About ITSAN
The International Topical Steroid Awareness Network is a nonprofit charity formed to raise awareness about a condition called Topical Steroid Withdrawal Syndrome, also known as Red Skin Syndrome or Topical Steroid Addiction.
ITSAN is the only 501(c)(3) non-profit charity serving the global TSW Syndrome community as a resource for the individual, the caregiver, and the healthcare provider. ITSAN has grown into a thriving world-wide online community where members comfort, share, and support one another.
ITSAN conducts outreach and member engagement through webinars, newsletters, social media, and moderated online support groups. We also participate in numerous national and international coalitions and advocacy initiatives to advance our mission.
Mission
To raise awareness of Topical Steroid Withdrawal Syndrome and support all affected individuals.
Goal
Prevention, early detection, accurate diagnosis, and proper treatment of Topical Steroid Withdrawal Syndrome.
How ITSAN Advocates for the TSW Syndrome Community
Please visit the American Academy of Dermatology’s Patient Advocate Resource Center for more information about the partnership between members of the Coalition of Skin Diseases and the American Academy of Dermatology.
ITSAN board members and volunteers on September 23, 2019 at the More Than Skin Deep patient focused drug development meeting with the FDA near Washington, D.C. From left to right: Pam Friedman, Kelly Barta, Jodie Ohr, Rochelle Richter, Renata Feiner, Molly Evans, Jolene MacDonald, Kathryn Tullos
- One of five organizations to host “More Than Skin Deep” – the first patient-focused drug development (PFDD) initiative for the eczema community. Collaborated to produce “The Voice of the Patient” report
- Active in leadership with the Coalition of Skin Diseases (CSD)
- Lobbying in Washington, D.C. with the CSD at the Annual American Academy of Dermatology Association’s Legislative Conference
- One of three patient groups participating in the American Academy of Dermatology’s Inflammatory Skin Disease/Itch Measures Work Group
- Representing the TSW community at the International Alliance of Dermatology Patient Organizations (IADPO) Atopic Dermatitis symposium and advocacy events annually.
- Representing the ITSAN community at the American Academy of Dermatology Annual Meeting and Scientific Sessions
- Speaking at the Derma Care Access Network (DCAN) congressional briefing on step therapy
- Collaborating with Allergy and Asthma Network on their Corticosteroid Stewardship Campaign
- Presenting about TSW Syndrome at state and national meetings of the Dermatology Nurse Association
Looking ahead:
- Patient registry: In support of research efforts and making the first estimate of TSW Syndrome prevalence
- Physician registry: Connecting our patients with doctors who understand how to diagnose and treat TSW Syndrome is a top priority
- Petitioning the FDA for labeling changes to drug inserts for topical corticosteroids
Representatives from the Coalition of Skin Diseases at American Academy of Dermatology Association annual meeting, March 2019. ITSAN Board Member Kelly Barta, first row, fourth from left.
Board Members
All of ITSAN’s Executive Board have either suffered from Topical Steroid Withdrawal Syndrome themselves or cared for a loved one who has.
Volunteer Executive Board:
- Kathy Tullos, RN – President/CEO
- Jolene MacDonald – Secretary
- Rochelle Richter – Treasurer
- Molly Evans, Ed.D – Board of Directors
- Jodie Ohr – Board of Directors
- Kelly Barta – Board of Directors
ITSAN Medical Advisory Board:
- Dr. Koushik Lahiri, MBBS, DVD, FRCP
- Dr. Patrice Faye Little, DNP, FNP-BC
- Dr. Sandipan Dhar, MD, DNB
- Prof. Marcello Monti
Meet the Team
ITSAN Board of Directors
Kathryn Tullos is a Registered Nurse from Houston, Texas with a degree in Communications. She was a bedside nurse in pediatrics for 7 years, before taking a “break” to stay home with her 4 kids. In mid-2013, her son suffered severely from Topical Steroid Withdrawal Syndrome (TSWS) for 18 months, due to steroid creams prescribed for his eczema. Kathryn used the experience with her son and her passion for research to throw herself into patient advocacy, and try to help others navigate this often misunderstood iatrogenic disease. She joined the ITSAN board in 2015, helped write and relaunch the ITSAN website, and eventually became Executive Director. She stepped down briefly in 2018, but she couldn’t stay away for long. Kathryn returned to ITSAN in October 2019 as President and CEO. Kathryn’s main goals in her advocacy with ITSAN are: 1) petition for labeling changes on the drug insert for topical corticosteroids, and 2) to connect patients with doctors who understand how to diagnose, treat, and ultimately prevent this debilitating disease. Though it may be a long road, she takes courage in the words of her Great Aunt Ruth Ann, “My dear, you are assertive.” In her free time she loves to go on dates with her husband, sing show tunes with her kids, Netflix binge, and memorize the Hamilton soundtrack.
Jolene MacDonald joined ITSAN as a Board Member and parent caregiver in the summer of 2019. She brings a love of working with children and families as a former Teacher of the Deaf and a former children’s case manager. Her son Max began TSW in June 2014 after being prescribed topical steroid creams, used intermittently, from infancy until age 4 years old. His withdrawal was a 24/7 struggle in the early stages to protect him from being further harmed by treatment and to support him with appropriate medical care and comfort measures for the intense nerve pain, itch and exhaustion. He has multiple food, environmental and drug allergies, including severe side effects to all forms of steroids: topical creams, oral, and inhaled. ITSAN has been a touchstone of hope and healing through the years. Max is now almost 6 years TSW, and though he has had a longer recovery than most young warriors, he is healing, thriving, loves school, biking, basketball and football. Jolene’s heart is with every TSW warrior and every warrior caregiver. She hopes to provide support and advocacy for children and families going through Topical Steroid Withdrawal Syndrome until the ultimate outcome of awareness and a safe standard of care around steroid use is an inherent part of our world.
Rochelle Richter joined ITSAN as Treasurer on the board in the winter of 2018 as a veteran RSS/TSW Survivor and prior to that has been a patient advocate since its advent. She entered withdrawal in May of 2011 was completely healed by December 2012, and has been healed since. Being mostly a moderate strength steroid user for only a few years, her eczema spread quickly. After taking multiple tests that came back normal, her doctor diagnosed her with “incurable eczema.” In complete misery and desperation for an answer that made sense, she found the forerunner to ITSAN’s website, and upon realizing what she was really dealing with, began topical steroid withdrawal. Rochelle holds a bachelor’s degree in accounting and has several years experience both in public and corporate accounting. She recently left corporate America in pursuit of a better culture, and to work in causes she really cares about. Currently, she also works as a small business accountant in the film industry. She is also an advocate against child verbal and physical abuse. She lives in Atlanta, GA with her husband and two fur kids. She enjoys traveling, hiking, snowboarding, interior design, reading, art, tennis, and concerts.
Molly began her journey with TSW in September of 2013 after a colleague randomly mentioned steroid addiction to her in a meeting one day. Upon doing just a little research, and finding ITSAN, Molly had the “knowing” in her gut that indeed what had started as an eczema condition as a child, was now a skin addiction to topical steroids. The good news was that her ongoing, chronic skin condition and mystery ailments now had an answer, and yet, it also meant the beginning of a long and winding health road were unfavorably in the cards ahead. After 18 years as a public educator and district administrator, Molly resigned her position to assume a simpler, more positively intentional life that included time for healing, family, and the pursuit of working to educate the masses on health and wellness, especially those in the midst of chronic health struggles. Molly teaches wellness classes and motivates her local community members through social media to bring a sense of empowerment and intentionality to all parts of a more natural lifestyle. For pleasure, Molly enjoys reading, writing, blogging, traveling, and sharing her passion around mindfulness with as many people as possible. Her family, including her parents, her husband of 21 years, her 2 daughters and son have embraced her healing journey as well and were constant cheerleaders as every flare subsided throughout the years. Molly enthusiastically joined the ITSAN board in the fall of 2018 and looks forward to the day TSW is prevented for all.
ITSAN Medical Advisory Board
Dr. Patrice Faye Little is the Editor-In-Chief of NP Student Magazine, Clinical Instructor of Nursing at
Georgia State University Perimeter College, Perioperative Nurse Practitioner at Atlanta
Ophthalmology Associates, Founder of Nurses as Media Consultants & Speaker’s Bureau,
Contributor for The Christian View Magazine, and Host of P.O.W.E.R. Talks weekly Christian
Broadcast. Dr. Little has worked as a nurse for 11 years and is an active member of United Advanced Practice
Registered Nurses (UAPRN) Gwinnett/Forsyth Chapter and the American Association of Nurse
Practitioners (AANP).
Dr. Little has disseminated her research findings at local symposiums and published her first scholarly
article in The Journal of Thermal Biology at age 22. She authored two books and continues to
contribute playground reviews and tips for caring for newborns in the Atlanta Parent Magazine.
In her spare time, Dr. Little enjoys speaking annually at Redan High School and New Life Academy of
Excellence’s career days and facilitating support groups at Partnership Against Domestic Violence
(PADV) organization’s shelter. Most of all, Dr. Little enjoys freestyle dancing on Friday nights with her
hubby and two children.
Dr. Sandipan Dhar, MD, DNB is a renowned Pediatric Dermatologist & Atopic Dermatitis researcher of National & International repute. He works as the Professor and Head of the Department of Dermatology at the Institute of Child Health and is the Senior Visiting Consultant at AMRI Hospitals in Kolkata.
He is currently the President of the Indian Society for Pediatric Dermatology (ISPD), and is one of the key persons for establishing the subspecialty “Pediatric Dermatology” in India. Dr. Dhar also serves as the editor-in-chief for the Indian Journal of Pediatric Dermatology (IJPD), and is a member of the editorial board of several journals in Dermatology and Pediatric Dermatology. He also serves as a Council Member of the International Eczema Council.
Dr. Dhar has published more than 220 scientific papers in various indexed journals of which more than 100 papers are on Pediatric Dermatology and 50 papers on Atopic Dermatitis. His papers have been abstracted and quoted in Year Books of Dermatology, various standard text books of Dermatology & Pediatric Dermatology. He has authored “Colour Atlas and Synopsis of Paediatric Dermatology”, the first book on Pediatric Dermatology from India. Dr. Dhar is one of the few Indian Dermatologists to contribute chapters in various Dermatology Text Books read by millions of students and post-graduate researchers across the world. He is a reviewer in several Dermatology journals published from the UK and the USA.
His fields of interest are Pediatric Dermatology, Atopic Dermatitis, Urticaria, and adverse cutaneous drug eruptions.
Dr. Koushik Lahiri is a Senior Consultant Dermatologist of Apollo Gleneagles Hospital in Kolkata, India and the Honorary Director of WIZDERM. He also serves as Vice President of the International Society of Dermatology, is a Member of IADVL and ACSI, Fellow of IADVL Academy of Dermatology, International Fellow of American Academy of Dermatology, Foundation Fellow of Asian Academy of Dermatology and Venereology and member of European Academy of Dermatology and Venereology. He is also a Fellow of all three Royal College of England, London, Glasgow and Edinburg.
Dr. Lahiri has authored the book, A Treatise on Topical Corticosteroids in Dermatology, and has championed the fight against the abuse and misuse of topical steroids in his country of India. He most recently was honored by the American Academy of Dermatology with their prestigious “Members Making a Difference Award” for his work, and 14 year long battle, in successfully having OTC topical steroids banned by India’s Ministry of Health.
Dr. Marcello Monti is a former Professor of Dermatology at the University of Milan, Italy of which he now serves as Consultant Dermatologist.
He graduated from University of Pavia, School of medicine in 1977 and completed his internship and residency in Dermatology from University of Milan in 1980. He later completed his internship and residency in Infectious and Parasitic Diseases from the University of Pavia in 1982.
Early on in his career he was Clinical Researcher, then Clinical Associate Professor in Dermatology at University of Milan where he taught Clinical Dermatology in medical courses of San Raffaele Hospital, Sacco Hospital and Humanitas Clinical Institute.
During his long career serving as Chief Dermatologist in many Hospitals of Milan, he continued to improve his diagnostic capabilities and refine his therapeutic solutions focusing on innovative protocols for the treatment of the most common dermatological pathologies.
History
In July 2009, TSW Syndrome sufferer Kelly Palace created the website AddictedSkin.com based on her own topical steroid withdrawal experience. The website featured her story with photos, as well as journal articles by Dr. Fukaya, Dr. Rapaport, and Dr. Kligman. It quickly evolved into an online community of support for those afflicted with Topical Steroid Addiction/Topical Withdrawal Syndrome.
In January 2012, Palace changed AddictedSkin.com to ITSAN.org and filed for nonprofit status with Dr. Marvin Rapaport as co-founder. ITSAN was granted 501 c 3 nonprofit status on February 3, 2012. Dr. Rapaport left ITSAN in June 2013, and Palace continued as ITSAN President until January 2015.
ITSAN has evolved into a vast network network of TSW Syndrome sufferers around the world contributing ideas, funds, and inspiration. ITSAN members and board volunteer many hours per week to help continue to spread the word. ITSAN has been a Member in Good Standing of the Coalition of Skin Diseases since 2014. ITSAN members and board volunteer many hours per week to continue to educate and advocate on behalf of the entire TSWS community.
Co-founder’s message:
What has transpired since starting ITSAN is nothing short of a miracle. Beyond my own journey from steroid dependence to recovery, I discovered thousands of people all over the world, from infants to adults, who were suffering greatly from “unknown” symptoms like mine. Their lives had become a living hell. Their doctors diagnosed them with an “incurable” skin condition and they were told that the only relief they could ever have would be temporary, when using topical steroids. In many cases, their topical steroids had stopped working and their skin was getting worse.
Once we each discovered the research articles by Dr. Rapaport, Dr. Fukaya and Dr. Kligman, our answers were in sight. This is a serious, international health problem that needs attention. I encourage you to find out more about Topical Steroid Addiction / Red Skin Syndrome and the devastating effects it can have on one’s health, and to make a donation to ITSAN to help the cause.
– Kelly Palace, ITSAN Co-founder
Testimonials
ITSAN really deserves more than 5 stars, as the organization to our family means more than I could ever write here. Because of ITSAN, its board members and an entire community of fellow sufferers, we can breathe again and we have watched life come back into our son. Without this wonderful organization. we would still be sinking in the unknown and may have even lost our precious son, as he was in renal failure last year because of the spiral of his health due to the use of topical steroids. WE LOVE ITSAN!
Thanks to my friends & family, ITSAN, the Facebook support groups and all other sufferers of topical steroid withdrawal for all their encouragement and support over the course of my withdrawal. I don’t think I could have made it without you!
I found this website when I was trying to find answers to why I was having chronic skin problems (that were completely new to me) after using topical steroids for five months–as prescribed by a dermatologist. This is a wonderful website full of important information and tremendous support from people who are caring and knowledgeable. From what I can see, with very little money, they do a tremendous amount. This organization is well worth supporting in any way you can!
This organization helped me through the most challenging, darkest hours of my life. I don’t know how I would have made it through the healing process without the support of the founders and members, as well as the resources this network provides.
ITSAN has been a lifeline for me and I could never thank this wonderful organization enough for everything it has done for me and all the TSW sufferers out there.
ITSAN has helped my sister greatly. She has been suffering from topical steroid withdrawal for about two years and the support of the community has given her the strength to carry on many times when she was at her wits end.
Incredible charity providing support, resources and awareness to those suffering from TSW. As someone who has been dealing with this condition for over 3 years, ITSAN and its network of others going through the same thing really has been a life saver, I will forever be grateful to ITSAN.
ITSAN is an important and incredibly helpful organisation which raises awareness, and offers support to people recovering from ‘eczema’ caused by topical steroid creams. ITSAN was my support system when I was in hell with nowhere else to go, there is a forum to vent and discuss the experience you are having, and it makes it all a little easier to bear. I would give ITSAN 5 stars for raising awareness, and another 5 stars for the advice and support offered by the helpful, hopeful, and supportive community.
This organization saved my daughter from on-going immense suffering—something umpteen doctors couldn’t do. My daughter is living life to the fullest now, no longer prisoner in her own skin. Forever grateful for their dedication to helping others and raising awareness about Red Skin Syndrome caused by topical steroids. Their website is informative and support groups invaluable— a true life saver. Thank you!
ITSAN saved my son’s life and skin! We would have been lost without them! Thank you ITSAN!
Thank God literally. If it weren’t for ITSAN we would still be living a nightmare. I am ever so grateful for this nonprofit. It was an answer to my prayers. Without you we would still be in the trenches fighting this war without ammunition. God Bless.