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| Boilerpipe Text | Key Takeaways
Psoriasis is a non-contagious autoimmune disorder that causes dry, itchy, scaly skin patches.
Eczema is a condition that causes itchy, red, and swollen skin, often triggered by environmental factors or stress.Â
Treatments for eczema and psoriasis may include moisturizers, topical steroids, and phototherapy.
If you've noticed unusual bumps on your elbows, they might be attributed to conditions like psoriasis, eczema, or even allergies. Determining the cause is key to managing symptoms effectively and seeking the right treatment.
Illustration by Josh Seong for Verywell Health
1. Psoriasis
Psoriasis
is a chronic
autoimmune
disorder that causes dry, itchy, raised patches of scaly skin. It's not contagious, but it can lead to painful lesions that cover large body areas for some people.
Plaque psoriasis
is the most common form of the disease, affecting approximately 3% of adults. A 2021 survey of more than 500 people diagnosed with psoriasis found nearly half (48%)
had symptoms at the elbow
, second only to the scalp.
Plaque psoriasis speeds up the normal turnover of skin cells. Rather than being shed gradually, skin cells start to pile up on the surface, causing silvery-white, scaly lesions known as plaques.
Another type of psoriasis that can affect the elbows is
guttate psoriasis
. It is most commonly triggered by a streptococcal infection, such as
strep throat
, and is often seen in children. Symptoms include round, scaly, droplet-like skin lesions that are typically itchy.
Treatment
Psoriasis treatment
depends on the type and severity of your symptoms. The location on your body, like your elbows, also affects the treatment approach.
The goal is to reduce the overactive immune response and ease symptoms. Options include:
Moisturizers:
Emollient types to keep skin hydrated.
Topical treatments:
Steroids like Trianex (triamcinolone), vitamin D analogs like Dovonex (calcipotriene), retinoids like Tazorac (tazarotene), and calcineurin inhibitors like tacrolimus.
Shampoos and creams:
Salicylic acid
; coal tar options.
Therapies:
Phototherapy for light treatment.
Oral medications:
Immunosuppressants like Trexall (methotrexate), retinoids like Soriatane (acitretin).
Injections:
Steroids like triamcinolone; biologics like Tremfya (guselkumab); TYK2 inhibitors like Sotyktu (deucravacitinib).
helivideo / Getty Images
2. Eczema (Atopic Dermatitis)
Eczema
, or atopic dermatitis, is a chronic, non-contagious skin condition that leads to itchy, red, and swollen skin.
The exact cause of eczema is unknown, but it may result from the immune system's improper inflammatory response. Exposure to the environment, such as detergents or climate changes, and emotional factors, like stress, can trigger it.
Eczema leads to splotchy, cracked skin that can intensely itch. It commonly affects the elbows, knees, face, neck, arms, and legs.
Around 20% of people will have eczema at some point in their lives. Children are most commonly affected, including infants. Over 15 million adults and children in the United States are thought to be affected by eczema.
What Is the Difference Between Eczema and Psoriasis?
Eczema can, but doesn't always, cause scaly, leathery patches of skin. This, along with other symptoms, means it can mimic psoriasis. But psoriasis scales tend to be thicker with more well-defined edges.
Treatment
Eczema treatment
is focused on relieving dry, cracked, itchy skin and tempering the inappropriate immune response.
Common treatments for eczema include:
Emollient moisturizers
Cold compresses
Oatmeal baths
Room humidifiers
Anti-itch creams
Topical steroids
Phototherapy
Topical calcineurin inhibitors
Oral steroids like prednisone
Injected biologics like Dupixent (dupilumab)
primeimages / Getty Images
3. Contact Dermatitis
Contact dermatitis
is a chronic, non-contagious skin condition caused by direct contact with an irritant or an allergy-causing substance (
allergen
). Symptoms can include itching, dryness, bumps, rash, blisters, or swelling. Contact dermatitis can occur on any part of the body, including the elbows.
There are two broad categories of contact dermatitis:
Allergic contact dermatitis
: This is a reaction to substances that provoke a specific immune reaction involving an antibody called
immunoglobulin E
(IgE). Common allergens include preservatives, fragrances, cosmetics, certain metals, and poison ivy or oak. The rash can appear minutes to days after exposure.
Irritant contact dermatitis
: This is an abnormal immune reaction that does not involve IgE. Common skin irritants include cleansers, detergents, and soaps. Symptoms include swollen, itchy, burning, or flaky bumps on the elbows.
Allergic contact dermatitis is quite common, affecting one in five people at some point in their life. People with childhood eczema are more likely to be affected.
Irritant contact dermatitis is slightly less common, affecting one in every 10 people.
Treatment
The
treatment of contact dermatitis
can vary based on whether the symptoms are triggered by an allergen or an irritant. The main approach is the avoidance of known triggers.
Other treatment options for contact dermatitis include:
Anti-itch creams
Calamine lotion
Low-dose topical steroids
Oral antihistamines like
Benadryl
(diphenhydramine)
Zinc oxide cream
gokhanilgaz / Getty Images
4. Dermatitis Herpetiformis
Dermatitis herpetiformis
is a non-contagious autoimmune condition that causes the outbreak of an itchy, blistering rash after eating
gluten
. It is one of the possible symptoms of celiac disease.
"Herpetiformis" refers to the rash's blistering, herpes-like appearance (although it is caused by immune dysfunction, not a
herpes virus
). The fluid-filled blisters are most commonly seen on the elbows, buttocks, scalp, knees, back, hairline, groin, face, and back of the neck.
These symptoms tend to occur with other common symptoms of celiac disease, including:
Abdominal pain and bloating
Diarrhea (loose stools)
Weight loss
Fatigue
Although anyone with celiac disease can be affected by dermatitis herpetiformis, most commonly after age 30 or 40. Males are slightly more affected than females. The risk is also higher in people with autoimmune disorders like
lupus
or type 1 diabetes.
Treatment
The treatment for dermatitis herpetiformis starts with the avoidance of gluten as well as life-long adherence to a
gluten-free diet
.
Other treatments are focused on relieving the rash and the intense itchiness. These include oral antibacterial, antibiotic, and anti-inflammatory drugs.
Aczone (dapsone) is generally considered the first-line drug option. Sulfapyradine or sulfasalazine can be used in people who don't respond to Aczone.
A mild topical steroid like hydrocortisone may also be used to relieve itchiness.
Suvit Maka / Getty Images
5. Keratosis Pilaris
Keratin
is a structural protein that makes up your hair, skin, and nails.
Keratosis pilaris
occurs when excess keratin builds up in the hair follicles, causing them to clog.
This common dry skin condition is sometimes called "chicken skin" due to its characteristic bumps. It mostly affects children and adolescents, and the bumps usually go away as a young person gets older.
In addition to the elbows, keratosis pilaris bumps can also appear on the upper arms, thighs, and buttocks. The bumps tend to get worse in cold weather but improve when it gets warm. The bumps are not usually itchy or painful.
Keratosis pilaris bumps are typically small and hard and may be pale or red with dry skin scales on top. Sometimes, a hair from the clogged follicle is caught inside the bump.
Treatment
There is no cure for keratosis pilaris, so treatment involves managing symptoms.
While treatment may improve the appearance of the bumps, they tend to return as soon as treatment stops. Fortunately, keratosis pilaris symptoms typically get better with age, even if left untreated.
Treatment options for keratosis pilaris include:
Lotions and creams that include salicylic acid, lactic acid, urea, or tretinoin to reduce the size of the bumps
Cold creams or petroleum jelly to keep the bumpy skin areas moisturized
In cases of severe keratosis pilaris that do not improve with age,
Q-switched laser therapy
is an effective treatment option for improving the appearance of bumpy skin.
Boy_Anupong / Getty Images
6. Gout
Arthritis
is a chronic condition affecting the joints.
Gout
, also known as gouty arthritis, is an inflammatory type of arthritis that causes severe attacks of pain and swelling of the fingers, toes, wrists, and elbows.
Gout is caused by the build-up of
uric acid
in the body, which crystallizes in joint spaces. At times, crystals can form beneath the skin, causing hardened bumps known as
tophi
. In severe cases, whitish or yellowish crystals can form on the surface of the skin.
Tophi are usually painless but can be irritating and itchy, particularly on the elbows and fingers.
Around 4% of people, predominantly adults, have gout. Males are more vulnerable than females and typically develop symptoms in their 30s and 40s. Females are more likely to do so after menopause.
Treatment
Gout treatment
is focused on underlying causes of inflammation and uric acid accumulation. Treatment options for gout also focus on symptom relief and include:
Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil (ibuprofen)
A reduction in
purine-rich foods
that give rise to uric acid
Oral steroids like prednisone
Oral vitamin D analogs like Colcrys (colchicine)
Oral uric acid reducers like Aloprim (allopurinol)
Injected biologics like Krystexxa (pegloticase)
joloei / Getty Images
Treatments and How to Get Relief
A variety of home remedies and OTC treatments can provide immediate—albeit temporary—relief for bumpy, itchy elbows:
Keep skin cool and dry:
Sweating can make itchy skin worse. If you have been sweating, wash off your skin, pat it dry, then change into loose, airy clothes that allow your skin to breathe.
Apply a cold compress:
Rest your elbows on an ice or gel pack wrapped in a clean towel to relieve itching. You can do this for about 10 to 15 minutes or until the itch subsides.
Take a cool shower:
Shower in cool water for temporary itch relief. In general, avoid hot showers as they can worsen itchy, uncomfortable skin. Make sure to pat your skin dry afterward.
Have an oatmeal bath:
Add a few cups of colloidal (finely ground) oatmeal to your bathtub, then fill the tub with lukewarm water. Oatmeal is excellent for relieving irritated skin. Pat your skin dry afterward.
Apply a hydrocortisone cream:
OTC hydrocortisone creams and ointments with 1% hydrocortisone can be applied to the elbows for fast-acting itch relief.
Take an antihistamine:
OTC antihistamines like Benadryl or
Claritin
(loratadine) can relieve eczema-related itchy skin.
Exfoliate gently:
For bumpy skin due to keratosis pilaris, try gently exfoliating your skin with a loofah or rough washcloth to remove dead skin cells. Take care not to exfoliate too vigorously, as this can further irritate the skin.
When to See a Healthcare Provider
If you find that your bumpy and/or itchy skin worsens or does not improve with home remedies or OTC treatments, give your healthcare provider a call. Your provider will determine which prescription treatment is right for treating the underlying cause.
With conditions like gout or chronic eczema, it's important to see a provider as soon as possible for an accurate diagnosis. It's also likely that you will require continued care and monitoring.
In some cases, larger bumps may be related to a sports injury or a condition like osteoarthritis that affects the elbow. Pain at the joint is a sign to see your provider right away, or seek emergency care if you suspect a fracture or tendon tear.
They also may be caused by cysts, warts, lymph deposits, or other treatable skin conditions. |
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# Why Your Elbows Develop Bumps and How to Treat Them
By [Yvelette Stines](https://www.verywellhealth.com/yvelette-stines-5077313)
Updated on December 20, 2025
Medically reviewed by [Casey Gallagher, MD](https://www.verywellhealth.com/casey-gallagher-md-4685028)
### Key Takeaways
- Psoriasis is a non-contagious autoimmune disorder that causes dry, itchy, scaly skin patches.
- Eczema is a condition that causes itchy, red, and swollen skin, often triggered by environmental factors or stress.
- Treatments for eczema and psoriasis may include moisturizers, topical steroids, and phototherapy.
If you've noticed unusual bumps on your elbows, they might be attributed to conditions like psoriasis, eczema, or even allergies. Determining the cause is key to managing symptoms effectively and seeking the right treatment.
![An illustration with remedies for itchy bumps on elbows]()
:max_bytes\(150000\):strip_icc\(\)/VWH_Illustration_Remedies-for-Itchy-Bumps-on-Elbows_Josh-Seong_Final-4b7927398d38453b99d581efe415ab06.jpg)
Illustration by Josh Seong for Verywell Health
## 1\. Psoriasis
[Psoriasis](https://www.verywellhealth.com/psoriasis-7099867) is a chronic [autoimmune](https://www.verywellhealth.com/autoimmune-diseases-overview-3232654) disorder that causes dry, itchy, raised patches of scaly skin. It's not contagious, but it can lead to painful lesions that cover large body areas for some people.
[Plaque psoriasis](https://www.verywellhealth.com/plaque-psoriasis-7099493) is the most common form of the disease, affecting approximately 3% of adults. A 2021 survey of more than 500 people diagnosed with psoriasis found nearly half (48%) [had symptoms at the elbow](https://www.verywellhealth.com/psoriasis-elbow-5198592), second only to the scalp.
Plaque psoriasis speeds up the normal turnover of skin cells. Rather than being shed gradually, skin cells start to pile up on the surface, causing silvery-white, scaly lesions known as plaques.
Another type of psoriasis that can affect the elbows is [guttate psoriasis](https://www.verywellhealth.com/guttate-psoriasis-7096040). It is most commonly triggered by a streptococcal infection, such as [strep throat](https://www.verywellhealth.com/overview-of-strep-throat-1191987), and is often seen in children. Symptoms include round, scaly, droplet-like skin lesions that are typically itchy.
### Treatment
[Psoriasis treatment](https://www.verywellhealth.com/psoriasis-treatment-2328902) depends on the type and severity of your symptoms. The location on your body, like your elbows, also affects the treatment approach.
The goal is to reduce the overactive immune response and ease symptoms. Options include:
- **Moisturizers:** Emollient types to keep skin hydrated.
- **Topical treatments:** Steroids like Trianex (triamcinolone), vitamin D analogs like Dovonex (calcipotriene), retinoids like Tazorac (tazarotene), and calcineurin inhibitors like tacrolimus.
- **Shampoos and creams:** [Salicylic acid](https://www.verywellhealth.com/salicylic-acid-7501708); coal tar options.
- **Therapies:** Phototherapy for light treatment.
- **Oral medications:** Immunosuppressants like Trexall (methotrexate), retinoids like Soriatane (acitretin).
- **Injections:** Steroids like triamcinolone; biologics like Tremfya (guselkumab); TYK2 inhibitors like Sotyktu (deucravacitinib).
This photo contains content that some people may find graphic or disturbing.
See Photo
![Elbow with psoriasis]()
:max_bytes\(150000\):strip_icc\(\)/PsoriasisElbow-d01e8adc28364f87b4b38a78db1e3a52.jpg)
helivideo / Getty Images
## 2\. Eczema (Atopic Dermatitis)
[Eczema](https://www.verywellhealth.com/eczema-symptoms-82717), or atopic dermatitis, is a chronic, non-contagious skin condition that leads to itchy, red, and swollen skin.
The exact cause of eczema is unknown, but it may result from the immune system's improper inflammatory response. Exposure to the environment, such as detergents or climate changes, and emotional factors, like stress, can trigger it.
Eczema leads to splotchy, cracked skin that can intensely itch. It commonly affects the elbows, knees, face, neck, arms, and legs.
Around 20% of people will have eczema at some point in their lives. Children are most commonly affected, including infants. Over 15 million adults and children in the United States are thought to be affected by eczema.
### What Is the Difference Between Eczema and Psoriasis?
Eczema can, but doesn't always, cause scaly, leathery patches of skin. This, along with other symptoms, means it can mimic psoriasis. But psoriasis scales tend to be thicker with more well-defined edges.
### Treatment
[Eczema treatment](https://www.verywellhealth.com/eczema-treatment-83204) is focused on relieving dry, cracked, itchy skin and tempering the inappropriate immune response.
Common treatments for eczema include:
- Emollient moisturizers
- Cold compresses
- [Oatmeal baths](https://www.verywellhealth.com/mold-rash-8609534)
- Room humidifiers
- Anti-itch creams
- [Topical steroids](https://www.verywellhealth.com/steroids-topical-steroid-strengths-1068832)
- Phototherapy
- Topical calcineurin inhibitors
- Oral steroids like prednisone
- Injected biologics like Dupixent (dupilumab)
This photo contains content that some people may find graphic or disturbing.
See Photo
![Arm with atopic dermatitis]()
:max_bytes\(150000\):strip_icc\(\)/AtopicDermatitisElbow-0e20e6765ba94e2688dbcef365ee4a5f.jpg)
primeimages / Getty Images
## 3\. Contact Dermatitis
[Contact dermatitis](https://www.verywellhealth.com/contact-dermatitis-symptoms-4685650) is a chronic, non-contagious skin condition caused by direct contact with an irritant or an allergy-causing substance ([allergen](https://www.verywellhealth.com/allergens-types-function-risks-5205396)). Symptoms can include itching, dryness, bumps, rash, blisters, or swelling. Contact dermatitis can occur on any part of the body, including the elbows.
There are two broad categories of contact dermatitis:
- [**Allergic contact dermatitis**](https://www.verywellhealth.com/contact-dermatitis-symptoms-4685650): This is a reaction to substances that provoke a specific immune reaction involving an antibody called [immunoglobulin E](https://www.verywellhealth.com/immunoglobulin-e-ige-5324765) (IgE). Common allergens include preservatives, fragrances, cosmetics, certain metals, and poison ivy or oak. The rash can appear minutes to days after exposure.
- [**Irritant contact dermatitis**](https://www.verywellhealth.com/contact-dermatitis-causes-83205#:~:text=Contact%20dermatitis%20is%20an%20itchy,bleach%2C%20dyes%2C%20and%20solvents.): This is an abnormal immune reaction that does not involve IgE. Common skin irritants include cleansers, detergents, and soaps. Symptoms include swollen, itchy, burning, or flaky bumps on the elbows.
Allergic contact dermatitis is quite common, affecting one in five people at some point in their life. People with childhood eczema are more likely to be affected. Irritant contact dermatitis is slightly less common, affecting one in every 10 people.
### Treatment
The [treatment of contact dermatitis](https://www.verywellhealth.com/contact-dermatitis-treatment-4685697) can vary based on whether the symptoms are triggered by an allergen or an irritant. The main approach is the avoidance of known triggers.
Other treatment options for contact dermatitis include:
- Anti-itch creams
- Calamine lotion
- Low-dose topical steroids
- Oral antihistamines like [Benadryl](https://www.verywellhealth.com/benadryl-medication-information-83082) (diphenhydramine)
- Zinc oxide cream
This photo contains content that some people may find graphic or disturbing.
See Photo
![Arm with dermatitis rash]()
:max_bytes\(150000\):strip_icc\(\)/DermatitisRash-5b4e3c5ef4d84382b704ed102ca12264.jpg)
gokhanilgaz / Getty Images
## 4\. Dermatitis Herpetiformis
[Dermatitis herpetiformis](https://www.verywellhealth.com/dermatitis-herpetiformis-photos-562325) is a non-contagious autoimmune condition that causes the outbreak of an itchy, blistering rash after eating [gluten](https://www.verywellhealth.com/signs-of-gluten-allergy-8745815). It is one of the possible symptoms of celiac disease.
"Herpetiformis" refers to the rash's blistering, herpes-like appearance (although it is caused by immune dysfunction, not a [herpes virus](https://www.verywellhealth.com/herpes-signs-symptoms-2329074)). The fluid-filled blisters are most commonly seen on the elbows, buttocks, scalp, knees, back, hairline, groin, face, and back of the neck.
These symptoms tend to occur with other common symptoms of celiac disease, including:
- Abdominal pain and bloating
- Diarrhea (loose stools)
- Weight loss
- [Fatigue](https://www.verywellhealth.com/fatigue-symptoms-causes-diagnosis-and-treatment-4768481)
Although anyone with celiac disease can be affected by dermatitis herpetiformis, most commonly after age 30 or 40. Males are slightly more affected than females. The risk is also higher in people with autoimmune disorders like [lupus](https://www.verywellhealth.com/what-causes-lupus-2249817) or type 1 diabetes.
### Treatment
The treatment for dermatitis herpetiformis starts with the avoidance of gluten as well as life-long adherence to a [gluten-free diet](https://www.verywellhealth.com/recovering-from-an-accidental-glutening-562333).
Other treatments are focused on relieving the rash and the intense itchiness. These include oral antibacterial, antibiotic, and anti-inflammatory drugs.
Aczone (dapsone) is generally considered the first-line drug option. Sulfapyradine or sulfasalazine can be used in people who don't respond to Aczone. A mild topical steroid like hydrocortisone may also be used to relieve itchiness.
This photo contains content that some people may find graphic or disturbing.
See Photo
![Skin broken out in red rash]()
:max_bytes\(150000\):strip_icc\(\)/herprash-d637ed53992a462f9f8de9fdade07c90.jpg)
Suvit Maka / Getty Images
## 5\. Keratosis Pilaris
[Keratin](https://www.verywellhealth.com/keratin-5083786) is a structural protein that makes up your hair, skin, and nails. [Keratosis pilaris](https://www.verywellhealth.com/keratosis-pilaris-p2-1069260) occurs when excess keratin builds up in the hair follicles, causing them to clog.
This common dry skin condition is sometimes called "chicken skin" due to its characteristic bumps. It mostly affects children and adolescents, and the bumps usually go away as a young person gets older.
In addition to the elbows, keratosis pilaris bumps can also appear on the upper arms, thighs, and buttocks. The bumps tend to get worse in cold weather but improve when it gets warm. The bumps are not usually itchy or painful.
Keratosis pilaris bumps are typically small and hard and may be pale or red with dry skin scales on top. Sometimes, a hair from the clogged follicle is caught inside the bump.
### Treatment
There is no cure for keratosis pilaris, so treatment involves managing symptoms.
While treatment may improve the appearance of the bumps, they tend to return as soon as treatment stops. Fortunately, keratosis pilaris symptoms typically get better with age, even if left untreated.
Treatment options for keratosis pilaris include:
- Lotions and creams that include salicylic acid, lactic acid, urea, or tretinoin to reduce the size of the bumps
- Cold creams or petroleum jelly to keep the bumpy skin areas moisturized
In cases of severe keratosis pilaris that do not improve with age, [Q-switched laser therapy](https://www.verywellhealth.com/q-switched-laser-definition-2710168) is an effective treatment option for improving the appearance of bumpy skin.
This photo contains content that some people may find graphic or disturbing.
See Photo
![Keratosis pilaris bumps on arm]()
:max_bytes\(150000\):strip_icc\(\)/keratosispilaris-213d279b787e400ea1e9205aa4231490.jpg)
Boy\_Anupong / Getty Images
## 6\. Gout
[Arthritis](https://www.verywellhealth.com/arthritis-7368794) is a chronic condition affecting the joints. [Gout](https://www.verywellhealth.com/recognize-the-signs-and-symptoms-of-gout-189846), also known as gouty arthritis, is an inflammatory type of arthritis that causes severe attacks of pain and swelling of the fingers, toes, wrists, and elbows.
Gout is caused by the build-up of [uric acid](https://www.verywellhealth.com/uric-acid-gout-6374192) in the body, which crystallizes in joint spaces. At times, crystals can form beneath the skin, causing hardened bumps known as [tophi](https://www.verywellhealth.com/gout-tophi-tophus-what-is-it-189830). In severe cases, whitish or yellowish crystals can form on the surface of the skin.
Tophi are usually painless but can be irritating and itchy, particularly on the elbows and fingers.
Around 4% of people, predominantly adults, have gout. Males are more vulnerable than females and typically develop symptoms in their 30s and 40s. Females are more likely to do so after menopause.
### Treatment
[Gout treatment](https://www.verywellhealth.com/gout-treatment-188118) is focused on underlying causes of inflammation and uric acid accumulation. Treatment options for gout also focus on symptom relief and include:
- Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil (ibuprofen)
- A reduction in [purine-rich foods](https://www.verywellhealth.com/foods-to-avoid-with-gout-5093103) that give rise to uric acid
- Oral steroids like prednisone
- Oral vitamin D analogs like Colcrys (colchicine)
- Oral uric acid reducers like Aloprim (allopurinol)
- Injected biologics like Krystexxa (pegloticase)
This photo contains content that some people may find graphic or disturbing.
See Photo
![Elbows with gout tophi]()
:max_bytes\(150000\):strip_icc\(\)/goutyelbow-a87c95fcaeb3442dbe5b27c634f387e8.jpg)
joloei / Getty Images
## Treatments and How to Get Relief
A variety of home remedies and OTC treatments can provide immediate—albeit temporary—relief for bumpy, itchy elbows:
- **Keep skin cool and dry:** Sweating can make itchy skin worse. If you have been sweating, wash off your skin, pat it dry, then change into loose, airy clothes that allow your skin to breathe.
- **Apply a cold compress:** Rest your elbows on an ice or gel pack wrapped in a clean towel to relieve itching. You can do this for about 10 to 15 minutes or until the itch subsides.
- **Take a cool shower:** Shower in cool water for temporary itch relief. In general, avoid hot showers as they can worsen itchy, uncomfortable skin. Make sure to pat your skin dry afterward.
- **Have an oatmeal bath:** Add a few cups of colloidal (finely ground) oatmeal to your bathtub, then fill the tub with lukewarm water. Oatmeal is excellent for relieving irritated skin. Pat your skin dry afterward.
- **Apply a hydrocortisone cream:** OTC hydrocortisone creams and ointments with 1% hydrocortisone can be applied to the elbows for fast-acting itch relief.
- **Take an antihistamine:** OTC antihistamines like Benadryl or [Claritin](https://www.verywellhealth.com/what-you-should-know-about-claritin-770668) (loratadine) can relieve eczema-related itchy skin.
- **Exfoliate gently:** For bumpy skin due to keratosis pilaris, try gently exfoliating your skin with a loofah or rough washcloth to remove dead skin cells. Take care not to exfoliate too vigorously, as this can further irritate the skin.
## When to See a Healthcare Provider
If you find that your bumpy and/or itchy skin worsens or does not improve with home remedies or OTC treatments, give your healthcare provider a call. Your provider will determine which prescription treatment is right for treating the underlying cause.
With conditions like gout or chronic eczema, it's important to see a provider as soon as possible for an accurate diagnosis. It's also likely that you will require continued care and monitoring.
In some cases, larger bumps may be related to a sports injury or a condition like osteoarthritis that affects the elbow. Pain at the joint is a sign to see your provider right away, or seek emergency care if you suspect a fracture or tendon tear.
They also may be caused by cysts, warts, lymph deposits, or other treatable skin conditions.
Read more:
- [Health A-Z](https://www.verywellhealth.com/health-a-z-4014770)
- [Skin Health](https://www.verywellhealth.com/skin-health-4014649)
16 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellhealth.com/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
1. Armstrong A, Young M, Seal MS, Higham RC, Greiling T. [Treatment burden and the perspectives of patients with psoriasis using topical treatments: results from a national survey of adults with psoriasis in the United States](https://pubmed.ncbi.nlm.nih.gov/39128848/). *J Dermatolog Treat*. 2024 Dec;35(1):2389174. doi:10.1080/09546634.2024.2389174
2. American Academy of Dermatology Association. [What does psoriasis look like?](https://www.aad.org/public/diseases/psoriasis/what/look-like)
3. American Academy of Dermatology Association. [Psoriasis: diagnosis and treatment](https://www.aad.org/public/diseases/psoriasis/treatment/treatment).
4. Kapur S, Watson W, Carr S. [Atopic dermatitis](https://doi.org/10.1186/s13223-018-0281-6). *Allergy Asthma Clin Immunol*. 2018;14(Suppl 2):52. doi:10.1186/s13223-018-0281-6
5. Uter W, Werfel T, White IR, Johansen JD. [Contact allergy: a review of current problems from a clinical perspective](https://pmc.ncbi.nlm.nih.gov/articles/PMC6025382/). *Int J Environ Res Public Health*. 2018;15(6). doi:10.3390/ijerph15061108
6. Alinaghi F, Bennike NH, Egeberg A, Thyssen JP, Johansen JD. [Prevalence of contact allergy in the general population: a systematic review and meta-analysis](https://doi.org/10.1111/cod.13119). *Contact Dermatitis*. 2019 Feb;80(2):77-85. doi:10.1111/cod.13119
7. Johns Hopkins Medicine. [Dermatitis herpetiformis](https://www.hopkinsmedicine.org/health/conditions-and-diseases/dermatitis-herpetiformis).
8. [Celiac Disease Foundation. Dermatitis Herpetiformis.](https://celiac.org/about-celiac-disease/related-conditions/dermatitis-herpetiformis/)
9. Yale Medicine. [Dermatitis herpetiformis](https://www.yalemedicine.org/conditions/dermatitis-herpetiformis).
10. Cedars-Sinai. [Keratosis pilaris (KP)](https://www.cedars-sinai.org/health-library/diseases-and-conditions/k/keratosis-pilaris-kp.html).
11. Maghfour J, Ly S, Haidari W, Taylor S, Feldman S. [Treatment of keratosis pilaris and its variants: a systematic review](https://doi.org/10.1080/09546634.2020.1818678). *J Dermatolog Treat*. 2022 May;33(3):1231-1242. doi:10.1080/09546634.2020.1818678
12. American College of Rheumatology. [Gout](https://rheumatology.org/patients/gout).
13. Xu J, Zhu Z, Zhang W. [Clinical characteristics of infectious ulceration over tophi in patients with gout](https://pmc.ncbi.nlm.nih.gov/articles/PMC6023052/). *J Int Med Res*. 2018;46(6):2258-2264. doi:10.1177/0300060518761303
14. Fitzgerald JD, Dalbeth N, Mikuls T, et al. [2020 American College of Rheumatology guideline for the management of gout](https://pubmed.ncbi.nlm.nih.gov/32391934/). *Arthritis Care Res (Hoboken)*. 2020 Jun;72(6):744-60.
15. American Academy of Dermatology Association. [Everyday care](https://www.aad.org/public/everyday-care).
16. Vaishya R, Kapoor C, Agarwal AK, Vijay V. [A rare presentation of ganglion cyst of the elbow](https://pmc.ncbi.nlm.nih.gov/articles/PMC4969149/). *Cureus*. 2016 Jul 1;8(7):e665. doi:10.7759/cureus.665
![Yvelette Stines]()
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By [Yvelette Stines](https://www.verywellhealth.com/yvelette-stines-5077313)
Stines is a Michigan-based health writer, book author, and communications specialist.
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| Readable Markdown | ### Key Takeaways
- Psoriasis is a non-contagious autoimmune disorder that causes dry, itchy, scaly skin patches.
- Eczema is a condition that causes itchy, red, and swollen skin, often triggered by environmental factors or stress.
- Treatments for eczema and psoriasis may include moisturizers, topical steroids, and phototherapy.
If you've noticed unusual bumps on your elbows, they might be attributed to conditions like psoriasis, eczema, or even allergies. Determining the cause is key to managing symptoms effectively and seeking the right treatment.
Illustration by Josh Seong for Verywell Health
## 1\. Psoriasis
[Psoriasis](https://www.verywellhealth.com/psoriasis-7099867) is a chronic [autoimmune](https://www.verywellhealth.com/autoimmune-diseases-overview-3232654) disorder that causes dry, itchy, raised patches of scaly skin. It's not contagious, but it can lead to painful lesions that cover large body areas for some people.
[Plaque psoriasis](https://www.verywellhealth.com/plaque-psoriasis-7099493) is the most common form of the disease, affecting approximately 3% of adults. A 2021 survey of more than 500 people diagnosed with psoriasis found nearly half (48%) [had symptoms at the elbow](https://www.verywellhealth.com/psoriasis-elbow-5198592), second only to the scalp.
Plaque psoriasis speeds up the normal turnover of skin cells. Rather than being shed gradually, skin cells start to pile up on the surface, causing silvery-white, scaly lesions known as plaques.
Another type of psoriasis that can affect the elbows is [guttate psoriasis](https://www.verywellhealth.com/guttate-psoriasis-7096040). It is most commonly triggered by a streptococcal infection, such as [strep throat](https://www.verywellhealth.com/overview-of-strep-throat-1191987), and is often seen in children. Symptoms include round, scaly, droplet-like skin lesions that are typically itchy.
### Treatment
[Psoriasis treatment](https://www.verywellhealth.com/psoriasis-treatment-2328902) depends on the type and severity of your symptoms. The location on your body, like your elbows, also affects the treatment approach.
The goal is to reduce the overactive immune response and ease symptoms. Options include:
- **Moisturizers:** Emollient types to keep skin hydrated.
- **Topical treatments:** Steroids like Trianex (triamcinolone), vitamin D analogs like Dovonex (calcipotriene), retinoids like Tazorac (tazarotene), and calcineurin inhibitors like tacrolimus.
- **Shampoos and creams:** [Salicylic acid](https://www.verywellhealth.com/salicylic-acid-7501708); coal tar options.
- **Therapies:** Phototherapy for light treatment.
- **Oral medications:** Immunosuppressants like Trexall (methotrexate), retinoids like Soriatane (acitretin).
- **Injections:** Steroids like triamcinolone; biologics like Tremfya (guselkumab); TYK2 inhibitors like Sotyktu (deucravacitinib).
helivideo / Getty Images
## 2\. Eczema (Atopic Dermatitis)
[Eczema](https://www.verywellhealth.com/eczema-symptoms-82717), or atopic dermatitis, is a chronic, non-contagious skin condition that leads to itchy, red, and swollen skin.
The exact cause of eczema is unknown, but it may result from the immune system's improper inflammatory response. Exposure to the environment, such as detergents or climate changes, and emotional factors, like stress, can trigger it.
Eczema leads to splotchy, cracked skin that can intensely itch. It commonly affects the elbows, knees, face, neck, arms, and legs.
Around 20% of people will have eczema at some point in their lives. Children are most commonly affected, including infants. Over 15 million adults and children in the United States are thought to be affected by eczema.
### What Is the Difference Between Eczema and Psoriasis?
Eczema can, but doesn't always, cause scaly, leathery patches of skin. This, along with other symptoms, means it can mimic psoriasis. But psoriasis scales tend to be thicker with more well-defined edges.
### Treatment
[Eczema treatment](https://www.verywellhealth.com/eczema-treatment-83204) is focused on relieving dry, cracked, itchy skin and tempering the inappropriate immune response.
Common treatments for eczema include:
- Emollient moisturizers
- Cold compresses
- [Oatmeal baths](https://www.verywellhealth.com/mold-rash-8609534)
- Room humidifiers
- Anti-itch creams
- [Topical steroids](https://www.verywellhealth.com/steroids-topical-steroid-strengths-1068832)
- Phototherapy
- Topical calcineurin inhibitors
- Oral steroids like prednisone
- Injected biologics like Dupixent (dupilumab)
primeimages / Getty Images
## 3\. Contact Dermatitis
[Contact dermatitis](https://www.verywellhealth.com/contact-dermatitis-symptoms-4685650) is a chronic, non-contagious skin condition caused by direct contact with an irritant or an allergy-causing substance ([allergen](https://www.verywellhealth.com/allergens-types-function-risks-5205396)). Symptoms can include itching, dryness, bumps, rash, blisters, or swelling. Contact dermatitis can occur on any part of the body, including the elbows.
There are two broad categories of contact dermatitis:
- [**Allergic contact dermatitis**](https://www.verywellhealth.com/contact-dermatitis-symptoms-4685650): This is a reaction to substances that provoke a specific immune reaction involving an antibody called [immunoglobulin E](https://www.verywellhealth.com/immunoglobulin-e-ige-5324765) (IgE). Common allergens include preservatives, fragrances, cosmetics, certain metals, and poison ivy or oak. The rash can appear minutes to days after exposure.
- [**Irritant contact dermatitis**](https://www.verywellhealth.com/contact-dermatitis-causes-83205#:~:text=Contact%20dermatitis%20is%20an%20itchy,bleach%2C%20dyes%2C%20and%20solvents.): This is an abnormal immune reaction that does not involve IgE. Common skin irritants include cleansers, detergents, and soaps. Symptoms include swollen, itchy, burning, or flaky bumps on the elbows.
Allergic contact dermatitis is quite common, affecting one in five people at some point in their life. People with childhood eczema are more likely to be affected. Irritant contact dermatitis is slightly less common, affecting one in every 10 people.
### Treatment
The [treatment of contact dermatitis](https://www.verywellhealth.com/contact-dermatitis-treatment-4685697) can vary based on whether the symptoms are triggered by an allergen or an irritant. The main approach is the avoidance of known triggers.
Other treatment options for contact dermatitis include:
- Anti-itch creams
- Calamine lotion
- Low-dose topical steroids
- Oral antihistamines like [Benadryl](https://www.verywellhealth.com/benadryl-medication-information-83082) (diphenhydramine)
- Zinc oxide cream
gokhanilgaz / Getty Images
## 4\. Dermatitis Herpetiformis
[Dermatitis herpetiformis](https://www.verywellhealth.com/dermatitis-herpetiformis-photos-562325) is a non-contagious autoimmune condition that causes the outbreak of an itchy, blistering rash after eating [gluten](https://www.verywellhealth.com/signs-of-gluten-allergy-8745815). It is one of the possible symptoms of celiac disease.
"Herpetiformis" refers to the rash's blistering, herpes-like appearance (although it is caused by immune dysfunction, not a [herpes virus](https://www.verywellhealth.com/herpes-signs-symptoms-2329074)). The fluid-filled blisters are most commonly seen on the elbows, buttocks, scalp, knees, back, hairline, groin, face, and back of the neck.
These symptoms tend to occur with other common symptoms of celiac disease, including:
- Abdominal pain and bloating
- Diarrhea (loose stools)
- Weight loss
- [Fatigue](https://www.verywellhealth.com/fatigue-symptoms-causes-diagnosis-and-treatment-4768481)
Although anyone with celiac disease can be affected by dermatitis herpetiformis, most commonly after age 30 or 40. Males are slightly more affected than females. The risk is also higher in people with autoimmune disorders like [lupus](https://www.verywellhealth.com/what-causes-lupus-2249817) or type 1 diabetes.
### Treatment
The treatment for dermatitis herpetiformis starts with the avoidance of gluten as well as life-long adherence to a [gluten-free diet](https://www.verywellhealth.com/recovering-from-an-accidental-glutening-562333).
Other treatments are focused on relieving the rash and the intense itchiness. These include oral antibacterial, antibiotic, and anti-inflammatory drugs.
Aczone (dapsone) is generally considered the first-line drug option. Sulfapyradine or sulfasalazine can be used in people who don't respond to Aczone. A mild topical steroid like hydrocortisone may also be used to relieve itchiness.
Suvit Maka / Getty Images
## 5\. Keratosis Pilaris
[Keratin](https://www.verywellhealth.com/keratin-5083786) is a structural protein that makes up your hair, skin, and nails. [Keratosis pilaris](https://www.verywellhealth.com/keratosis-pilaris-p2-1069260) occurs when excess keratin builds up in the hair follicles, causing them to clog.
This common dry skin condition is sometimes called "chicken skin" due to its characteristic bumps. It mostly affects children and adolescents, and the bumps usually go away as a young person gets older.
In addition to the elbows, keratosis pilaris bumps can also appear on the upper arms, thighs, and buttocks. The bumps tend to get worse in cold weather but improve when it gets warm. The bumps are not usually itchy or painful.
Keratosis pilaris bumps are typically small and hard and may be pale or red with dry skin scales on top. Sometimes, a hair from the clogged follicle is caught inside the bump.
### Treatment
There is no cure for keratosis pilaris, so treatment involves managing symptoms.
While treatment may improve the appearance of the bumps, they tend to return as soon as treatment stops. Fortunately, keratosis pilaris symptoms typically get better with age, even if left untreated.
Treatment options for keratosis pilaris include:
- Lotions and creams that include salicylic acid, lactic acid, urea, or tretinoin to reduce the size of the bumps
- Cold creams or petroleum jelly to keep the bumpy skin areas moisturized
In cases of severe keratosis pilaris that do not improve with age, [Q-switched laser therapy](https://www.verywellhealth.com/q-switched-laser-definition-2710168) is an effective treatment option for improving the appearance of bumpy skin.
Boy\_Anupong / Getty Images
## 6\. Gout
[Arthritis](https://www.verywellhealth.com/arthritis-7368794) is a chronic condition affecting the joints. [Gout](https://www.verywellhealth.com/recognize-the-signs-and-symptoms-of-gout-189846), also known as gouty arthritis, is an inflammatory type of arthritis that causes severe attacks of pain and swelling of the fingers, toes, wrists, and elbows.
Gout is caused by the build-up of [uric acid](https://www.verywellhealth.com/uric-acid-gout-6374192) in the body, which crystallizes in joint spaces. At times, crystals can form beneath the skin, causing hardened bumps known as [tophi](https://www.verywellhealth.com/gout-tophi-tophus-what-is-it-189830). In severe cases, whitish or yellowish crystals can form on the surface of the skin.
Tophi are usually painless but can be irritating and itchy, particularly on the elbows and fingers.
Around 4% of people, predominantly adults, have gout. Males are more vulnerable than females and typically develop symptoms in their 30s and 40s. Females are more likely to do so after menopause.
### Treatment
[Gout treatment](https://www.verywellhealth.com/gout-treatment-188118) is focused on underlying causes of inflammation and uric acid accumulation. Treatment options for gout also focus on symptom relief and include:
- Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil (ibuprofen)
- A reduction in [purine-rich foods](https://www.verywellhealth.com/foods-to-avoid-with-gout-5093103) that give rise to uric acid
- Oral steroids like prednisone
- Oral vitamin D analogs like Colcrys (colchicine)
- Oral uric acid reducers like Aloprim (allopurinol)
- Injected biologics like Krystexxa (pegloticase)
joloei / Getty Images
## Treatments and How to Get Relief
A variety of home remedies and OTC treatments can provide immediate—albeit temporary—relief for bumpy, itchy elbows:
- **Keep skin cool and dry:** Sweating can make itchy skin worse. If you have been sweating, wash off your skin, pat it dry, then change into loose, airy clothes that allow your skin to breathe.
- **Apply a cold compress:** Rest your elbows on an ice or gel pack wrapped in a clean towel to relieve itching. You can do this for about 10 to 15 minutes or until the itch subsides.
- **Take a cool shower:** Shower in cool water for temporary itch relief. In general, avoid hot showers as they can worsen itchy, uncomfortable skin. Make sure to pat your skin dry afterward.
- **Have an oatmeal bath:** Add a few cups of colloidal (finely ground) oatmeal to your bathtub, then fill the tub with lukewarm water. Oatmeal is excellent for relieving irritated skin. Pat your skin dry afterward.
- **Apply a hydrocortisone cream:** OTC hydrocortisone creams and ointments with 1% hydrocortisone can be applied to the elbows for fast-acting itch relief.
- **Take an antihistamine:** OTC antihistamines like Benadryl or [Claritin](https://www.verywellhealth.com/what-you-should-know-about-claritin-770668) (loratadine) can relieve eczema-related itchy skin.
- **Exfoliate gently:** For bumpy skin due to keratosis pilaris, try gently exfoliating your skin with a loofah or rough washcloth to remove dead skin cells. Take care not to exfoliate too vigorously, as this can further irritate the skin.
## When to See a Healthcare Provider
If you find that your bumpy and/or itchy skin worsens or does not improve with home remedies or OTC treatments, give your healthcare provider a call. Your provider will determine which prescription treatment is right for treating the underlying cause.
With conditions like gout or chronic eczema, it's important to see a provider as soon as possible for an accurate diagnosis. It's also likely that you will require continued care and monitoring.
In some cases, larger bumps may be related to a sports injury or a condition like osteoarthritis that affects the elbow. Pain at the joint is a sign to see your provider right away, or seek emergency care if you suspect a fracture or tendon tear.
They also may be caused by cysts, warts, lymph deposits, or other treatable skin conditions. |
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