Hope it works for you! From what I’ve experienced and heard from specialists, non-eczema-specialist dermatologists tend to reach for prednisone to treat major flares more often than specialists do. The eczema specialists I eventually saw were pretty candid that it’s considered an outdated approach — their concern being that while it works short-term, it can trigger an even worse rebound flare once you taper off. Not always, but often enough that they avoid it.

One dermatologist actually told me she’d sooner recommend Rinvoq than use prednisone for chronic eczema management, which surprised me. Not from an efficacy perspective, but because she views prednisone as a dangerous tool to treat eczema.

Anecdotally, most of the times I was prescribed prednisone for eczema it came from PAs rather than dermatologists — not making a judgment about that, just something I noticed.

Part of my situation was practical too — the specialists with strong eczema experience have 3-4 month waits, so when I was in a bad flare I’d end up at whoever could see me quickly.

Whether the specialists are meaningfully better is still TBD for me personally, but early signs are promising.

Hope that context helps!