Deciphering the Contrast: Eczema vs. Psoriasis

Are you experiencing persistent itching and red skin patches? It's possible you're dealing with psoriasis or eczema.

Both are skin ailments with similar manifestations, but how do you distinguish between the two?

Wondering if your dry, flaky skin patches indicate eczema or psoriasis?

Both conditions involve itchy, red, and dry skin; they are chronic and generally receive similar treatments. However, there are key differences that can help you identify each.

 

Distinguishing Eczema from Psoriasis

Eczema and psoriasis are believed to originate from a similar root: an overactive immune system attacking the body. Yet, they differ in their immune system pathways and typically affect different body areas.

 

Understanding Psoriasis

Psoriasis, an autoimmune disorder, leads to rapid skin cell proliferation. Normal skin cells mature and shed in about a month, but in psoriasis, this process occurs in just a few days. The excess cells form silvery-white scales on the skin's surface, causing inflammation and redness. Psoriasis often results in thicker, more inflamed skin than eczema, with a potential stinging or burning sensation.

Psoriasis commonly appears on the scalp, lower back, knees, and elbows, but it can affect any area, including the face.

 

Exploring Eczema

Eczema, an immune system disease, disrupts the skin barrier, making it more vulnerable to irritants and allergens. This imbalance in the skin microbiome triggers an overactive immune response, leading to red, inflamed skin.

Eczema patches are less thick compared to psoriasis and often present as rough, dry areas that may swell, crack, or ooze fluid. It causes intense itching, sometimes leading to bleeding from scratching.

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The exact cause of eczema is unclear, but it is often linked to genetics and environmental triggers. Common triggers include stress, certain fabrics, soaps, perfumes, animals, pollens, and specific foods.

Eczema typically manifests on the inner arms, behind the knees, and in skin folds.

 

Treating Psoriasis

While there is no cure for psoriasis, treatments aim to reduce inflammation, scales, and plaque buildup. Topical treatments are effective for mild to moderate cases, while pharmaceutical options can induce remission.

 

Treating Eczema

Eczema, prevalent in infants, affects about 20% of children under two. Many outgrow this hypersensitivity by early adulthood. Treatment plans depend on age, symptoms, and health status.

For eczema management, use non-soap washes or oils, avoid hot water and irritants, and reduce allergens like dust mites. It's also important to identify and avoid food triggers.