DH is not caused by herpes virus; rather, its name is derived because of the appearance similar to the lesions found in herpes infections. DH can also be mistaken for either eczema or psoriasis. There are cases of individuals with eczema and psoriasis or even eczema, psoriasis and dermatitis herpetiformis DH simultaneously. There are clinical differences between eczema and psoriasis based on certain well-known characteristics of each. For example, eczema typically presents with dry, red, inflammatory lesions of sandy texture and often prefers moist, hidden areas of the body such as skin folds.
On the other hand, classic psoriasis has thick, scaly, silvery plaques that are found on areas that are exposed to pressure and trauma such as elbows and knees. The challenge is that psoriasis is a condition that manifests in different ways and on different parts of the body. Plaque psoriasis, characterized by silvery, thick plaques, typically found on muscle surfaces, is easy to recognize.
Other types of psoriasis such as pustular psoriasis, which typically affects the palms and the soles of the feet, or inverse psoriasis dry inflammatory cracks found in skin folds are often misdiagnosed as eczema. Symptoms of psoriatic arthritis include stiffness, pain and swelling of the tendons and joints, as well as morning stiffness and generalized fatigue. Many of the treatments for psoriasis and psoriatic arthritis are aimed at controlling the immune response.
Although the cause of a particular psoriasis outbreak may not be known, some common triggers that create flareups include. Managing coexisting skin conditions is important and should be overseen by a board-certified dermatologist.
Do not try to self-diagnose your skin conditions because there are too many variables to consider. Only a professionally trained dermatologist or physician has the skills to recommend the best treatments.
We have multiple locations throughout the country, so fill out our simple online form to get in touch with us. It can be aggravated by stress, environmental factors, and the withdrawal from corticosteroid medication. Severe cases of psoriasis can cause disability. The itching and pain can restrain a person from performing even basic tasks like caring for the family and self care. Creams, ointments, moisturizers, mineral oil, and petroleum jelly can help soothe its symptoms and reduce inflammation.
Phototherapy and medications that can be taken orally or injected are also being used for psoriasis treatment. It is a lifelong condition and can lead to skin cancer. Psoriasis is an autoimmune skin disease while dermatitis is an inflammation or skin rash.
Dermatitis is caused by irritants or allergens while there is no definite known cause for psoriasis. Both conditions can be treated with topical ointments and other medications, but psoriasis is harder to treat than dermatitis. Difference Between Psoriasis and Dermatitis. Difference Between Similar Terms and Objects. MLA 8 M, Emelda. Name required. Email required.
Please note: comment moderation is enabled and may delay your comment. There is no need to resubmit your comment. Notify me of followup comments via e-mail. Written by : Emelda M. User assumes all risk of use, damage, or injury. Three of these cases are described further herein. Linda is a year-old African American female who was diagnosed as having eczema in her late teens. She has a history of environmental allergies and asthma.
She was never tested for food allergies but believes that she has some because she noticed an increased number of lesions and increased pruritus after consuming certain foods. At the time she was seen in my office for the initial consultation, her eczema was widespread, covering most of her body, and was extremely itchy and painful. The lesions on the legs were very thick, and she reported such a tightening of her skin that it was making it difficult for her to move.
She was treated with prednisone, both oral and topical, as well as cyclosporine topically. She reported no improvement of her lesions, except that oral prednisone was making the itching more tolerable. She was not using any topical treatments for her facial lesions. She was concerned about long-term effects of corticosteroid use and wanted to explore other options. One month before our visit, she had discontinued prednisone by titrating it slowly and had decided not to resume it.
The lesions, which were covering most of her body, including her face and eyelids, appeared thick, dry, and scaly. The lesions on the extremities had the appearance of large sheets of silvery plaques, with multiple cracks in the plaques. In the cracks, the raw underlying tissue could be seen, as well as some dry blood. The patient reported that her blood pressure had increased over the past 2 months since she had started on cyclosporine and oral prednisone.
There were inspiratory wheezes on auscultation, as well as a systolic heart murmur. The abdomen was tender in the periumbilical area, and there was moderate nontender splenomegaly.
The thyroid was boggy and enlarged. We discussed the possibility of her condition being mixed eczema and psoriasis, given the features.
We ordered a complete blood cell count, vitamin D3 levels, a nonceliac gluten sensitivity panel, and thyrotropin level. Her test results came back positive for nonceliac gluten sensitivity, with native antigliadin antibodies at 68 U normal, U.
Her thyrotropin level was 2. Both anemia and vitamin D deficiency were, in my understanding, caused by malabsorption related to gluten sensitivity.
Linda was advised to start a gluten-free diet as soon as possible. I suspected that her anemia was most likely of a mixed type: iron deficiency and chronic disease. We decided not to supplement iron because it could worsen constipation.
Instead, she was advised to increase iron-containing foods in her diet. In my experience, supplementation with vitamin D tends to increase blood levels of vitamin D faster. In addition, when blood levels are low and there is an inflammatory and uncomfortable skin condition, steady supplementation with high-dose vitamin D can provide additional relief, particularly in the late fall to winter months, when sun exposure is minimal.
Over the course of the next 3 months, I kept in touch with Linda. She briefly informed me that her skin had started to improve. I saw her for a follow-up visit in February Linda was very pleased with the progress that she had achieved. She reported that her skin had started to improve steadily within approximately 1 month after removal of gluten from her diet. She reported that the discomfort and itching improved in a matter of days after she had started taking quercetin.
The lesions on her legs were thinning, and new skin was showing through. What is most important, these lesions did not feel as tight anymore; the cracks in the plaques had started healing, and she was able to move without pain.
Although Linda still had numerous lesions, particularly those on the back of her neck, which did not seem to reduce in size, a shift in her condition was remarkable. On an interesting note, the psoriatic lesions exhibited the most improvement. She was advised to continue on her current treatment plan. Theoretically, clinical differentiation between eczema and psoriasis should be easy because it is based on certain well-known characteristics of each. For example, eczema typically presents with dry, erythematous, inflammatory lesions of sandy texture and often prefers moist hidden areas of the body such as skin folds.
On the other hand, classic psoriasis has thick, scaly, silvery plaques that are found on areas that are exposed to pressure and trauma such as elbows and knees. There is a challenge, though, and it comes with the fact that psoriasis is an entity with many faces. A plaque psoriasis, characterized by silvery, thick plaques, typically found on extensor surfaces, is easy to recognize. Other types of psoriasis such as pustular psoriasis, which typically affects the palms and the soles of the feet, or inverse psoriasis dry inflammatory cracks found in skin folds are often misdiagnosed as eczema.
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