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I took a lot of pred for about a 4 year period before getting my asthma under control, and unfortunately one of the side effects was really thinning of the skin especially on my arms. Add the natural hormone loss of perimenopause plus my low fat diet (due to liver enzyme issues triggered by the steroid use) and the skin on my arms has gotten paper thin. Just normal household chores and I can bump it and it bleeds under the skin, or sometimes tears. I constantly have dark bruising under the skin from just daily life. Its better in the winter months with long sleeves and sweatshirts, but that is not viable this time of year.
I asked the gyn about this, and all she could say was the menopause does tend to cause skin thinning due to lack of estrogen, but hormone replacement is not an option for me due to family history of uterine cancer. She suggested lotion.
I have tried lotions, drinking vats of water to keep the skin hydrated and more supple but nothing really helps. I even bought terry cloth wrist guards to wear when I clean which minimizes the bumps/dings .
Anyone have any ideas? I am not sure if a dermo would help at this point or not. Anyone else noticing that the steroids causes thin skin.
Going to run this issue by my internist next month when I see him, but wanted to see if anyone had any suggestions.
Mattie
Caremme

I miss your incessent harassing of the NORMAL one.I talked to my nutritionist (certified diabetic educator) today and she recommended two things: (her response enclosed) ******Please check with your doctor before making any decisions----Her response-
"My suggestion would be omega 3-fatty acids, DHA/EPA processed from fish oil. I use a brand called Metagenics, which is highly purified and concentrated, providing 1000mg EPA/DHA combination. Most fish oils are just that ? fish oil and can cause a burp taste." " They are a great source of ?do no harm? and can do lots of good. They won?t thicken the skin, but do help with skin conditions and also act as an anti-inflammatory. Unless you are allergic to fish, I?d try these for three months and see what happens. You could also make sure you get enough Vit D 3- 1000 IU daily ? also a ?do no harm? but can help. These are not ?over the top? recommendations or large volumes, but I start at the protective dose and only take more with the recommendation of a physician."
I plan to talk to my internist to see what he thinks, but seriously anything that might help at this point is worth looking into...my skin is so thin it tears with just a slight bump. And I constantly have bruising under the skin which take forever to heal.
I take calcium with vit D (400 ID), plus a multi vitamin ( containing 500IU of vit D) so I am already getting 1300 IU daily of Vitamin D.(per internists orders).hoping to ward off the family gene for osteoporosis. My husbands endocronologist is a firm believer that most Americans do not get enough vitamin D (sunscreen use is preventing the absorption in many cases)and he checks all his patients routinely...so if you haven't had your D level checked, ask the next time you have labs done.
I did some research and found this info on vitamin D: ods.od.nih.gov/factsheets/vitamind.asp
Just wanted to share what I learned and hopefully it will be beneficial. PLease check with your doctor or pharmacist before making a decision..but I just wanted to share what I found.
Mattie
I have done a fair amount of checking in with lots of doctors on my very thin prednisone skin. From what I have been told, there is not much you can do. One thing for sure is not to get sun exposure. That will make it even thinner.
My dermatologist has recommended that I put on a cream called "Aqua Glycolic Hand and Body Cream" on the areas that are thin (my arms and legs) at night. You can buy this over the counter at the pharmacy. This product is designed to exfoliate in a gentle way while hydrating the skin and build up collagen in the skin. In the morning, after cleansing my skin, I put on a prescribed gel product called Bionect. It is not covered by insurance. It is made up of Hyaluronic Acid, 0.2%. If I remember correctly, it helps the skin get a bit firmer, less crepey and stronger.
I just started this so I don't know how helpful it is going to be. The doctor also recommended Arnica Montana for bruising. It comes in gel and pill form. I did some research on the pills and I read from a number of sites that the pills are not good for your liver or kidneys. I will try the gel, not the pills.
Even in the summer, I will wear a long sleeved shirts and long pants. That extra layer may mean the difference between a bruise and a skin tear.
I think that I will increase my Vitamin E oil consumption from 1,000 IU to 2,000 IU as recommended by another person. I did notice that my skin was less dry when I started taking the 1,000 units (one capsule). I will report back in a month to let anyone know if this stuff has helped. If anyone has any questions, let me know. Cathy
I have searched this web most every night looking for answers for the thin skin and none to be found. At this time everything that touches my arms makes them bleed, I put my arm in a box last night and scratched it open to bleed. If you know of any lotion that might give some relief please tell me that much. I too drink enough water at times to sail a boat .
I hope to hear more from you and any progress you may have. Thanks for your story. Berna1957
I have had a much better year this year and have only been on prednisone for a total of about 6 weeks of the last year. Due to this my skin is MUCH better, although i still bruise, I do not have the petechial looking stuff and nastiness you all describe, so i think it can get better.
As a practitioner your symptoms scream to request a complete blood count as well as a platlet count just to make sure it's the pred causing the problem-which it 99% chance is, but get the labs drawn to.
That being said here is what I have used: 1-Fish oil-If you keep them in the freezer and take them right before bed it lessens the fishy issues. 2-Vitamen E supplement. You can even cut those caps open and spear the oil right on your skin. 3-Aquaphor or Eucerin for very dry skin, apply liberally twice a day. 4-I love Aveda skin products. Everything Aveda has been a blessing. 5-DRINK WATER, lots of water. 6-Eat enough fat. 7-Be thankful that you can atleast breath! I mean what some annoying derm stuff compared to not breathing!
8-A derm consult would be appropraite. Hope that helps a bit. jess
Saw a recommended skin thickening cream on the internet think it began with det or den could kick myself because I didn't bookmark it. Anybody know what i am referring to? Maybe a usa web site. Emu oil is a prop until something better. Regards Shirley
I've suffered from thin papery skin for about 4 years. I drink LOTS of water, I use moisturizers (not as often as I should), I take fish oil supplements, as well as vitamin D-3 daily. I still get the bleeding under the skin & easy tears. If you figure out what it was you saw on the internet I, and the others, would welcome the info!! I'm tired of looking like a battered woman, too. My poor husband!!!
Thanks,
Janna
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