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Psoriasis or Eczema: Similarities, Differences, and Treatment

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There are so many causes, both internal and external, that cause itchy skin, but they are all cursed. However, once you have ruled out the possibility of being bitten by a mosquito, psoriasis and eczema These are probably two skin concerns that come to mind. This condition is very common, with an estimated 10% of people in the United States having it. some form of eczema in their lifetime and 3% Since we have psoriasis and have some of the same symptoms, it can be confusing for those of us who are not dermatologists. Although psoriasis and eczema have some similarities, their typical appearance, common triggers, and possible treatments may differ.

Says psoriasis and eczema are both chronic inflammatory skin diseases dendi engelman, MD, board-certified dermatologist in New York City. However, despite having the same starting point, the two manifest themselves in different ways. “Psoriasis is a result of an overactive immune system, resulting in increased skin cell growth, and the accumulation of skin cells causes large patches on the skin,” explains Dr. Engelman. “Eczema is also caused by an overactive immune system, which weakens the skin barrier, which depletes the skin’s moisture and causes it to become extremely dry and itchy.”

We spoke to a dermatologist to learn more about these two conditions and how they differ. But even though these professionals can help pinpoint the cause of that impending itch (or red spot, or skin bump), a physical exam is the best way to determine what you’re dealing with. Please remember that this is the method. “Diagnosis by a medical professional is critical to the accurate treatment and management of these conditions,” he says. Divya Shokeen, MD, board-certified dermatologist in Manhattan Beach, California. While you wait for your doctor’s appointment, keep reading to understand the difference between psoriasis and eczema.


Meet the experts:

  • dendi engelmanMD, board-certified dermatologist at the Schaefer Clinic in New York City.
  • blair murphy roseMD, board-certified dermatologist at Laser & Dermatologic Surgery Center in New York City and Southampton, New York.
  • Divya ShokeenMD, board-certified dermatologist at Ocean Skin and Vein Institute in Southern California.

In this story:


Do psoriasis and eczema look the same?

In short, probably not. According to Dr. Shokeen, psoriasis appears as patchy, red skin that often becomes dry and cracked. The affected area is often covered with silvery scales, and even outside the affected area, the patient’s nails “may become thickened, pitted, or raised.” Eczema may cause red spots, but the area “often has brownish spots” and “small, raised bumps that leak fluid or form scabs when scratched.” “It’s possible,” Dr. Shokeen continues.

Additionally, the location of the problem may provide clues.Both concerns can Although they can appear anywhere on the body, there are common areas where dermatologists often see problems. According to Dr. Engelman, eczema tends to appear in wrinkles of the skin, such as the creases of the arms and the backs of the knees. In contrast, psoriasis typically occurs on the “scalp, elbows, hands, knees, and face.” How the affected area feels can also be a big clue. The main complaint for many eczema patients is itching, Dr. Engelman continues. However, psoriasis can cause discomfort and pain due to cracked skin and bleeding.

Do psoriasis and eczema have the same triggers?

Like heart disease, acne, insomnia, and almost every other medical condition, both psoriasis and eczema can be made worse by stress.However, according to blair murphy rose, MD, a board-certified dermatologist with offices in New York City and Southampton, New York, otherwise have a different list of triggers. For eczema, they cite allergies, exposure to skin irritants, and changes in weather and humidity. Psoriasis, on the other hand, can develop in “areas of trauma or friction” and can also be caused by some drugs and streptococcal infections. A proper diagnosis is the first step to knowing what factors to avoid, but reviewing your recent medical history may also be helpful. For example, if you just changed your laundry detergent, that could be a clue that you’re dealing with eczema. If you notice skin plaques in areas where you’ve had recent scrapes, psoriasis may be the culprit.

How are psoriasis and eczema treated?

Treatment and prevention of psoriasis and eczema both require increased awareness of how to care for your skin. According to Dr. Murphy-Rose, people with eczema “tend to have dry skin and a reduced skin protective barrier.” This means treatment often involves moisturizing frequently using gentle, hypoallergenic skin care products. People with psoriasis can expect their doctors to suggest products containing salicylic acid and retinoids to help reduce symptoms of skin thickening.

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