Eczema vs Psoriasis: What’s the Key Difference?

Skin conditions like eczema and psoriasis often appear similar—both cause red, itchy, inflamed patches that disrupt everyday comfort. However, they are distinct conditions with different causes, symptoms, and treatments. Understanding the difference is the first step to effective management.

At Dr. Hawelia’s Skin Clinic, we believe in diagnosis-first dermatology, helping you identify what your skin is truly going through before starting treatment.

What is Eczema?

Eczema (also known as atopic dermatitis) is a chronic inflammatory skin condition. It often begins in childhood and is commonly linked to allergies, asthma, or immune hypersensitivity.

Common symptoms:

• Red, itchy, dry skin

• Fluid-filled blisters (in acute flare-ups)

• Skin cracking or peeling

• Often worsens in colder months or with irritants

Causes:

• Genetic predisposition

• Environmental triggers (pollution, soaps, fabrics)

• Allergens (dust, pollen, pet dander)

• Immune system overactivity

What is Psoriasis?

Psoriasis is an autoimmune condition that speeds up the skin cell turnover process, causing skin cells to build up and form thick, scaly patches.

Common symptoms:

• Raised, silvery-white or red patches with thick scaling

• Common on elbows, knees, scalp, and lower back

• Mild to intense itching or burning

• May be associated with psoriatic arthritis

Causes:

• Immune dysfunction

• Genetic links

• Triggers like infections, stress, injury to skin

• Certain medications

Eczema vs Psoriasis: Key Differences at a Glance

Feature	Eczema	Psoriasis
Appearance	Red, dry, inflamed; sometimes oozing	Thick, red plaques with silvery scale
Itching	Intense, often the first symptom	Present, but sometimes mild
Age of Onset	Often in childhood	Typically in adulthood
Triggers	Allergens, irritants, weather	Stress, skin injury, infections
Autoimmune Link	Less direct	Strong autoimmune involvement
Treatment	Moisturisers, steroids, antihistamines	Immunosuppressants, topical treatments

Can Eczema and Psoriasis Co-Exist?

Yes, although rare, some individuals may have both conditions. This makes accurate diagnosis essential, as treatments for one can sometimes worsen the other.

When to See a Dermatologist?

If you're experiencing persistent skin irritation, self-diagnosis or over-the-counter creams might worsen your condition.

Book a Consultation

📍 Dr. Hawelia’s Skin Clinic, Kolkata 📞 Call: 9830274689 🌐 Website: dineshhawelia.in

Disclaimer: This blog is for informational purposes only. Always consult a certified dermatologist for diagnosis and treatment of skin conditions.