PICTURES Then and Now

This Page is a picture progression from the onset of symptoms of Topical Steroid Withdrawal (October 2013) to the most recent picture of each body part listed. I update the pictures as they become available. (Dates will generally be in the captions below the pictures.) Some areas may have more updates than others.

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CLICK on November 2013-March 2014 progress pictures to see the first 5 months after stopping steroids.

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PICTURE PROGRESSION BY BODY REGIONS

TRUNK-Anterior

Red Skin Syndrome

November 28, 2013 Start of the oozing, red volcano phase

IMG_0865

May 29, 2014

7/2/2015

7/2/2015

July 13, 2015

7/13/ 2015

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

TRUNK-Posterior

red skin

November 28, 2013 Start of the oozing, red volcano phase

IMG_0861

May 29, 2014

IMG_1103

August 6, 2014

7/2/15

7/2/15

7/13/15

7/13/15

Skin intact but mottled from sun and scratching. 8/27/15

Skin intact but mottled from sun and scratching. 8/27/15

Sept. 6, 2016 (36 months TSW) Able to sleep well thru the night even with the episodic, stubborn scapular itching

Sept. 6, 2016 (35 months TSW) Able to sleep well thru the night even with the episodic, stubborn scapular itching

FACE-Right Side

edema 11/29/13

Facial edema, oozing, thin skin 11/29/13

IMG_0174

December 1, 2013 Getting better

December 1, 2013 Getting better

IMG_0903

August 6, 2014

August 6, 2014

7/2/15

7/2/15

7/13/15

7/13/15

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

FACE-Left Side

IMG_0194

December 1-4, 2013

IMG_0719

April 2-7, 2014

August 6, 2014

August 6, 2014

7/2/15

7/2/15

7/13/15

7/13/15

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

RIGHT EAR

edema

11/ 29/13 Right ear swelling, oozing

11/29/13

11/29/13

January 13, 2014 All of a sudden, insanely flaky ears! Gone the next day.

January 13, 2014 All of a sudden, insanely flaky ears! Gone the next day.

swelling of ear decreased

Swelling decreased

IMG_0903

August 6, 2014

August 6, 2014

LEFT EAR

edema

December 1-4, 2013

IMG_0717

April 2-7, 2014

August 6, 2014

August 6, 2014

FACE 

IMG_0204

EARLY TSW 2013

Happy 11th Birthday, Brian! June 1, 2014

Happy 11th Birthday, Brian! June 1, 2014— 8 months TSW

6/12/15 last day of 6th grade

6/12/15 last day of 6th grade—20 months TSW

July 13, 2015

July 13, 2015–21 months TSW

IMG_1803

8/25/15

Braces! August 31, 2016

Braces! August 31, 2016     Almost 35 months TSW

NECK

December 5, 2013

December 5, 2013

IMG_0702

April 2-7, 2014

August 6, 2014

August 6, 2014

10/6/2014 1 year anniversary with a flare to celebrate

10/6/2014    One year anniversary with a flare to celebrate

IMG_1607

July 2, 2015

July 18, 2015

July 13, 2015

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

HANDS-Right

January 17, 2014 Starting to flare up again. Dry, itchy, flaky, stinging, red

January 17, 2014 Starting to flare up again. Dry, itchy, flaky, stinging, red

edema

February 8-13, 2014 Pebble grain texture, edematous hand

August 6, 2014

August 6, 2014

HANDS-Left

IMG_0385 IMG_0384 edema

August 6, 2014

August 6, 2014

10/6/2014 One Year Anniversary--Thankfully only minimal flare in the form of some increased itching on the hands

10/6/2014 One Year Anniversary–Thankfully only minimal flare in the form of some increased itching on the hands

10/6/2014

10/6/2014

7/2/15

7/2/15

7/13/15

7/13/15

8/27/15

8/27/15

Sept. 6, 2016 (36 months TSW) Freckles on hands, areas of hypo pigmentation on tan skin from scratching

Sept. 6, 2016 (35 months TSW) Freckles on hands, areas of hypo pigmentation on tan skin from scratching

ARMS–Anterior   Characteristic “Red Sleeves”

November 30, 2013

November 30, 2013 “Red Sleeves” Redness stops at palms–classic symptom of topical steroid withdrawal

IMG_0351

January 3, 2014

IMG_0354

IMG_0705

April 2-7, 2014

IMG_0866

May 29, 2014

August 6, 2014

August 6, 2014

7/2/15

7/2/15

July 18, 2015

7/13/ 2015

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

FEET

November 30, 2013

November 30, 2013

IMG_0183

Feet and ankles looking better….

February 19-21, 2014

February 19-21, 2014

Then….

ANKLES–May 29, 2014 Flare with severe itching/scratching of both feet and ankles.

IMG_0827

May 14, 2014 Very itchy feet, flare w/ multiple cuts

IMG_0779

IMG_0631 IMG_0710 IMG_0778 IMG_0781 IMG_0846 IMG_0848 IMG_0849

FEET AND ANKLES AS OF AUGUST 6, 2014—10 MONTHS AFTER STOPPING TOPICAL STEROIDS FOR ECZEMA:

August 6, 2014

August 6, 2014

IMG_1120 IMG_1121 IMG_1122 IMG_1123 IMG_1124

Feet and Ankles finally soft and smooth and <1/5 scratch scale! 9/2/2014 Month 11

IMG_1137

Left ankle, lateral aspect

Left ankle, lateral aspect

Right ankle, lateral aspect

Right ankle, lateral aspect

The following pictures are Brian’s FEET on his One Year ANNIVERSARY of TSW       10/6/2014 IMG_1223 IMG_1222 IMG_1218

10/6/2014

10/6/2014

HAPPY FEET! PTH no itching here despite 1 year anniversary flare on other body parts! Thank you, Jesus, for small favors!

HAPPY FEET! PTL! No itching here despite 1 year anniversary flare on other body parts! Thank you, Jesus, for small favors!

FEET FLARING AGAIN almost 18 months TSW. April 28, 2015

IMG_1513

4/28/15 after shower and moisturizer routine

IMG_1514 IMG_1515Look at the symmetry in the erythematous areas. There is a clear, nearly symmetrical demarcation. This is present in kids and adults in early and middle TSW, too. How? Why? Fascinating….4/28/15

JULY 2015–s-o-w-l-y h-e-a-l-i-n-g….but still scratched up…

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

BELOW, JULY 13, 2015 pictures of slowly healing feet and ankles.

IMG_1669

7/13/2015–Finally cleared up tops of bilateral feet!

IMG_1678 IMG_1675 IMG_1674 IMG_1673 IMG_1672 IMG_1671 IMG_1670

7/13/2015 Finally! tops of feet healing again...

7/13/2015 Finally! tops of feet healing again…

During BAHAMAS CRUISE:

8/27/15

8/27/15

8/27/15

8/27/15

8/27/15

8/27/15

8/27/15

8/27/15

23 Months TSW 9/8/15

23 Months TSW 9/8/15

9/8/15 23 months TSW

9/8/15           23 months TSW

9/8/15 23 months TSW

9/8/15               23 months TSW

1st day of 7th Grade 9/8/15 (23 months TSW)

1st day of 7th Grade           9/8/15             (23 months TSW)

August 17, 2016 feet--left great toe healed

August 17, 2016 feet–left great toe healed

August 17, 2016

August 17, 2016

1/2/2017--ankles, heels, feet still looking great and not itchy!

HAPPY NEW YEAR 39 MONTHS TSW   1/2/2017–ankles, heels, feet still looking great and not itchy!

1/2/2017-feet still clear and not itchy!

1/2/2017-feet still clear and not itchy!

 

KNEES-Posterior Aspect

Purplish Legs

December 6, 2013 Purplish legs–didn’t show up as well in picture

legs healing 1/10-1/11

Legs not as purple

August 6, 2014

August 6, 2014

10/6/2014 One year anniversary of TSW

10/6/2014 One year anniversary of TSW

7/13/15

7/13/15

8/27/15

8/27/15

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (35 months TSW)

 

1/2/2017--1/5 to 2/5 scratching posterior knees

39 months TSW 1/2/2017–1/5 to 2/5 scratching posterior knees–> eczema

 

KNEES-Anterior

IMG_1118

August 6, 2014

10/6/2014

10/6/2014   One year anniversary of TSW–in a flare, but picture does not show full extent–much worse in person right now

7/2/15

7/2/15

7/13/15

7/13/15

8/30/15

8/30/15

IMG_1798

8/30/15

Sept. 6, 2016 (36 months TSW)

Sept. 6, 2016 (36 months TSW)

ELBOWS

IMG_0203

November 30, 2013 oozing elbows

IMG_0392

January 10, 2014

IMG_1114

8/6/2014 Right elbow

7/2/15

7/2/15

7/2/15

7/2/15

7/2/15

7/13/15

7/13/15

8/27/15

8/27/15

8/27/15

8/27/15 mottled skin from sun and scratch but no open cuts, and red papules are gone compared to 7/13/15

LEFT ELBOW

IMG_0822

May 14, 2014 IMG_1115 8/6/14 Left Elbow

7/2/15

7/2/15 Medial aspect left elbow

7/2/15

7/2/15

7/13/15

7/13/15

8/27/15

8/27/15

LEFT SHOULDER

IMG_0820

5/14/14 Left shoulder flare

IMG_1116

NOW: 8/6/14

LEFT SHOULDER  10/6/2014   ONE YEAR ANNIVERSARY of TSW and in a flare 

real life skin worse than this picture shows 10/6/2014

real life skin worse than this picture shows 10/6/2014

RIGHT FOREARM patch of eczema?

IMG_0857

May 4, 2014

IMG_0824

August 6, 2014

August 6, 2014  Eczematous patch on right forearm; hair has returned

9/2/14--right forearm eczema patch improved

9/2/14–right forearm eczema patch improved

IMG_1134

MEASURABLE SHEDDING SKIN CYCLE

Dec. 7, 2013 Shed skin prior to getting in to tub.

Dec. 7, 2013 Shed skin prior to getting in to tub.

shedding

12/7/13 Shedding on bedsheet in the morning.

Shedding decreased significantly between mid-June and August 2014, but returned in the Fall, increasing to measureable shedding again in December 2014.
Return of the dreaded shedding! 12/2/14 at 14 months TSWReturn of the dreaded shedding! 12/2/14 at 14 months TSW

January 2, 2014

1/2/14 More skin!

4/15/15

4/15/15  MEASURABLE SHEDDING

1/2 teaspoon shedding overnight 4/15/15

1/2 teaspoon shedding overnight 4/15/15

1/2 teaspoon overnite shedding 18 months TSW 4/15/15

1/2 teaspoon overnite shedding 18 months TSW 4/15/15

5/25/15 1/8 teaspoon shedding overnight at 19.5 months TSW

5/25/15            1/8 teaspoon shedding overnight at 19.5 months TSW

Very decreased shedding 6/30/15

Very decreased shedding 6/30/15

7/18/15 less shedding!

7/18/15 less shedding!

***9/15/16No obvious shedding on bed sheet in morning. Started minimal visible shedding end of October. No measurable shedding until late December 2016.

 

 

PICTURE PROGRESSION from NOVEMBER 2013 to MARCH 2014–click to enlarge photos on the following link:

https://beyondtheitch.wordpress.com/2014/03/03/picture-progress-november-2013-through-march-2014/

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