Eczema or Psoriasis? Expert Advice

Eczema or Psoriasis? Expert Advice

Understanding Eczema and Psoriasis: A Guide to Better Health


When it comes to skin conditions, eczema and psoriasis are two common afflictions that can greatly impact a person’s quality of life. Knowing which one you have is crucial for seeking the right treatment and making choices that can help you avoid flare-ups. Additionally, getting treatment for both conditions is essential in preventing rashes and protecting overall health.

Eczema, also known as atopic eczema or atopic dermatitis, is a general term for various types of skin inflammation. It tends to be itchier compared to psoriasis and can appear as dry patches, bumps, or fluid-filled blisters. Commonly found inside the elbows and behind the knees, eczema is often referred to as “the itch that rashes” due to its defining feature of intense itching. On the other hand, psoriasis is marked by red, thick, and scaly plaques with defined edges. While it can also cause itchiness, sometimes it doesn’t. Psoriasis typically involves the scalp, elbows, and knees but can also affect skin folds such as the groin or genital region, as well as the hands and feet.

Both eczema and psoriasis can emerge at any age, with eczema usually beginning in childhood. It often develops alongside conditions like allergic rhinitis and asthma, collectively known as the “atopic triad.” Genetic and environmental factors underlie these conditions, resulting from overactive immune responses that lead to inflammation. In the case of eczema, a defective skin barrier is believed to play a role, not effectively retaining moisture or keeping irritants and allergens out.

Certain triggers can exacerbate eczema and psoriasis. For eczema, hot showers, harsh soaps that remove oil from the skin, wool, and fragrances in laundry detergent or perfumes can lead to flare-ups. Environmental factors increase the risk of developing psoriasis, with beta-blockers, drugs used to treat malaria, and certain medications for depression and mental health issues linked to worsening the condition. Obesity, smoking, and certain infections also contribute to the development of psoriasis.

Living with eczema or psoriasis can take a toll on both physical and mental well-being. Disrupted sleep, mental health issues, excessive scratching, and dryness can negatively impact quality of life. Additionally, the overactive immune response involved in psoriasis can lead to inflammation not just in the skin but also in other organs, placing individuals at higher risk for developing conditions such as metabolic syndrome and arthritis.

To alleviate symptoms and manage both eczema and psoriasis, seeking proper treatment is essential. Mild cases of either condition can often be addressed with topical anti-inflammatory medications, which can be prescribed by a dermatologist. These creams and lotions help reduce inflammation and relieve itching. Additionally, switching to a milder soap and using moisturizer after bathing can aid in managing symptoms.

For more severe cases, treatment options may include light therapy, oral immunosuppressant drugs, or injectable medications. Psoriasis patients, in particular, may be prescribed oral and injectable medications that not only treat the skin but also address joint-related issues. Consulting with a dermatologist is crucial in assessing the benefits and risks of different treatment options and developing a personalized treatment plan.

Both eczema and psoriasis can have a significant impact on a person’s life. Seeking help from a dermatologist is highly recommended for accurate diagnosis and effective treatment. Receiving the appropriate care can lead to improved sleep, better mental well-being, and a higher quality of life for individuals struggling with these conditions.


  • The U.S. National Library of Medicine has more information on skin conditions.
  • Rush University Medical Center, news release, Sept. 7, 2023.