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What is Eczema and Psoriasis?

Eczema and psoriasis are chronic skin conditions that cause inflammation, irritation, and discomfort.

Eczema often presents as red, itchy, and dry patches of skin that can crack or ooze, commonly triggered by allergens, irritants, or environmental factors. It can affect people of all ages, especially children, and tends to flare up periodically.

Psoriasis, on the other hand, is characterized by thick, scaly, and often silvery plaques of skin, typically on the elbows, knees, or scalp. It is caused by an overactive immune system, leading to rapid skin cell turnover. Psoriasis can be triggered by stress, infections, or injuries to the skin.

Both conditions benefit from targeted treatments, including moisturizing creams, medicated ointments, and soothing bath products, which help manage symptoms and reduce flare-ups. For severe or persistent symptoms, consulting a healthcare professional is recommended.

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About Eczema and Psoriasis

Cause

The causes of eczema are multifactorial and may include:
Genetics: Eczema often has a genetic component, with a family history of the condition increasing the risk.
Immune System Dysfunction: Immune system abnormalities can contribute to the development of eczema.
Skin Barrier Dysfunction: Individuals with eczema have a compromised skin barrier, which makes the skin more susceptible to irritants and allergens.
Environmental Factors: Exposure to triggers such as pollen, pet dander, or harsh weather conditions can exacerbate eczema.
Irritants and Allergens: Certain substances, like fragrances, detergents, and certain fabrics, can irritate the skin and worsen eczema.

Diagnosis

Diagnosing eczema usually involves a clinical assessment by a healthcare provider or dermatologist. Key aspects of diagnosis include:
Medical History: A thorough review of the patient's medical history and family history can provide insights into the likelihood of eczema.
Clinical Evaluation: Healthcare providers assess the appearance and location of skin rashes, along with any associated symptoms like itching.
Patch Testing: In some cases, patch testing may be conducted to identify specific allergens or irritants that trigger eczema.
Rule Out Other Conditions: Dermatologists may need to rule out other skin conditions that can mimic eczema, such as psoriasis or contact dermatitis.

Treatments

Eczema creams are central to the management of this skin condition. They may include the following types of products:
Emollients: Emollient creams and ointments are essential for maintaining skin hydration and restoring the skin's natural barrier.
Topical Steroids: Topical corticosteroids can reduce inflammation and alleviate itching during eczema flare-ups.
Calcineurin Inhibitors: These are non-steroidal creams that can reduce inflammation and are particularly useful for sensitive areas like the face.
Antihistamines: In some cases, oral or topical antihistamines can help relieve itching.
Wet Wrap Therapy: This involves applying an emollient and wrapping the affected skin with wet bandages to enhance hydration.
Biologic Medications: In severe cases, biologic medications may be prescribed to modulate the immune system.
It's essential to work with a healthcare provider or dermatologist to determine the most appropriate treatments for your specific type of eczema.

Prevention

Preventive measures for managing eczema include:
Hydration: Keeping the skin well-hydrated with emollients and moisturisers can prevent flare-ups.
Avoiding Triggers: Identifying and avoiding allergens and irritants that exacerbate eczema is crucial.
Gentle Cleansing: Using mild, fragrance-free soaps and avoiding hot water can prevent skin dryness.
Allergen Avoidance: For individuals with identified allergens, reducing exposure to these substances is key.
Regular Follow-Ups: Consistent follow-up appointments with a healthcare provider can help track progress and make necessary adjustments to the treatment plan.

Further Info

Read more about Eczema and Psoriasis on the NHS website, following the links below:

https://www.nhs.uk/conditions/atopic-eczema/

https://www.nhs.uk/conditions/psoriasis/

FAQs

Are there any side effects or precautions I should be aware of when using eczema creams?

Eczema creams, particularly those containing topical steroids, can have potential side effects like skin thinning if used excessively. It's crucial to follow the prescribed guidelines provided by your healthcare provider, which may include using the cream sparingly and for a limited duration. Discuss any concerns or side effects with your healthcare provider.

Can I stop using eczema cream once my symptoms improve, or is it a long-term commitment?

The duration of using eczema cream varies depending on the individual and the condition's severity. In many cases, it's a long-term commitment to maintain healthy skin and prevent flare-ups. Your healthcare provider can advise on when and how to gradually reduce the use of eczema creams as your condition improves. Consistent skincare and preventive measures are also important for long-term management.

Can psoriasis affect more than just the skin and joints?

Yes, psoriasis is primarily a skin condition, but it can also affect other parts of the body. In some cases, it may lead to complications like psoriatic arthritis, which affects the joints. Additionally, it can impact the nails, causing pitting or thickening, and even lead to eye and cardiovascular issues. Regular check-ups with a healthcare provider are important for managing these potential complications.

Is psoriasis contagious, and can it be passed on to others through skin contact?

Psoriasis is not contagious. It is an autoimmune condition and cannot be passed on to others through skin-to-skin contact or any other means. You can have close physical contact with someone who has psoriasis without the risk of contracting the condition. It is safe to shake hands, hug, or touch the affected person's skin.

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