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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Anyone been diagnosed with psoriasis and eczema? If so what are treatments for having both. Is it common to have both? Help!

A MyPsoriasisTeam Member asked a question 💭
Long Valley, NJ

Recently diagnosed with eczema on top of having psoriasis for many years. Eczema is new for me. Does having both make eczema worse. Going crazy with the itch. Being treated with topical cream only but not helping. My psoriasis is under control with the use of otezla since 2014. I had a giant skin patch test done and started to use the ACDS Camp app set up by my doctor so I am learning what the possible triggers could be. But feel like I’m getting flare ups for the eczema pretty intensely. Anyone… read more

April 22
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Can you have both psoriasis and eczema, and what are the treatment options?

While it's uncommon, it is possible to have both psoriasis and eczema at the same time. These are separate conditions with different underlying causes, though they share some similar symptoms like itchy, inflamed skin.

Treatment approaches Show Full Answer

Can you have both psoriasis and eczema, and what are the treatment options?

While it's uncommon, it is possible to have both psoriasis and eczema at the same time. These are separate conditions with different underlying causes, though they share some similar symptoms like itchy, inflamed skin.

Treatment approaches include:

* Topical corticosteroids - commonly used for both conditions to reduce inflammation
* Keeping skin well-moisturized - especially important for eczema management
* Systemic medications like methotrexate or mycophenolate mofetil for severe eczema cases
* Biologic medications - FDA-approved options for eczema include dupilumab and tralokinumab-ldrm

Since your topical cream isn't helping with the intense itching, it's worth discussing other treatment options with your dermatologist. The good news is that your psoriasis is well-controlled with Otezla, so the focus can be on finding the right approach for your eczema. Understanding the differences:

Eczema itching tends to be more intense than psoriasis itching, which might explain why you're experiencing such severe discomfort. Eczema is often triggered by allergens and external substances, so the patch testing you've done is a smart step toward identifying your specific triggers.

Common eczema triggers include:
* Soaps and detergents
* Animal dander
* Dust mites
* Certain fabrics like wool
* Food allergens
* Very dry conditions

Having both conditions doesn't necessarily make eczema worse, but managing two separate skin conditions simultaneously can certainly feel overwhelming. Keep tracking your triggers with the app your doctor set up - this information will be valuable for adjusting your treatment plan.

April 22
A MyPsoriasisTeam Member

No

April 22

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