Eczema vs Psoriasis

Identifying whether you’re dealing with Eczema or Psoriasis can be challenging, as both conditions share overlapping symptoms. However, shared symptoms don’t mean shared treatment. In this blog, we’ll help you determine which condition you may have and how to receive the treatment you need.

Distinguishing Between Eczema and Psoriasis

The following descriptions can help you identify your condition quickly. If you recognize the symptoms, navigate to the relevant section to learn more.

• Eczema is identified by an itchy rash with swollen skin that may be dry and cracking.
• Psoriasis is characterized by scaly (flaky or peeling) skin rashes that may itch or burn and can sometimes bleed.

If you’re still unsure which condition you have, keep reading for further details to help you find relief.

Eczema

Eczema, or atopic dermatitis, is a condition with symptoms that are often exacerbated in areas like Utah with cold and dry air. The rashes associated with eczema vary in color depending on your skin color.

These rashes often lead to dry and cracked skin that may ooze, crust, and eventually thicken. Itchy rashes can become raw and sensitive from frequent scratching, which can cause bleeding, though it’s less likely if you can resist scratching.

Eczema is common among young children but can also occur in teens and adults. Individuals who have had previously Eczema are more likely to experience it later in life than those who haven’t.

Psoriasis

Psoriasis comes in many types, with plaque psoriasis being the most common. It is typically seen as patchy rashes, known as plaques, with very severe cases covering most of the body. Psoriasis rashes can burn, itch, and feel sore; the skin can also become dry and cracked. In more severe cases, the rashes may bleed without scratching.

Similar to Eczema, the rashes can vary in color depending on your skin color. Lighter skin will have a red or pink rash with white or silvery flakes called “scale”, while darker skin may exhibit a purple rash with grayscale.

Psoriasis rash is often found on the outside of elbows, knees, or on the scalp. It can also cause fingernails and toenails to discolor, loosen, or even separate from the nail bed. Inverse Psoriasis, a less common type, affects skin folds such as the groin, buttocks, and breasts.

Treatments for Psoriasis and Eczema

Treatment for Psoriasis and Eczema varies depending on case and severity.  Most people can manage their symptoms through good skin care habits, such as moisturizing. Others need more serious treatments.

In the process of moisturizing, you may wonder: “Why does the lotion burn my dry hands?” If this is the case, there are steps you can take to prevent, instead of manage, dryness. These include taking daily showers or baths in warm, not hot, water, and pat dry instead of rubbing. Using soaps that are free of fragrances or alcohol will also reduce dryness.

Psoriasis treatments may include phototherapy which is ultraviolet (UV) light and UVB light exposure to the affected areas. Moisturizing treatments such as topical steroids, both over-the-counter and prescription, can also be effective for flare-ups. 

Medication-based treatments exist for both Psoriasis and Eczema. Seek medical advice if your symptoms are causing you pain or discomfort. Your local Dermatologist can give you an accurate diagnosis and determine what treatment plan is best for you.

Causes and Conclusions

The causes of Eczema, Psoriasis, and other similar conditions are still not entirely understood. General risk factors, such as genetic predisposition and cold weather, play a role in both Eczema and Psoriasis, while exposure to certain bacteria can increase the risk for Eczema in some individuals.  

Eczema is more common in people with food allergies or who have overactive immune responses to environmental triggers. These triggers can include certain soaps and fabrics as well as allergens like pet dander and mold. 

The causes of Psoriasis are more unknown, but the American Academy of Dermatology Association states it largely comes down to a person’s immune response and genes. Potential Psoriasis triggers include stress, skin injuries, infections (strep throat), some medications (lithium, prednisone, and hydroxychloroquine), tobacco, and heavy alcohol use. 

It’s also important to note that Psoriasis is not contagious or spread by contact. 

Regardless of the cause, it is important to seek help and guidance from a professional. Revere Health offers Dermatology services to residents in Utah, with multiple locations specifically in Utah County.