Psoriasis is a complex, chronic, multifactorial, inflammatory disease that involves hyperproliferation of the keratinocytes in the epidermis, with an increase in the epidermal cell turnover rate (see the image below). Environmental, genetic, and immunologic factors appear to play a role. The skin disease may present as one or other form of acute psoriasis, chronic psoriasis or localised to hands and feet. These subtypes may overlap. Types of psoriasis include:. Inverse psoriasis (IP), also called intertriginous or flexural psoriasis, is an uncommon variant that can be easily overlooked, leading to delayed or inappropriate treatment secondary to misdiagnosis. Differential diagnosis. Treatment involves keeping the skin dry in conjunction with the use of topical antifungal medications, such as nystatin or clotrimazole.
How to Tell the Difference Between Psoriasis and Eczema. Recognizing a patch of skin that is inflamed, red, or peeling, as one of these conditions will dictate how you treat it. Eczema frequently includes very dry patches of skin. See a certified medical professional for diagnosis and treatment recommendations. Management options for the treatment of psoriasis include:. The differential diagnosis of psoriasis includes any erythematous plaque-like lesions occurring in the vulva, such as eczema, lichen planus, seborrhea, secondary syphilis, and Paget& 146;s disease.
This includes pitting, onycholysis, discolouration, either oil drop or salmon patch and subungual hyperkeratosis. The natural history of psoriasis varies depending on the clinical subtype as well as special circumstances, including pregnancy and HIV infection. The differential diagnosis is vast and includes many other immune-mediated, inflammatory disorders. Symptoms of eczema include itchy, inflamed and red skin, swelling and cracking of the skin, scaling, blisters, red crusty rash on cheek, blisters or rashes on the arms or legs, rashes near the joints especially behind the knees and inside the elbows.
Psoriasis Vs Eczema: What Is The Difference? View 18 Photos
Generalized pustular psoriasis (GPP) presents as an acute or subacute, widely distributed eruption of pustules arising on inflamed, erythematous skin (picture 1A-C). Alternative terms used to refer to palmoplantar pustulosis include palmoplantar pustular psoriasis, pustulosis palmoplantaris, and pustulosis palmaris et plantaris. The differential diagnosis of DM and PM thus includes other inflammatory myopathies, motor neuron disease, myasthenia gravis, and the muscular dystrophies, as well as a variety of inherited, metabolic, drug induced, endocrine, and infectious myopathies. Von Zumbusch Generalized Pustular Psoriasis (GPP) can be life-threatening but is rare. The pustules coalesce into larger lakes of pus, and the skin can be quite painful. The differential diagnosis includes other dermatoses that manifest with pustules, including drug reactions, infections and bullous diseases (Table 1). Cells in psoriatic areas are growing faster than the adjacent skin cells. The differential diagnosis includes psoriasis, eczema or contact dermatitis among others. The differential diagnosis of psoriasis includes dermatological conditions similar in appearance such as discoid eczema, seborrhoeic eczema, pityriasis rosea (may be confused with guttate psoriasis), nail fungus (may be confused with nail psoriasis) or cutaneous T cell lymphoma (50 of individuals with this cancer are initially misdiagnosed with psoriasis). Diagnosis and management of psoriasis and psoriatic arthritis in adults: summary of SIGN guidance. The differential diagnosis includes eczema, tinea, lichen planus, and lupus erythematosus (GPP).