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Chronic hardened skin or elephant skin are complications that can occur during TSW. It is a separate condition that can occur on top of TSW skin. Chronic hardened skin or elephant skin should not be confused with the temporary type of elephant skin that goes away by itself with time. Chronic hardened skin and elephant skin have a clear cause. The cause can be prolonged excessive scratching, prolonged irritant exposure or using moisturizers on a thinned and impaired skin. Severe chronic hardened skin and elephant skin can be very difficult to reverse. I hope that this complication can be prevented for TSW patients in the future. Note: Not everybody who uses moisturizers during TSW will develop chronic hardened skin or elephant skin. It depends on how thin and impaired the skin is. In combination with the type of moisterizing used and the dose. But to be on the safe side , it is better to say that only light cases of TSW, with mild redness of the skin and invisible flaking, can use moisturizers safely. For more detailed information on the mechanisms behind chronic hardened skin and elephant skin, you can check out the YouTube video on this subject on this channel, where you can find drawings of the skin with the mechanism explained. I hope this is helpful. 🌟🌟🌟 #tswwarrior #topicalsteroidwithdrawal #tsw #redskinsyndrome