10 Tips to Manage Psoriasis and Eczema

A shocking number of Americans have psoriasis and eczema—39 million adults and children—which is more than four times the population of New York City, the largest city in the US. According to dermatology specialists Dr. Joshua Fox and Dr. Robert Levine with Advanced Dermatology, PC, the seasonal change to cold, dry air creates difficulties for people dealing with these chronic skin disorders.

“It is important to manage symptoms,” says Dr. Fox, who has served on the board of the National Psoriasis Foundation. “Psoriasis and eczema can be painful. They can make everyday actions uncomfortable for adults and children, men and women, and they carry a stigma that can lead to a loss of self-esteem, depression, and other health complications.”

Symptoms

Psoriasis appears on the skin as red or white, scaly patches that often itch and bleed. The patches can also look scaly or silvery in color. Nails can become yellow, ridged and separate from the nail bed. Up to 30 percent of people with the disease develop psoriatic arthritis, and recent studies indicate that patients with moderate to severe disease are also at increased risk for other associated health conditions, including heart disease, heart attack, diabetes, high blood pressure, obesity, depression and hypertension.

Eczema, a hypersensitivity disease, inflames the skin, causing pain, itching, dryness, swelling, cracking, weeping and scaling. Eczema lesions can bubble, ooze, and crust over if scratched. Skin infections can occur if bacteria invade the skin lesions.

Diagnosis

“Once patients understand their psoriasis or eczema is not contagious, they seem to be relieved,” says Dr. Fox. “They are comforted to know there is help for their symptoms.”

There are medical treatments for both conditions, but once under care there are ways to help manage these skin conditions at home.

Dr. Fox’s and Dr. Levine’s tips for managing psoriasis and eczema throughout the winter

• Moisturize. Use a non-irritating, fragrance-free moisturizer. Thick ointments are best for locking in moisture and repairing the skin barrier.
• Limit bathing. Take warm (not hot) baths not more than once per day. Pat the skin dry with a towel (do not rub) and apply moisturizer immediately following.
• Choose a mild, non-irritating soap. Use sparingly.
• Use a humidifier indoors. The ideal range is 45-55 percent humidity.
• Wear loose, soft clothing. Choose cotton over wool, denim, or other harsh fabrics. Wear gloves and scarfs outside to protect exposed skin.
• Avoid sweating. Sweat can trigger flare-ups. Wear wicking fabrics and change out of damp or snowy clothes as soon as possible.
• Keep fingernails short. This decreases the likelihood that scratching will tear the skin and lead to infection.
• Hydrate. Drink plenty of water.
• Reduce stress. While this is easier said than done during the busy holidays, stress can trigger flares.
• Identify and eliminate possible triggers. Some common triggers include wool, soaps, fragrance, pet fur, cosmetics, and household cleaners. Some patients have found relief by altering their diets.

Dr. Levine counsels that people with either psoriasis or eczema should consult their dermatologist to get an accurate diagnosis and discuss the pros and cons of different treatments options.