Aliyah Mohamed is a survivor of TSW and has a specific attribute of her condition called “Hardened Skin” where a thick layer of keratin is formed on the skin. This is caused by constant scratching and the overuse of products like moisturizers on TSW skin which is significantly thinner and more fragile than normal or atopic dermatitis skin. This topic is not well understood even within the TSW community. Aliyah is advocating for it's existence as well as her success with Cold Atmospheric Plasma.