Can You Get Vaccinated for COVID-19 with Severe Dyshidrotic Eczema?

If the eczema herpeticum is severe, is it safe to receive the COVID-19 vaccine?

Hello, doctor: I used to have dyshidrotic eczema, but it would only appear as one or two blisters that would resolve on their own within two to three days.
However, in the past two months, it has suddenly worsened, with many blisters, red spots, and peeling skin on both my hands and feet.
I have seen a dermatologist and have been prescribed oral steroids and topical steroid ointments, but the condition has not improved despite changing medications twice.
It is still flaring up.
I have received a notification for a vaccine, and I am unsure if I can get vaccinated in this condition.
Thank you!

fang, 30~39 year old female. Ask Date: 2021/07/19

Dr. Wu Yuxin reply Dermatology

Sure.

Reply Date: 2021/07/19

More Info

Yes, individuals with severe dyshidrotic eczema can generally receive the COVID-19 vaccine, but there are important considerations to keep in mind. Dyshidrotic eczema, also known as pompholyx, is a type of eczema characterized by small, itchy blisters on the hands and feet. While it can be uncomfortable and may require treatment, it does not automatically contraindicate vaccination.

When considering vaccination, the primary concerns are related to the severity of the eczema and the medications being used for treatment. In your case, you mentioned that you have been using both oral and topical corticosteroids. While corticosteroids can suppress the immune system, the risk of severe adverse reactions to the vaccine in individuals with eczema is generally low. The vaccines available, such as mRNA vaccines (like Pfizer-BioNTech and Moderna) and viral vector vaccines (like Johnson & Johnson), have not been shown to have specific contraindications for those with eczema.

Here are some key points to consider:
1. Current Health Status: If your eczema is currently active and causing significant discomfort, it is essential to discuss your situation with your healthcare provider. They can assess whether your current health status is stable enough for vaccination.

2. Medication Effects: If you are on immunosuppressive medications, such as high-dose corticosteroids, it may affect your immune response to the vaccine. However, this does not mean you cannot receive the vaccine; it may just mean that the vaccine's effectiveness could be slightly reduced. Your healthcare provider can give you the best advice based on your specific treatment regimen.

3. Timing of Vaccination: If your eczema is particularly severe at the time of your vaccination appointment, it might be worth considering postponing the vaccine until your condition stabilizes. However, this should be a decision made in consultation with your doctor.

4. Monitoring for Reactions: After receiving the vaccine, monitor for any unusual reactions, especially since your skin condition is currently active. Common side effects of the vaccine include soreness at the injection site, fatigue, and mild fever, which are generally manageable.

5. Consultation with a Dermatologist: Since you are experiencing a severe flare-up of dyshidrotic eczema, it may be beneficial to consult with your dermatologist regarding the timing of the vaccine and any potential interactions with your current treatment plan.

In conclusion, while having severe dyshidrotic eczema does not preclude you from receiving the COVID-19 vaccine, it is crucial to have a thorough discussion with your healthcare provider to ensure that your vaccination is safe and effective given your current health status. Vaccination remains an important tool in preventing severe illness from COVID-19, and your healthcare team can help guide you through the process.

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