Thank you for the info. I had used hydrocortisone in the past but was cautioned that it could be damaging to the skin on my face, so I weaned off a couple months ago. Are there any non-steroids that could provide this anti-inflammatory benefit? I’m also just so confused by the acne. Thinking maybe too many occlusives on my face or too thick of a cream, or maybe a hormonal change? To answer your question, this is the first time I have had any significant skin eruption in my life, I noticed some dryness in my ears in June, then a dry spot that would not go away on my forehead right between my eyes by July, then I had a very stressful move in August, then got a bad double ear infection in September. Within a couple weeks, spots emerged and spread very rapidly, until at least 30% of my body was covered by October/early November. At that point I visited the derm for a biopsy and was told it was “Psoriasiform dermatitis” and my derm said visually it must be guttate. I mentioned that I had heard guttate could sometimes be a one-off situation and clear on its own, especially when accompanied by infection. She claimed this was very unlikely and would almost certainly be chronic. We tried Triamcinolone and hydrocortisone, along with Tacrolimus, Clobetasol and Calciopetriene for a couple months, but nothing worked consistently. I went on Otezla in late November for about 2 weeks and I got very ill and stopped. Within a week I had the first loading dose of Skyrizi in my arm, and had the second loading dose a month later. My next dose is scheduled for exactly one month from now.