Eczema or Psoriasis? How to Tell the Difference

The skin is the body’s largest organ and is susceptible to many problems. With common skin conditions, it can be challenging to determine which is which based on symptoms alone. Differentiating between eczema and psoriasis, for example, can be tricky.

So, how do you know if you have eczema or psoriasis?

At three New York City locations, Dr. Javier Zelaya and his dedicated staff at Skinworks Dermatology help patients dealing with a variety of skin conditions, including eczema and psoriasis, common conditions that share some similarities.

About eczema

Eczema is a chronic and common skin illness, affecting 1 in 10 people. It’s characterized by flare-ups triggered by environmental irritants, hormonal changes, dry skin, and stress. 

There are several types of eczema, with atopic dermatitis being the most common. Other types include contact dermatitis, dyshidrotic eczema, neurodermatitis, and discoid eczema.

Eczema isn’t contagious, but a family history can increase your risk of developing it. It often appears at a young age, with 60% of people with eczema developing it within their first year. 

About psoriasis

Psoriasis is an autoimmune skin condition that causes a rapid buildup of skin cells. Of the 7.5 million Americans 20 and older who have it, white people are the largest group, with multiracial, Hispanic, Black, and Asian people also affected. 

Typically, psoriasis develops on the face, scalp, hands, neck, and feet.

Psoriasis also comes in different forms, including plaque, the most common form, affecting up to 90% of those with the condition. It’s also associated with other health problems, including psoriatic arthritis, inflammatory bowel disease, heart disease, depression, and anxiety.

Similarities and differences

Both eczema and psoriasis present with symptoms such as dryness, itching, and rashes of various colors, but there are key differences.

Eczema also causes swelling, skin bumps, and thick, leathery patches, which aren’t typical of psoriasis. It can also appear anywhere on the body, including the face, ears, lips, neck, head, elbows, hands, ankles, and feet.

Outbreaks of psoriasis can cause dry skin, but with its outbreaks, the skin can also crack and bleed, which isn’t common with eczema.

Scaly spots occur with both conditions, but in the case of psoriasis, it’s more common in children. Some types of psoriasis can affect areas that eczema doesn’t, such as your nails, palms, and soles.

We treat both illnesses, but the right approach comes down to knowing what needs treating. Whether it’s eczema, psoriasis, or some other skin issue, call the Skinworks Dermatology office in Maspeth, Chelsea, or Park Slope, or request your appointment online today.