It is common to see psoriasis on the face, buttocks, and scalp of a child. Psoriasis vs. eczema. Rosacea vs. psoriasis vs. eczema. Psoriasis vs Eczema – quick look. Rosacea, eczema and psoriasis can sometimes look and feel alike. UpToDate: “Treatment of psoriasis in adults,” “Treatment of atopic dermatitis (eczema).”. Eczema tends to appear in the crooks of the knees and the elbows. Eczema is an inflammation of the skin that can have numerous triggers. It can be easy to confuse eczema and psoriasis since the symptoms often look similar, but one difference between eczema and psoriasis is the locations where they most often occur. We want to state that Our comments, suggestions, blogs post, and articles are not intended to take the place of medical advice or medical professionals. Well tell you about some of the most important similarities and differences in the two conditions. While they are both skin conditions and sometimes look similar, they are caused by different things and are often treated differently. Eczema vs Psoriasis: Risk Factors. Or you could use just a biologic drug, which includes: American Academy of Dermatology: "Atopic dermatitis: Who gets and causes. Eczema results in dry, itchy patches of skin that can worsen when scratched. Eczema often appears on parts of your body that bend, like your inner elbow or behind your knees. Psoriasis vs eczema both has many differences and similarities too, Initially, it will a bit hard for you to identify whether is it psoriasis or eczema. These include: Like eczema, psoriasis can be treated with light therapy, which is also known as phototherapy. We are often asked about the differences between psoriasis vs eczema. It can also cause swelling. If a person’s eczema is severe and doesn’t respond to at-home treatments, a doctor can prescribe creams to reduce eczema occurrence and symptoms. Eczema usually starts in babies or young children. Exposure to dust from furnishings can also contribute to eczema. Psoriasis Symptoms vs. Eczema Symptoms Psoriasis and eczema have similarities. In this rare form, also called exfoliative psoriasis, the affected patches may look like severe burns and can cover widespread areas of the body. But both have significant differences as well and we will discuss it here in terms of different parameters. © 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. It’s not surprising that many people can’t tell the difference between psoriasis and eczema. You may see rough, leathery patches that are sometimes dark. In fact, according to a 2015 review of studies in the Journal of Clinical Medicine, eczema was the condition most commonly misdiagnosed as psoriasis in infants and adolescents (and vice versa).1 T… Follow: More. No cure exists for eczema, and the condition can be long-lasting. Although eczema can itch, psoriasis is often more painful with burning sensations or soreness. These medicines are known as calcineurin inhibitors. Examples of other skin conditions that cause similar symptoms include: When a person has a skin condition of an unknown cause, they should see their physician to try and find out more about the condition’s potential cause. Eczema treatment depends on how severe it is. Children may “grow out of it” and not experience the condition as they age. It can get so bad that you scratch enough to make your skin bleed. The plaques are most often found on elbows and knees, but they can occur anywhere. But you can get it at other ages too. Both conditions can cause red, itchy skin but have different causes and different treatments. You might also try light therapy (your doctor will call it phototherapy) using ultraviolet light. Steps a person can take to treat eczema include: Keeping the skin clean, moisturized, and dry can help to reduce eczema symptoms. Maybe you're settling into your easy chair for a little Sunday siesta. Eczema makes your skin red and inflamed. Psoriasis is a condition that occurs when a person’s immune system triggers skin cells to grow faster than they usually should. As a result, it’s important to understand the differences. Certain factors are known to trigger psoriasis episodes or worsen existing psoriasis. About 7.5 million people in the U.S. Get the facts. Psoriasis symptoms appear anywhere on the body, even the scalp, fingernails and toenails. In mouse models of psoriasis, researchers found that oral administration of a synthetic vanilla extract called vanillin reduced skin inflammation. They can include itching, rashes and redness, which are common symptoms of chronic inflammatory skin conditions. But if you look closely, the skin is thicker and more inflamed than with eczema. Eczema Quite simply put, scalp eczema (seborrheic dermatitis) is caused by the over-secretion of sebum (natural oil) by the sebaceous glands in your scalp. All rights reserved. It can get so bad that you scratch enough to make your skin bleed. It is vital to have eczema checked out by a specialist to avoid incorrect and potentially harmful home treatment. Here we explore some of these differences in more detail. Psoriasis is an … We are not medical professionals. StraightFromTheDoc is a community-supported website. These similarities can make differentiating the disease difficult, especially in children. Generally speaking, both conditions can appear on most parts of the body. ", National Psoriasis Foundation: "About Psoriasis," "Life with Psoriasis," "Causes and Known Triggers," "Psoriasis Treatments.". You can have it on your neck, wrists, and ankles. Children who have psoriasis tend … Eczema typically presents with red, itchy skin and can be present with or without scales. It's less common, but possible, to get it as an adult. It's rare for a baby to have it. Difference #3: Location of symptoms. Eczema tends to be on the hands, arms, elbows, ankles, knees, as … It may be scaly, oozing, or crusty. Caregivers can also give their child soft gloves to wear in bed to keep them from scratching while sleeping. Disclaimer. Psoriasis treatment is either systemic, which means it affects your entire body, or topical, which goes on your skin. What causes psoriasis vs. eczema? We may earn a small commission on purchases made through our links. If you have moderate to severe eczema, you may need to try a medicine that affects your immune system like , methotrexate, azathioprine, or cyclosporine. Eczema usually comes along with dry, sensitive skin. Psoriasis can cause a ‘scaly’ rash and is distinct from eczema in terms of its appearance, location and intensity. Psoriasis can also cause red patches. Either way, you stop and pause, because you've got an itch that just won't leave you alone -- along with blotches of red on your skin. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Complementary Medicine / Alternative Medicine, Aphantasia: The inability to visualize images, The Recovery Room: News beyond the pandemic — January 8, COVID-19: Research points to long-term neurological effects. If a person has both skin conditions, they may have to apply different treatments to each. Appearance. Or you're heading out the door for a day of fun in the sun. People with plaque psoriasis typically have sharply demarcated, raised, itchy, painful red plaques covered with silvery scales. Depending on the type of eczema, treatment will vary greatly. Some people say it feels like you're getting bitten by fire ants. We’ve already established that despite having similar symptoms, psoriasis and eczema are two drastically different skin conditions. These include environmental factors, bacteria exposure, allergens, and family history. Learn more. Typically, it takes about a month for skin cells to regenerate, but in people with psoriasis, this process happens every three to four days, according to the Cleveland Clinic. Light therapy paired with methotrexate, cyclosporine, acretin, apremilast or a biologic is also an option for more severe cases. Psoriasis vs. eczema. For mild to moderate cases, you’ll use a topical corticosteroid to control inflammation, and you’ll use an emollient on your skin. When that happens, it's usually because you have another condition like thyroid disease, hormone changes, or stress. Psoriasis vs Eczema. What are the different types of psoriasis? Psoriasis is common on the knees and elbows, while eczema generally appears behind the knees and the creases inside the elbows. Other irritants include: dust, pet dander, mold, pollen and even certain foods. Placing dust-protective covers over pillows and mattresses and frequent cleanings of dust-attracting items may also help. We include information on symptoms and treatment options for different types. Eczema tends to affect children in greater numbers. Psoriasis causes well-defined, thick, red, scaly patches, commonly in areas like the elbows and knees. Babies sometimes get it on their chin, cheeks, scalp, chest, back, arms, and legs. As some treatments can be very expensive, it’s important that the most targeted treatment is prescribed. They may be silvery and scaly -- and raised. Psoriasis vs Eczema Based on 6 Parameters Parameter – 1: Definition. Understanding psoriasis and eczema. After all, both can cause red, inflamed or peeling skin. Like psoriasis, eczema can cause itchy, scaly lesions on the skin. Because psoriasis involves the overproduction of skin cells, those cells build up on the skin and cause red plaques that are often covered by silvery-white scales. It can even occur on your face, ears, chest, back, underarms, and genitals. If your disease is limited, or mild, you may be able to control it with topical corticosteroids and emollients. In the comparison of psoriasis vs. eczema, erythrodermic psoriasis is one of the more unique forms that stands out for easy identification. If youre not sure which condition you have, see your doctor to get an accurate diagnosis. When this is the case, a person may need to apply a prescription topical antibiotic cream or take an antibiotic. This is due to the fact that their symptoms may seem the same on the surface. Learn about dyshidrotic eczema, a common form of this skin condition that causes blisters. Eczema is less likely to cause scaling and is more likely to be accompanied by fluids leaking through the skin. Psoriasis could also be itchy, but there's something extra going on. A person may also go for quite some time without symptoms, then experience a flare-up. If topical treatments don’t work to reduce the incidence of psoriasis, medications are available by injection. Mild-to-moderate psoriasis treatments can include applying corticosteroids. Atopic dermatitis is the most common type of eczema. All rights reserved. For more information from our Medical co-author, including how to work out the cause of your eczema or psoriasis, read on. Psoriasis and seborrheic dermatitis. Psoriasis vs. eczema in inconvenient places of the body Psoriasis in inconvenient places Psoriasis can develop in very uncomfortable places. 3. Psoriasis and Eczema are two conditions that confuse many people as the results are pretty similar. #1 Site for Psoriasis and Eczema Info Blog. Though they are both chronic inflammatory conditions, both of these are caused by very different factors. Psoriasis: Should You Avoid Certain Foods? Eczema and psoriasis are not the only skin conditions that can resemble the other. Examples include tacrolimus and pimecrolimus. Learn about scrotal eczema, a form of eczema that affects the scrotum. Having an itchy, flaky scalp is a common problem for many people. Like psoriasis, eczema can occur anywhere on the body, but this rash is most commonly seen on the hands and feet, elbows and knees, chest and around the eyes. Taking certain medications, such as lithium and, Avoiding harsh soaps and highly fragranced products, Refraining from taking very long, hot baths or showers, Applying topical corticosteroid creams to itchy areas, Applying an antihistamine cream or taking an antihistamine, such as diphenhydramine, Applying cool, wet compresses to the skin to avoid scratching, Using light therapy in a controlled manner to avoid the side effects of excess sun exposure, such as. The cells start to pile up on the top of the skin, forming the white scale," explains Jeffrey Millstein, MD , a physician at Penn Internal Medicine Woodbury Heights . Because allergies can trigger eczema, avoiding substances a person knows they’re allergic to can help. Eczema and psoriasis both cause itchy, red patches, but the 2 conditions can look quite different. When distinguishing between cases of eczema vs psoriasis, eczema is almost always very itchy, whereas psoriasis can sometimes be itchy, but not in all cases. Scalp eczema c… The researchers found that people have different genes present in the skin tissue of each condition type that could help doctors more definitively diagnose each condition. If nothing else works, your doctor may prescribe a biologic drug called dupilumab (Dupixent). 1 But despite the rash similarities, there are some clear indicators that can help you spot psoriasis over eczema, or vice versa. We examine the symptoms, treatment options, and management tips for this…. Eczema affects 10 percent of adults in the United States. Psoriasis While there are differences between the conditions, they can present as similar to the other. Eczema tends to start in childhood, while psoriasis usually appears when you’re a teenager or adult. Symptoms of psoriasis Eczema and psoriasis are two common skin conditions that are often mistaken for each other. What People With Psoriasis Want You to Know. Psoriasis and Depression: What's the Link? O'Neill, J. Acta Dermato-Venereologica, April 2011. With psoriasis – the skin is also itchy, but it also feels like it’s been stung or burnt; almost as though it’s on fire. While it’s rare that a person will have both eczema and psoriasis, it is possible. These patches may weep, or seep a clear fluid, resulting in a crust. While it won’t necessarily heal psoriasis, it can reduce the symptoms. Your skin may sting or burn. Psoriasis is linked to other serious health conditions. A dermatologist can point out the differences," says Dr. Krishnamurthy. Nutrition and mental health: Is there a link? Eczema vs. Psoriasis – Below the Surface. Whether it's psoriasis or eczema, your doctor can recommend ways to get relief for it. When it comes to eczema vs psoriasis, the two conditions are often confused for each other, but they are in fact quite different. Psoriasis is an autoimmune condition that affects about 7.5 million Americans, according to the American Academy of Dermatology. Eczema is brought on by skin irritants like soap, disinfectants, detergents, aerosol sprays or even juices from fruits, vegetables or meats. You may have someone in your family who has it or has asthma or hay fever. Eczema may be worsened by irritants such as certain soaps, detergents and cleansers, and can also be irritated by wetness. causes an intense itch. Here’s what we know… 1. However, it is crucial to understand the differences between psoriasis and eczema Your skin may sting or burn. These two drugs should be used with caution as they carry a warning about a possible risk of cancer. Eczema patches are not as thick as psoriasis plaques and appear mostly as … This treatment involves controlled exposure to ultraviolet light, which slows down skin cell turnover and reduces inflammation. This makes it difficult for doctors to diagnose the condition and recommend or prescribe the appropriate treatments. Eczema is a combination of genetic and external factors, but the most common occurrence is usually a response to environmental or other external factors, say heat or exposure to products containing harsh chemicals. Flare-ups can be triggered by many different factors. Psoriasis could be prevented with artificial vanilla extract. "The biggest difference between eczema and psoriasis is the underlying causes. ", National Eczema Association: "Eczema," "Symptoms of Eczema," "Causes & Triggers," "Treatment. However, before you can figure out how to treat the condition, you must identify the cause. Eczema causes an intense itch, which is, sometimes, so intense that patients scratch their skin until they bleed. Psoriasis vs Eczema. Yet, on closer look, there are differences and a trained doctor will surely know the differences. Read on to discover … Hence, to make it easy for you, above I have mentioned the differences based on their symptoms and looks so that you can easily identify it. Examples include: Keeping the skin clean and moisturized while avoiding harsh soaps and very hot water can relieve psoriasis discomfort and reduce any itching. We look at the symptoms and treatment options. This type of moisturizer has an oil or cream base, not a water base, like lotion, which could dry your skin out more. Psoriasis typically occurs on the back of the elbows and front of the knees, while eczema occurs in the inside folds of joints and the neck,” Lebwohl says. Applying moisturizing creams is also helpful because it can lessen itching, dryness, and scratching. Psoriasis, on the other hand, usually shows up between ages 15 and 35. These medications are available over the counter. Taking steps to reduce stress by practicing relaxation techniques such as meditation, Avoiding extremely hot temperatures as sweat can worsen symptoms, Seborrheic dermatitis, also known as “cradle cap”. Psoriasis Two that can sometimes appear so similar that it’s tough for doctors to tell the difference are psoriasis and eczema. Examples of these substances include foods such as eggs, milk, peanuts, soybeans, fish, and wheat. Your doctor needs to make the final call, but psoriasis or eczema could be the problem. Moderate-to-severe psoriasis can be treated with stronger medications available by prescription. MNT is the registered trade mark of Healthline Media. Learn about different types of psoriasis in their mild to moderate forms. In addition, they stop skin cells from growing too quickly. Instead of the dead skin cells coming off the skin, they build up on the skin. Last medically reviewed on February 12, 2017. According to the National Eczema Association, 31.6 million people in the U.S. suffer from eczema, with at least 17.8 million dealing with moderate to severe eczema. Both are skin conditions with similar symptoms, but there are ways to tell them apart. They work by reducing inflammation and itching. If you have it, you may also have diabetes, heart disease, or depression. Excessive itching may result in open wounds that can become infected. These include retinoids, methotrexate, cyclosporine, and immune-modulating drugs such as etanercept. It happens when the skin cells go through their life cycle more quickly than normal. WebMD does not provide medical advice, diagnosis or treatment. Eczema causes an intense itch. Psoriasis is one of a major skin disease. Learning the differences between eczema and psoriasis. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Psoriasis Symptoms - Psoriasis vs. Eczema: How to Tell the Difference, Treating Psoriasis When You Have Other Conditions. Psoriasis vs eczema: Here's how you can differentiate "Eczema and psoriasis look very similar with red, itchy, scaly rashes but they are fundamentally different. These two skin problems have different causes and can appear in different stages of your life. Eczema A study published in the journal Science Translational Medicine studied patients who had both eczema and psoriasis. Although the skin symptoms of psoriasis and eczema can look similar, the conditions are very different below the surface of the skin. You’ll also commonly see thick patches of skin with overlying redness. Psoriasis often shows up on places like your: You may also have patches on other areas, such as: Eczema usually results from things that irritate your skin, like: Things that cause allergies can also set off eczema, like: Infections can start up eczema, and so can stress, sweating, heat, humidity, and changes in your hormones. However, there are certain areas where you’re more prone to see psoriasis and certain areas you’re more likely to see eczema developing. This includes: painful and itchy rashes, flaking skin, and dry skin. could also be itchy, but there's something extra going on. © 2005 - 2019 WebMD LLC. Eczema can be caused by a number of factors. Eczema and psoriasis are both characterized by the appearance of patches of inflamed, dry skin, often in recurrent episodes known as flares. Both psoriasis and eczema can cause itchy red rashes to form, so it could be either of them at first glance. Often, symptoms improve when a kid becomes a grown-up. But you can also get flare-ups when your skin is injured, for example by: Some medications can also bring on a psoriasis flare, like lithium, which treats bipolar disorder, or drugs for malaria. What gives? Eczema is frequently related to allergies; many people with eczema also have food allergies, asthma, or both. Psoriasis shares some of these triggers, like stress and infection. Eczema affects the ability of the skin to protect against outside irritants and allergens. Eczema and psoriasis are two common types of skin disorder, exhibits different symptoms. Dry and scaly skin woes can be due to a number of skin conditions. (NPF, 2018) ‍Like psoriasis, eczema is a condition involving immune dysregulation, however it isn’t absolutely clear as yet that there is an autoimmune component. Psoriasis is an autoimmune disease , meaning your immune system is dysfunctional and your skin cells grow too fast. Psoriasis is a condition that occurs when a person’s immune system triggers skin cells to grow faster than they usually should.