Yes - for people with eczema and other conditions such as dermatitis and psoriasis, exposure to hard water can trigger and exacerbate the symptoms.
Research from King’s College London and the University of Sheffield has shown that hard water can damage the skin’s protective barrier, making it easier for irritants and bacteria to penetrate the skin. This weakened barrier allows moisture to escape more easily, increasing dryness and sensitivity.
There is also evidence suggesting that living in hard water areas may increase the likelihood of developing eczema, particularly in children. While it isn’t the sole cause, it is considered an important environmental factor.
Lead author in the study, Dr Simon Danby, explained the links between eczema, hard water and genetics:
“Patients with eczema are much more sensitive to the effects of hard water than people with healthy skin. This increase in sensitivity is associated with a genetic predisposition to a skin barrier defect brought about by mutations in the gene encoding filaggrin. Filaggrin is a structural protein important for the formation of our skin’s barrier to the outside environment. Up to half of all people with eczema carry a filaggrin gene.”
As hard water damages the skin barrier, it can lead to increased itching, irritation and more frequent flare-ups. It can also cause greater sensitivity to both skincare products and environmental triggers.