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Q. I enjoy using my outdoor hot tub in the winter, but I get an itchy rash on my legs. I think it is eczema. How can I continue to enjoy my spa?
A. You may have “hot tub folliculitis.” This rash may be caused by pseudomonas bacteria that grow in hot tubs that are not properly maintained (Journal of the American Academy of Dermatology, Oct. 2007). Check with your dermatologist to see whether you need an antibiotic.
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I experienced a very itchy rash after use of the warmer pool (90 degrees) at the YWCA and their hot tub. I thought it was due to the combination of chlorine and heat. I do much better in the cooler pool. Could this be due to the "folliculitis" that you speak of? If so, how could this be tested?
MW
This is bad advice. Hot tubs cause nummular eczema. I went through long period of misdiagnosis, first pseudomonas then fungus finally eczema. Duh...