Treating acne in an individual with eczema or psoriasis can sometimes be tricky as many of the treatments that help acne can cause irritation of the skin, aggravate acne or psoriasis and some treatments for eczema and psoriasis can aggravate acne.
In general, it is useful to use a gentle cleanser on the face and moisturisers which are gentle and non-comedogenic to improve the skin's hydration and strengthen the skin barrier.
Commonly prescribed acne creams like benzoyl peroxide and tretinoin cream or differin gel can cause irritation, so a person with eczema must be careful when using these topicals medications. Topical antibiotics are generally less irritating.
Oral antibiotics do not usually aggravate skin dryness and cause irritation. However, oral isotretinoin causes skin dryness and can aggravate eczema.
I often assess the degree of dryness and sensitivity of the skin and the type and extent of the acne before prescribing the treatment for acne. In the presence of active eczema on the face, this should be treated and topical medications that can cause irritation should be avoided.
Do see your doctor or dermatologist for an assessment so that the treatment can be individualized for you.
