May have just figured out why the lesions have been getting worse! I got the new bottle in early December.
TL;DR, sulfate-free cleansers tend to require more scrubbing for effective cleaning/rinsing. This isn't good for people with skin conditions that are aggravated by friction. Which is, practically-speaking, most people with skin conditions!
And since this cleanser is marketed towards people with "Itchy, Dry Skin" (major symptom of eczema), reviews since the formula change in November have been almost 100% negative. Most reviewers aren't sure why it's now irritating their skin, but they know that it is.
(Notably, in my case, hidradenitis suppurativa-affected hair follicles can easily become inflamed to the size of a thumbnail if the hair gets tugged on too hard. However, since HS also affects the skin's ability to fight off infection, failing to clean the area well enough is dangerous, too! Sulfate-free products are trying to kill me.)
