Eczema Versus Psoriasis
Understanding Eczema Versus Psoriasis
Red, irritated, itchy skin can be upsetting.
However, not all inflammatory skin conditions are the same.
In fact, eczema versus psoriasis is one of the most common skin health comparisons.
Although the two conditions can look similar at first glance, they have different causes, triggers, and patterns.
Therefore, understanding the differences can help you manage symptoms more confidently and avoid unnecessary flare-ups.
This post forms part of a much larger and all encompassing piece of work that you can see here: Eczema
How to Tell the Difference…
Many people search for eczema versus psoriasis because the symptoms overlap. If itching is severe and the skin weeps, eczema is more likely. If plaques are thick with silvery scale and clear edges, psoriasis is more common. However, only a clinician can confirm a diagnosis.
What Is Eczema?
Eczema is a condition linked to a weakened skin barrier.
As a result, the skin struggles to retain moisture and protect itself from irritants.
This makes the skin more reactive, sensitive, and prone to inflammation.
Common features of eczema
- Intense itching
- Red or inflamed patches
- Dry, flaky, or cracked skin
- Oozing or crusting during flares
Eczema often affects:
- The face and eyelids
- Inside elbows and behind knees
- Hands, wrists, and neck
What Is Psoriasis?
Psoriasis is an autoimmune inflammatory condition.
This means the immune system speeds up the production of skin cells.
Because of this, skin cells build up faster than they can shed naturally.
Common features of psoriasis
- Thick, raised patches of skin
- Silvery-white scaling
- Well-defined edges
- Soreness or burning rather than intense itching
Psoriasis commonly appears on:
- The scalp
- Elbows and knees
- Lower back
- Nails
What psoriasis is and how it differs from eczema.
Eczema Versus Psoriasis: Key Differences at a Glance
| Feature | Eczema | Psoriasis |
|---|---|---|
| Primary cause | Skin barrier dysfunction | Autoimmune inflammation |
| Itching | Very intense | Mild to moderate |
| Skin appearance | Red, inflamed, sometimes weepy | Thick plaques with silvery scale |
| Age of onset | Often childhood | Usually adulthood |
| Flare triggers | Irritants, allergens, stress | Stress, illness, skin trauma |
| Common areas | Face, folds, hands | Scalp, elbows, knees |
How to Tell the Difference Between Eczema and Psoriasis
Although both conditions cause inflammation, certain signs help differentiate them.
Signs it may be eczema
- Severe itching
- Skin that becomes raw or weepy
- Rapid improvement with moisturising
Signs it may be psoriasis
- Thick plaques with sharp borders
- Visible white or silvery scaling
- Symptoms worsen in cold weather
If symptoms are unclear, a GP or dermatologist can provide a diagnosis.
This link will take you to the NHS UK page on Eczema
This link will take you to the NHS UK page on Psoriasis
Can You Have Both Eczema and Psoriasis?
Yes, it is possible.
Some people experience overlapping symptoms, especially on the scalp, face, or hands.
Because of this, gentle skincare is often recommended regardless of diagnosis.
Treatment Approaches: Eczema Versus Psoriasis
Although both conditions affect the skin, treatment goals differ.
Managing eczema
- Supporting the skin barrier
- Regular moisturising
- Avoiding known triggers
Managing psoriasis
- Reducing inflammation
- Managing immune triggers
- Limiting plaque build-up
In both cases, consistency and skin comfort are key.
When to Seek Medical Advice
You should speak to a healthcare professional if:
- Symptoms worsen suddenly
- Skin becomes painful or infected
- Standard skincare no longer helps
Early diagnosis often leads to better symptom control.
Frequently Asked Questions: Eczema Versus Psoriasis
Is eczema worse than psoriasis?
Neither condition is universally worse. Eczema often causes more itching, while psoriasis may cause more persistent plaques.
Can eczema turn into psoriasis?
No. They are separate conditions, although a person can have both.
Does psoriasis itch like eczema?
Usually not as much. Psoriasis tends to cause soreness or burning rather than intense itching.
Can moisturising help both conditions?
Yes. Moisturising supports the skin barrier and helps reduce discomfort in both eczema and psoriasis.
Are eczema and psoriasis contagious?
No. Neither condition is contagious.