 The study aims to further characterize the entity of topical corticosteroid withdrawal associated with chronic steroid use, elucidate relevant clinical features, and investigate possible treatments. It is most common in women who present due to improper usage such as for cosmetic reasons. Symptoms include erythema, itchiness and burning, secondary lesions are common scales. The study includes all articles found due to the paucity of available studies. Leading to limitations being lack of heterogeneity, diversity of outcome measures reported, and a higher risk of bias in some included studies. Topical corticosteroid withdrawal should be suspected in patients presenting with prolonged usage, erythema, and burning or itch. Patient education and follow-up is important to address improper usage. Future studies should focus on comparison group studies to investigate treatment and risk factors. This article was offered by John Wei Huang and Peter A. Leo.