How to distinguish an Eczema from Psoriasis

How to distinguish an Eczema from Psoriasis
skin diseases

How to distinguish an Eczema from Psoriasis

Eczema and psoriasis are dermatological disorders; both lead to the development of reddened or swollen areas and it is not always easy to distinguish them. Eczema occurs at a young age and is usually accompanied by a lot of itching, whereas psoriasis is more common among adults and is characterized by the appearance of thickened skin spots. Learn to recognize the differences between the two diseases to treat them correctly.

How to distinguish an Eczema from Psoriasis


Identify the Eczema

1) Observe the presence of red-brown spots.
Both eczema and psoriasis cause the formation of reddened areas on the skin; however, in the first case, there are also shades of brown or grey. The epidermis may also be covered with small crusted or fluid-filled pimples.
Red spots can also present small bumps similar to goosebumps.
The affected areas thicken or develop nodules.
The colour can be more or less dark, depending on the type of eczema, its severity and how long it suffers.

2) Check dry skin.
The pathology often causes dryness, with scaly skin areas that crackle on contact; in extreme cases, the skin tears because it is too dry.
Lesions may ooze clear liquids and be susceptible to infection.

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3) Identify the areas in which it manifests itself.
The parts of the body that tend to develop the disorder are hands, wrists, feet, ankles, upper chest area, cheeks and eyelids; you may notice reddened spots even at the joints, such as the inside of the elbow and behind the knee.
In newborns, it typically develops on the face or on the scalp, as well as on the friction points with the diaper or between the buttocks.


Recognizing Psoriasis

4) Observe the presence of reddened spots.
The most common symptom of this pathology is the appearance of thickened, chapped, reddened and detected skin spots, which are generally covered by silver or white scales. A different type of psoriasis occurs with small red dots, but the patient may also complain of swollen areas or the appearance of purulent ponchos.
The raised and scaly areas are extremely dry, can tear and bleed.
Over time, the pumps filled with pus dry out becoming brown or crusty.

5) Take note of the areas susceptible to psoriasis.
The area where the reddened spots make their appearance depends on the variant of the skin disorder that afflicts you; in practice, it can affect the whole body. If you show enlarged reddened areas, thickened with silver scales, the disease could be everywhere, even in the mouth and on the genitals; however, most patients manifest rashes on knees, elbows, lumbar area and scalp.
Guttate psoriasis comes with small reddened ponchos distributed mainly on the bust, back, arms, legs and scalp.
The reverse effects with reddened spots in the folds of the skin, such as groin, underarms, under the breast, between the buttocks and around the genitals.
You may also suffer from this condition in your hands or nails; Pustular psoriasis only affects the palms of the hands or the soles of the feet.

6) Pay attention to the pain.
The disease is sometimes painful because the skin spots can transmit burning, pain and discomfort to the touch; some ponchos can turn into painful or pulsating blisters and you may notice that the joints are swollen and suffering.
In some cases, the patient complains of skinned skin pain or generalized pain.

7) Evaluate if there was a triggering cause.
Some forms of psoriasis may occur later or in conjunction with certain diseases; the variant characterized by reddened ponchos could be triggered by some diseases, such as streptococcal pharyngitis.
Others are accompanied by fever, fatigue, chills, muscle weakness or a general feeling of being unwell.
Some patients also suffer from tachycardia.


Distinguish Eczema from Psoriasis

8) Take note of the moment when symptoms manifest.
Both pathologies affect individuals at different stages of life; this factor could help you formulate a differential diagnosis. Eczema is common among children and newborns, while psoriasis is common among the elderly and young adults. If the disorder develops in childhood, it is probably eczema, but if it affects a teenager, it is more likely to be psoriasis.
Eczema could affect some adults, but this is usually a problem for young children and tends to improve with growth.
Psoriasis occurs more frequently between 15 and 30 years of age, but there are also patients aged fifty and sixty.

9) Determine the cause.
Both dermatological diseases have triggering but different causes. Psoriasis is generally a consequence of an unknown underlying disease, but stress, cold, skin lesions and side effects of drugs can trigger an outburst; eczema is a reaction to environmental elements.
For example, it can affect people exposed to allergens, such as animal fur or dandruff, metal costume jewellery, perfumes, detergents, and so on.
Psoriasis is thought to be caused by a combination of genetic factors and triggering elements, such as a stressful event, streptococcal pharyngitis, cold and dry weather, a cut, a sunburn or an abrasion.

10) Observe the intensity of itching.
The skin discomfort is present in both cases, but the different intensity can be a clue to distinguish the two diseases. If you have psoriasis, itching can make your skin or the inflamed area thicken.
In these circumstances, the pruritus is mild or moderate, while the pain to the touch is more severe.
If you suffer from eczema, itching is severe or intense, especially at night, and may prevent you from sleeping.

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