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Updated: Jan 15, 2026

A Suction Blister Protocol to Study Human T-cell Recall Responses In Vivo
Published on: August 11, 2018
Initial Consensus for the Management of Topical Steroid Withdrawal: A Delphi Study
Sarah Kamsiah Zemlok1,2, Mykayla Sandler2,3, JiaDe Yu2
1From the University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Abstract:
Background: Topical steroid withdrawal (TSW) is a poorly defined condition thought to be related to prolonged use of topical corticosteroids. Currently, management guidelines for TSW do not exist. Objective: This study aimed to form expert consensus and initial management guidelines using the modified Delphi consensus approach. Methods: Our expert panel of 21 physicians and patient advocates assessed 72 pharmacologic and supportive management strategies for consensus over 2 survey rounds. Outcomes achieving ≥70% agreement or disagreement were defined as meeting endpoint consensus. Results: Final expert consensus included 12 outcomes, primarily focused on cessation of topical and systemic corticosteroids and psychosocial support. Additionally, our panel met consensus for dupilumab as a first-line systemic treatment. Conclusions: Here, we present initial guidelines for the management and treatment of TSW until further therapies can be investigated for future evidence-based care.
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