Yes, perhaps scratching did play a role. Best to stop.
Most steroid atrophy lasts under a year. What persists beyond that often needs other explanation.
Dr. Rockoff
I've had bursts of improvement every 2-3 months, most recently a month ago. THe skin seems to smooth and get thicker very quickly and then it tapers off. IN the beginning I could see veins through, now not so much. So there is hope still, after 1 1/2 years?
Could some of the damage be because of intense scratching? When I was sick, I scratched hard. I am not scratching so much any more, and try not to. IN your experience, at what point does one reach maximum improvement? Could it be up to 2-5 years?
I was diagnosed with mild steroid atrophy. THe doctors had never seen anybody react so strongly to steroids before. My skin became transparent with the strong steroid (hands) in a week, with the triamcinolone in 2 months.
The only part about steroid atrophy (thinning) that's irreversible without treatment is superficial blood vessels. Irregulairty of pigment and more prominent veins are not signs of steroid thinning, but rather those of either aging or (more likely in your case) ongoing eczema itself. I think you ought to see a different dermatologist to get personal confirmation of this, as well as suggestions for controlling any eczema that remains and using other measures to even out skin tone.
Again stroid use, even intense like what you had, does not itself cause permanent sensitivity or hives.
Best.
Dr. Rockoff