A member asked:

Please provide some do's and don'ts for patients with psoriasis & eczema.

76 doctors weighed in across 75 answers

Do: Do not pick at your psoriasis - it will make it worse.

Answered 8/29/2014

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Chlorine: Chlorine may make eczema worse.

Answered 4/18/2018

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Cigarette: Cigarette smoke can make eczema worse.

Answered 2/29/2016

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Dyshidrotic: Dyshidrotic eczema is sometimes associated with a metal allergy.

Answered 11/8/2014

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Moisturizers: Moisturizers lock in moisture, preventing evaporation.

Answered 8/31/2013

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Home: Home phototherapy is useful for many with psoriasis.

Answered 9/29/2016

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People: People with psoriasis have an increased risk for depression.

Answered 9/10/2013

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Psoriasis: Psoriasis is sometimes, but not always, itchy.

Answered 9/29/2016

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When: When cleansing, use soap mainly in the skin folds to avoid it's drying effects.

Answered 5/17/2013

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As: As a general rule, ointments are better moisturizers than creams, and creams are better than lotions.

Answered 7/20/2017

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Moisturize: Moisturize several times a day, especially after showering, to prevent worsening of eczema.

Answered 9/15/2013

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People: People with eczema are more likely to get staph aureus infections!

Answered 9/14/2015

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Skin: Skin discoloration is much more likely from eczema itself than from the steroid treatment.

Answered 8/31/2013

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Excimer: Excimer laser works well for linted psoriasis.

Answered 3/16/2013

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When: When it comes to steroid creams a little goes a long way!

Answered 1/16/2014

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Meditation: Meditation and exercise are great ways to prevent flares.

Answered 1/11/2015

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These: These conditions both tend to wax and wane, so don't be discouraged when going through flares.

Answered 5/17/2013

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These: These conditions can affect self-esteem. Try to find support systems. There are many online.

Answered 8/2/2013

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Scalp: Scalp psoriasis-keraly gel can loosen scales. Or crushed Aspirin in olive oil would work.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Supplemental zinc (50-100mg of zinc gluconate) & 3-omega fatty acids (flax seed or fish oil). Sun!

Answered 9/29/2016

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Dr. Arthur Balin answered

Specializes in Dermatology

Topical: Topical treatments are helpful for mild to moderate psoriasis.

Answered 5/17/2013

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Dr. Arthur Balin answered

Specializes in Dermatology

Topical: Topical corticosteroids are available in many strengths and formulations.

Answered 9/21/2013

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Dr. Arthur Balin answered

Specializes in Dermatology

Severe: Severe psoriasis can be treated with traditional systemics, phototherapy, or biological agents.

Answered 9/17/2017

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Dr. Tracy Berg answered

Specializes in General Surgery

Don't: Don't scratch, pick, squeeze or manipulate your dry, delicate, irritated skin.

Answered 3/2/2015

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Dr. Arthur Balin answered

Specializes in Dermatology

Cold: Cold compresses applied directly to the skin help relieve itching.

Answered 9/29/2016

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Dr. Arthur Balin answered

Specializes in Dermatology

Eczema: Eczema treatment: topical tacrolimus and pimecrolimus may be used to reduce inflammation.

Answered 5/17/2013

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Dr. Arthur Balin answered

Specializes in Dermatology

Eczema: Eczema treatment: antibiotics may be needed to treat a bacterial infection in scratched skin.

Answered 3/16/2013

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Dr. Arthur Balin answered

Specializes in Dermatology

Eczema: Eczema treatment: immune suppressing oral medication can help relieve some severe cases.

Answered 3/22/2019

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Dr. Arthur Balin answered

Specializes in Dermatology

Eczema: Eczema treatment: sedative antihistamines can help a patient get a good night's sleep.

Answered 9/29/2016

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Dr. Arthur Balin answered

Specializes in Dermatology

Eczema: Eczema treatment includes medication, proper skin care, trigger avoidance, and coping mechanisms.

Answered 6/13/2019

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Ozonated: Ozonated olive oil works great.

Answered 9/29/2016

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Reducing: Reducing your weight and not smoking can help improve psoriasis.

Answered 9/16/2014

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

For: For persons with eczema lukewarm baths followed by steroids and then moisturizers on skin can help.

Answered 5/17/2013

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

Use: Use steroid medications as directed regularly to prevent flares of disease.

Answered 4/2/2013

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Dr. Barry Lycka answered

Specializes in Dermatology

Best: Best to see a dermatologist. Some may prescribe natural products like bile salts and curcumine.

Answered 3/21/2019

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Only: Only in rare cases should you take oral steroids for psoriasis. It can make you a lot worse.

Answered 1/27/2014

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Keep: Keep the skin moisturized and avoid very hot showers.

Answered 4/2/2013

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Dr. Joshua Fox answered

Specializes in Dermatology

Don't: Don't scrub your skin! don't pick off the scales! don't use harsh soap if much at all.

Answered 2/15/2014

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Dr. Arlo Miller answered

Specializes in Dermatology

It: It is a myth that baths make eczema worse. A daily bath with a bath oil & light soap will help.

Answered 9/9/2013

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Dr. Arlo Miller answered

Specializes in Dermatology

If: If you think you can fix eczema without good skin care you will fail.

Answered 3/20/2013

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Try: Try jojoba oil on your skin as moisturizer. Get oils in glass bottles not plastic.

Answered 11/5/2017

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Dr. Suzanne Fiala answered

Specializes in Family Medicine

Gentle: Gentle emollient soaps, bathe less, emollient creams/oils. Food sensitivity testing -helps!

Answered 7/12/2013

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Dr. Suzanne Fiala answered

Specializes in Family Medicine

Keep: Keep skin moisturized. Wash/bathe less. Key is food sensitivity testing and elimination diet.

Answered 4/2/2013

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do limit stress and too much sunshine. Small amounts of sun and saltwater can help psoriasis.

Answered 10/20/2013

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Dr. Arlo Miller answered

Specializes in Dermatology

The: The best prevention for eczema is helping the skin with with a good barrier cream twice a day.

Answered 10/13/2013

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Dr. Martin Fried answered

Specializes in Nutrition

Do: Do get sunlight. Sunlight helps psoriasis.

Answered 1/10/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

Soft: Soft water better for skin and hair and will help slow down psoriasis and eczema, especially winter!

Answered 9/26/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Occlusion: Occlusion treatment with otc 1% Hydrocortisone on hands covered with cellophane gloves works well for hands!

Answered 9/29/2016

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Avoid: Avoid hot showers and immediately apply a moisturizer afterwards to keep your skin moist.

Answered 9/29/2016

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Moisturize: Moisturize and keep eczema patches lightly wrapped overnight.

Answered 6/4/2019

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Prevent: Prevent breaks in skin, chances of infection are very high with broken down skin.

Answered 5/2/2014

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Vegetable: Vegetable shortening is a very good moisturizer for dry skin.

Answered 3/21/2019

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Psoriasis: Psoriasis patients have higher risk for heart attacks and strokes.

Answered 5/20/2017

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If: If you have eczema, get tested for allergies.

Answered 9/29/2016

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Moisturize: Moisturize skin even when you dont have flare ups.

Answered 5/17/2013

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Use: Use steroid cream when needed, don't put off using steroid cream during flareups.

Answered 9/29/2016

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Aim: Aim to control the itch to prevent the rash from worsening.

Answered 9/13/2013

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If: If you have tried topicals and light rx, and you're still bothered by psoriasis, ask about biologic rx.

Answered 3/29/2013

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Dr. Payam Rafat answered

Specializes in Podiatry

Try: Try to avoid scratching. Use cream or lotion to moisten the skin.

Answered 6/22/2017

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Dr. Robert Bader answered

Specializes in Dermatology

Oils: Oils and ointments are more moisturizing than creams or lotions.

Answered 11/16/2013

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Dr. Suzanne Fiala answered

Specializes in Family Medicine

Limit: Limit showers, use abundant emollients, steroid creams if needed. Consider food sensitivity testing.

Answered 5/17/2013

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Dr. Suzanne Fiala answered

Specializes in Family Medicine

Many: Many dermatitis issues resolve with food sensitivity testing and an elimination diet. Remarkable!

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Don't: Don't scratch! lesions will always worsen!

Answered 5/17/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Itching: Itching can be diminished by taking a combination h1 and h2 blocker. Generic tagamet (cimetidine) and zyrtec!

Answered 1/5/2014

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Dr. Robert Conenello answered

Specializes in Sports Medicine

To: To prevent eczema on your feet, decrease perspiration by wearing moisture wicking socks.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

People: People with low vitamin d levels had in a 189% increase in the incidence of psoriasis!

Answered 1/15/2016

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Over: Over the counter medicine is often all you need.

Answered 11/20/2017

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Dr. Thomas Wright answered

Specializes in Phlebology

Psoriasis: Psoriasis increases slightly the risk for other serious diseases of the heart, lungs, and kidneys.

Answered 3/8/2014

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Dr. Thomas Wright answered

Specializes in Phlebology

Get: Get treatment: as many as 30% of patients with severe psoriasis received no treatment.

Answered 5/11/2014

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Dr. Thomas Wright answered

Specializes in Phlebology

Only: Only 70% with severe psoriasis got treatment and many of them just received topical treatment.

Answered 2/24/2018

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Dr. Thomas Wright answered

Specializes in Phlebology

Half: Half of patients with psoriasis or psoriatic arthritis expressed dissatisfaction with treatment.

Answered 8/31/2013

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Dr. Thomas Wright answered

Specializes in Phlebology

The: The best medicated shampoo for dandruff is Nizoral (ketoconazole) shampoo.Best results apply and let dry for 10 min.

Answered 6/30/2014

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Consider: Consider an elimination diet trial. Food sensitivities can play a large part in eczema.

Answered 9/9/2013

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Remember: Remember that psoriasis is a whole body disease and does not just effect the skin.

Answered 9/22/2013

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Psoriasis: Psoriasis and psoriatic arthritisin women is more common with worsened symptoms in a smoker.

Answered 9/26/2013

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