A doctor’s opinion on how to treat eczema and psoriasis

Eczema and psoriasis are skin conditions that share similar symptoms and manifest in thick, red, scaly patches of skin. These skin conditions, however, differ in the kind of irritation they cause. Dermatologists approach treatment in a number of ways including the administering of vitamins, topical creams and oral supplements. 

Globally, according to Medscape, eczema or atopic dermatitis affects 15 – 30% of children and 2 – 10% of adults. And according to the World Health Organisation, psoriasis affects up to 11.4% of men and women on a global scale. We chatted to specialist dermatologist, Dr Matete Mathobela for more information on these skin conditions. 

Eczema is more than just very dry skin

As Dr Mathobela explains: “Eczema is a name given to a group of inflammatory skin conditions resulting in very itchy skin. In its acute form, eczema lesions can become inflamed and oozing. Chronic eczema lesions are usually dry and thickened. In most cases, when we talk about eczema, we are referring to atopic dermatitis which is an inherited type that typically begins in childhood.”

Psoriasis is not only skin deep

A common misconception is that psoriasis is a skin condition that originates in the skin only. However, this problem has much deeper roots, as Dr Mathobela explains:

“Psoriasis is mainly caused by a malfunction in a person's immune system where immune cells attack the body's skin cells. It is also mainly related to genetics and is found to run in families. There are a few trigger factors in predisposed individuals including stress, infection, medications and smoking. Affected individuals usually have red, thick plaques with silvery scales which are often asymptomatic. Very few people experience itching. It can at times affect the joints and cause joint pain.” 

How do you treat eczema and psoriasis?

Because the skin of eczema and psoriasis sufferers is extremely sensitive, treatment requires specialised creams and lotions. There are three main elements that effective eczema and psoriasis treatments must be free of – sulphates, parabens and fragrance. 

Dr Mathobela tells us why: “Sulphates and parabens are irritants, and for people with sensitive skin they can cause the skin to become more inflamed and lead to the exacerbation of their skin conditions. Fragrance can lead to allergic contact dermatitis and cause further aggregation.” 

Doctor’s tips for symptom relief

●    Take short, lukewarm baths or showers
●    Keep the skin cool and don't overdress
●    Avoid direct contact with wool
●    Avoid stressful situations, where possible
●    Get enough rest
●    Keep nails short and avoid scratching 
●    See your dermatologist for professional treatment
 

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