Letter to Editor of JAAD

November 17, 2016

Bruce H. Thiers, MD

c/o Detra Davis, Managing Editor

Journal of the American Academy of Dermatology

930 E Woodfield Rd

Schaumburg, IL 60173

Dear Dr. Thiers:

Please review the two enclosed “letters to the Editor” with an open mind. I am appealing to your scientific nature as a doctor as well as to your humanitarianism. Over the last thirty-five years I have diagnosed, managed and cured 4,000 steroid addicted atopic and facial seborrheic dermatitis patients with my withdrawal protocol. All patients had previously been misdiagnosed as having “bad or chronic eczema” and all were treated with ongoing corticosteroids. Tens of thousands of other patients have also successfully withdrawn from steroid usage by themselves with minimal assistance from the internet, support groups, and my personal website. All of them were suffering the severe symptoms of steroid addiction, all completed the withdrawal process, and all were ultimately cured. It is a staggering success but remains unreported and controversial because mainstream medicine refuses to acknowledge that withdrawal from topical steroids is the methandienone feedback proven cure for what is mislabeled “bad or chronic eczema.”

Chronic steroid usage changes the history and clinical appearance of atopic dermatitis. The initial diagnosis of atopic dermatitis is a separate identifiable condition from the Red Skin Syndrome (RSS) that results after long-term steroid usage. When studies and commentaries are done concerning atopic dermatitis I strongly suggest that separation of these two discrete diagnoses be made. Further, the continuing use of steroids during a study taints the data. All 4,000 patients that I personally treated had only one parameter changed – the cessation of steroids – no immunosuppressants or antimitotics were used. 2,500 of those patients required supportive oral medications such as anti-itch, anti-burning, soporifics and/or pain medicines. External therapy consisted of bathing in tepid water and the use of ice topically to relieve the burning and severe redness. In approximately 400 to 500 patients Cyclosporin was added because the severity of their symptoms interfered in their daily lives at work and at school. The results were exactly the same for all 4,000 patients after a ranging period of time – no rash, no burning, no itching, no redness, no creams, no doctors –TOTAL CURE.

I have been a dermatologist for a very long time and have been frustrated, flummoxed, and infuriated by the overwhelming resistance in mainstream medicine to embrace and publicize a proven cure for a debilitating condition suffered by millions of people all over the world. I fully understand the competing interests in advocating a withdrawal protocol but I am hopeful that you will view this information as it is intended – as part of a long proud history of changing medical knowledge that revises treatment protocols in the service of public health.

Sincerely,

Marvin Rapaport MD

By Dr Marvin Rapaport, MD|2021-10-19T03:16:47-07:00November 30th, 2016|Dupilumab, Topical Steroid Withdrawal|Comments Off

About the Author: Dr Marvin Rapaport, MD

In 1978 I initiated and set up the contact and photo dermatitis clinic at UCLA. There was a need to evaluate a large group of patients who exhibited severe eczematoid rashes, especially on the face. Patients were referred from all over Southern California. All patients underwent a lengthy history and examination. Further evaluations included blood studies, allergy patch testing, special sunlight (photo) testing and skin biopsies. From the start it was apparent that most patients experienced a mild dermatitis on various parts of the body that progressively worsened. Their histories always included numerous doctor visits, multiple physicians, and therapy consisting of an increasing amount of corticosteroids. My testing failed to reveal any specific culprit chemicals, cosmetics, perfumes, workplace or recreational exposures. It became increasingly clear that the physician’s therapy, the corticosteroids, was invariably causing the problem. I wrote 7 scientific articles that were published in the most august peer-reviewed dermatologic journals and I gave many lectures at various dermatology meetings. To this day an unfortunate reluctance exists on the part of most physicians to accept this simple concept.