the immune system with precision.
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Managing eczema can be a challenging journey for many patients. The condition affects not only the skin but also the overall…
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The initial inflammation is severe, with visible swelling and thickened plaques, redness is pronounced in the early stages, with extensive erythema covering the affected areas. The mid-treatment phase shows an exacerbation of these symptoms, due to the cessation of steroids, which often leads to a temporary worsening before improvement. By the end of the treatment, inflammation has greatly reduced, with skin returning to a normal appearance.
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Human skin has become progressively thinner and more fragile, with an average thickness now not exceeding 4 millimeters. As we age, especially in later years, the stratum corneum becomes more dehydrated, thinner, and prone to redness and allergic reactions.
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A 50-year-old woman was diagnosed with Sweet’s Syndrome after experiencing fever, abdominal pain, and painful bumps on her left hand. She opted for traditional Chinese herbal medicine over steroid treatment and experienced relief. This alternative remedy led to the disappearance of her symptoms within a month, demonstrating potential as a first-line treatment for Sweet’s Syndrome.
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Despite the dermatological manifestations, nilotinib therapy was continued without dose adjustment. Topical steroids, turmeric tablets, and flaxseed oil supplements were discontinued. Instead, an herbal medicine was prescribed, and after 12 months of treatment, the rashes had disappeared, and the patient’s hair had regrown.
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The study found that for every 1-gram increase in urinary sodium excretion, there was an 11% increase in the likelihood of being diagnosed with eczema, a 16% increase in the likelihood of having active eczema, and an 11% increase in the likelihood of experiencing more severe eczema symptoms.
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The before-and-after images of her eczema treatment reveal a profound transformation in her skin’s condition. Initially, her skin exhibited a rough, uneven texture with marked thickening and pronounced dark, reddish-brown discoloration. Extensive erythema and significant scaling, flaking, and small fissures were evident, exacerbating the appearance of the affected areas and indicating substantial irritation and discomfort.
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The images provided illustrate the healing process of an adult suffering from hand eczema treated with herbal medicine over eight months. This journey highlights the transition from conventional steroid treatment to herbal medicine, demonstrating the potential effectiveness of natural remedies in managing eczema symptoms.
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By the end of the 4th month, lesions on his palms had diminished and remained stable, achieving full remission by the 12th month. However, healing for his feet took longer and was more unpredictable. Previous steroid use led to fluctuating eczema evolution, especially on his feet, where heavy steroid application occurred.
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A 46-year-old lady found herself in a relentless battle with finger eczema. What initially appeared as mild irritation soon escalated into painful flare-ups, rendering even the simplest tasks challenging. Desperate for relief, she sought help from her dermatologist, who prescribed a potent steroid cream to calm her inflamed skin.
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The extended period of poor blood flow and tissue damage results in full-thickness skin loss with extensive tissue necrosis, involving muscle and supporting structures, leading to Stage-4 Pressure Ulcers.
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