Dr Aron on Topical Steroid Withdrawal

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DR ARON ON TOPICAL STEROID WITHDRAWAL / TOPICAL STEROID ADDICTION / RED SKIN SYNDROME

On 26th September 2015, Dr Richard Aron presented to a Chicago eczema support group hosted by Dr Peter Lio of the Chicago Integrative Eczema Center.

Dr Lio is a medical adviser to the National Eczema Association and he practises the Aron Regimen on many of his own patients. This was the first time the two dermatologists had met. Shortly after the meeting, Dr Lio published an article "Innovations in Eczema Care: The Aron Regime"

Dr Aron"s presentation in Chicago lasted 29 minutes. A video of the full presentation can be found on the "Dr Aron Eczema Support" YouTube channel or at

What follows is the 11 minute excerpt in which Dr Aron talks about Topical Steroid Withdrawal...

Please visit www.etsin.org and for more information

Excerpts include:
Staphylococcus Aureus secretes a delta toxin. This poison damages or destroys the mast cells of the skin. Mast cells release, if you like, histamine or poisonous granules and that causes the skin to itch and burn.

... if you knock out the Staph Aureus that whole cycle is going to be reduced and the patient is going to be very much better and quite quickly.

... in laboratory testing, Fucidin cream, fusidic acid, in contact with the Staph Aureus, kills the bacteria within 3 hours. And that is why those of you who have seen very dramatic responses to my mixture, it’s accounted for by the elimination of the bacteria at a stroke by the mupirocin in this country and fucidic acid in others. And that is why I really believe so much in the antibiotic element to the treatment.

This is the technical side which I’ll just read through for you very quickly. Mast cells contribute to Immunoglobulin E mediated allergic disorders including atopic dermatitis. The mast cells release their membrane bound cytotoxic granules and that is the damaging thing as they say here the importance of the pathogens in AE. And here is an absolutely frightening point, 90% of patients with AE are colonised with Staph Aureus. The delta toxin is the devil in this particular product and several Staphylococcus exotoxins, with delta toxin the prime one, act as super antigens in models of atopic dermatitis.

I’m not here to change anybody’s mind, I’m simply here to present to you my thoughts, for what they are worth, in regard to red skin syndrome, railtrack atrophy, topical steroid withdrawal syndrome.

Red Skin Syndrome... I do not think that this is a syndrome, I think it’s a sign of failed topical corticosteroid therapy meaning steroid number 1 is chosen, there is short term benefit from use of the drug, on cessation of that treatment there is a flare up of the condition and then, quite understandably, the physician or the dermatologist or the allergist or the pediatrician will prescribe a stronger steroid. That goes on and on and on until eventually the steroids have no further effect and the skin is defusely red and that to my way of thinking is simply a sign of Staphylococcal infection which has not been treated, not a syndrome.

... I don’t believe that you can be addicted to topical steroids in the same way that if a patient is being treated for diabetes or being treated for hypertension (high blood pressure), if you stop the therapy in those conditions or you inadequately reduce the therapy you will get a flare up in the same way that you get flare ups with eczema... I don’t think either that eczema patients are addicted to topical steroids, I simply believe that the steroid could be used in a more appropriate and a more effective manner.

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