Skin Rejuvenation
Dermatologist Ft Worth Texas
Ft Worth Cosmetic Medicine

Psoriasis & Eczema

While not the least bit the same, psoriasis and eczema share many common features in that they are quite chronic, cause redness and flaking of the skin, and tend to be hard to treat. 

Psoriasis causes skin symptoms of redness and scale along with significant flakiness and thickening of skin.  It is a systemic, meaning whole-body, inflammatory condition that has been closely associated with obesity and metabolic syndrome, i.e., high blood pressure, high blood sugar, high cholesterol, and cardiovascular disease.  Many patients have joint pain associated with psoriasis that causes them a significant impairment in their daily activities.   Topical therapy, ultraviolet light, oral and injectable therapies are available.  Many new advances in psoriasis treatment have occurred in the last decade, particularly in the area of injectable systemic therapy/biologic therapy.  For further information, please see the website of the National Psoriasis Foundation,

Eczema affects young children and adults and is closely associated with the “atopic” phenotype, meaning that allergies and asthma are often linked to this condition.  Some children with mild eczema outgrow the condition but have occasional dry skin, while others continue to have problems through adulthood.  The causes of eczema have been hard to pinpoint, but there is a theory that eczema is more common in areas where children have been raised in an overly “clean” environment and aren’t exposed to as many parasites and bacteria as young children, leading to allergies, asthma, and eczema.  That being said, being raised in an environment that is “clean” from bacteria and parasites but “dirty” with pollutants such as cigarette smoke and pollution also may contribute to more severe “industrialized” eczema.   Patients with eczematoid skin may be more sensitive to fragrance and preservatives in lotions and soap, therefore it is best to stick to fragrance free versions.  After baths, it is a good idea to apply a moisturizing cream that is thicker than lotion.  Many excellent brands exist, but the thicker creams are generally better than watery lotions.  Greasy ointments or barrier creams are often best for hard to treat cases.  Fragrance free is a must.   If these measures fail, we can generally provide treatment with mild to mid-strength cortisone creams/ointments or cortisone-alternatives.  Treatment of allergic conditions, food allergies, or asthma may be warranted as well, although may not be totally curative of the skin condition.  It is best to discuss this with your provider before eliminating certain foods or going on strict elimination diets to treat eczema.  For further information go to the National Eczema Association website,


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