Eczema vs Psoriasis

The skin is a complex organ, composed of multiple layers collectively known as the skin barrier. Each layer plays a crucial role in protecting the body from external aggressors. The effectiveness of this barrier is vital for maintaining optimal skin health. When these protective layers are compromised, it can lead to the penetration of toxins and bacteria, resulting in conditions such as breakouts, dehydration, redness, and flaky or itchy skin. As National Eczema and Psoriasis Awareness month approaches, experts from The Well, including Medical Director Dr Dara Suite and Acupuncturist Samira Kazemzadeh, share their insights on managing these chronic skin conditions.

Identifying Eczema vs Psoriasis

Eczema and psoriasis, though similar in some symptoms, present distinct characteristics that can help in their identification. “Psoriasis typically presents as well-defined plaques with thicker scales, while eczema appears as less distinct patches with finer scaling,” explains Dr Dara Suite. She further notes that "eczema commonly affects flexural areas like elbow folds and behind the knees, whereas psoriasis often occurs on extensor surfaces such as elbows and knees." Understanding these differences is essential for proper diagnosis and treatment.

Managing Flare-Ups

Managing these conditions requires careful attention to triggers and a personalised care strategy. According to Dr Suite, “Common triggers include stress, certain foods, weather changes, and toxins. It is fundamental to identify and avoid your triggers so you can personalise a management strategy.” She advises that during flare-ups, it is important to “moisturise frequently using fragrance-free, hypoallergenic formulations to keep skin hydrated.” Immediate application after bathing is recommended to lock in moisture, while hot water should be avoided as it can aggravate symptoms.

Dr Suite also highlights the importance of medical treatment, noting that “prescribed medication is the recognised gold-standard for treating these skin conditions. With the guidance of your healthcare practitioner, you may need to apply topical corticosteroids or other prescribed treatments as directed. For psoriasis, topical vitamin D or retinoids may be prescribed.” She advises against scratching and emphasises the need for a gentle skincare routine, using mild, fragrance-free cleansers and avoiding harsh exfoliants.

The Role of Acupuncture

Acupuncture can serve as a complementary treatment for eczema and psoriasis. Samira Kazemzadeh, an acupuncturist at The Well, explains that “stress can trigger or exacerbate psoriasis and eczema flare-ups; acupuncture may help to reduce stress while promoting relaxation.” Additionally, she points out that acupuncture can alleviate itching or pain, modulate immune responses, reduce inflammation, improve circulation, and even regulate hormones that influence skin health. However, Kazemzadeh advises, “patients should consult with a dermatologist first and utilise acupuncture as a complementary treatment alongside conventional medical care, not as a replacement.”

Tweakments Advice

While aesthetic treatments are not the primary focus in managing eczema and psoriasis, certain procedures can enhance skin appearance and alleviate symptoms. Dr Suite suggests that “gentle chemical peels can exfoliate and improve skin texture, and microdermabrasion may help with scale removal and skin smoothing.” Other treatments like LED light therapy, PRP (Platelet-rich plasma), and microneedling can also support skin healing and improve texture. However, she cautions that “not all treatments are suitable for every individual or every case of eczema or psoriasis, so it is crucial they are performed by a qualified professional who understands these skin conditions. Always consult with a dermatologist before pursuing any aesthetic treatments.”