Psoriasis and eczema are two skin problems that can make your skin dry, scaly, and itchy. Even though they can look similar, they are caused by different reasons and need different treatments.
While psoriasis and eczema might look alike, they're caused by different things and need different treatments. Psoriasis happens because your immune system is acting up, while eczema is more about your skin being sensitive to things in the world around you.
Basis | Psoriasis | Eczema |
---|---|---|
Cause | Immune system malfunction triggers rapid skin cell growth | Environmental triggers and genetic factors contribute to skin sensitivity and inflammation |
Appearance | Thick, scaly patches (plaques) often with silvery scales | Red, itchy, inflamed skin, sometimes with rough patches |
Common Locations | Elbows, knees, scalp, lower back, and nails | Face, elbows, knees, wrists, and ankles |
Age of Onset | Typically develops between ages 15-35, but can occur at any age | Often begins in infancy or early childhood, but can persist into adulthood |
Triggers | Infections, stress, cold weather, certain medications | Allergens (e.g., pet dander, pollen), harsh soaps, fabrics, weather changes |
Genetic Factors | A family history may increase the risk | A family history may increase the risk |
Immune System | Overactive immune system response | Skin barrier dysfunction and immune system sensitivity |
Treatment | Topical corticosteroids, phototherapy, systemic medications targeting the immune system | Moisturizers, topical corticosteroids, antihistamines, immunosuppressants |
Psoriasis is a skin problem caused by your immune system going haywire. It makes your skin cells grow too fast, causing thick, scaly patches called plaques. These patches can be red, itchy, and sometimes have silvery scales on top. The most common type is called plaque psoriasis. It often shows up as raised, red patches on your skin. But if you have darker skin, these patches might look different—more purple, gray, or ashy. Infections, cold weather, stress, or certain medicines can make psoriasis worse. However, avoiding these triggers can help keep flare-ups under control.
Mild psoriasis can sometimes be managed with gentle care like keeping your skin clean, moisturized, and avoiding harsh soaps. But if your psoriasis is more severe, you might need prescription medicines. Doctors can prescribe creams or ointments with corticosteroids to calm down the redness and itching. Other treatments slow down how fast your skin cells grow, like anthralin or coal tar. Some medicines target your immune system directly to stop it from causing problems. Sometimes, doctors might suggest phototherapy, which uses UV light to help slow down skin cell growth.
Eczema, also known as atopic dermatitis, is different from psoriasis. It's not caused by your immune system, but by things in the environment that make your skin react. We're still not sure exactly why some people get eczema, but it often runs in families and is more common in babies. This condition can make your skin dry, itchy, red, and rough. You might notice patches on your face, elbows, knees, or other parts of your body. Harsh soaps, fabrics, weather changes, or allergens like pet dander or pollen can trigger flare-ups.
While it isn't curable, there are ways to manage it and ease your symptoms. Keeping your skin moisturized is super important. Your doctor might recommend creams or ointments with corticosteroids to help with inflammation and itching. Other treatments, like calcineurin inhibitors, can also help reduce inflammation. Antihistamines might be useful for severe itching, and in some cases, doctors might suggest medicines that suppress your immune system to calm down eczema. Using gentle cleansers, applying cool cloths to itchy spots, managing stress, and avoiding scratching can also help keep eczema under control.
Sometimes, people can have both, which means they might need different treatments for each one. If your skin is dry, scaly, or inflamed, it's a good idea to see a doctor who can figure out what's going on and suggest the right treatment. Other skin problems like ringworm or contact dermatitis can look like psoriasis or eczema but need different kinds of care.
By knowing the differences between psoriasis and eczema, you can figure out what's going on with your skin and get the help you need to feel better. Even though these conditions can be uncomfortable, with the right care, you can manage them and keep your skin happy and healthy.
Consulting with an expert is crucial for managing psoriasis or eczema and preventing complications. If -
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Shweta Chaubey, has been a Health Products For You contributor since 2021. An advocate-turned-writer, her desire to create meaningful and positive content has brought her to HPFY and what better than writing ...
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