Palmar Psoriasis vs Hand Eczema: Know the Differences

Palmar Psoriasis vs Hand Eczema

Palmar Psoriasis vs Hand Eczema: Palmar Psoriasis and Hand Eczema are skin disorders that affect the palms but have different features. Palmar psoriasis is characterised by thick, white scales and deeper fissures, and is frequently associated with other types of psoriasis. Hand eczema, on the other hand, is characterised by red, itchy, and inflamed skin that may be caused by irritants or allergens. Separating them might be difficult owing to overlapping symptoms, emphasising the significance of contacting a dermatologist for effective diagnosis and treatment. 

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Difference Between Palmar Psoriasis and Hand Eczema

Palmar Psoriasis and Hand Eczema are both dermatological conditions that affect the skin on the hands, but they have different underlying causes, symptoms, and treatments. Here are differences between the two conditions:


Palmar Psoriasis

Hand Eczema


Primarily on the palms of the hands

Can occur on palms, fingers, and backs of hands


Well-defined, red, scaly patches

Redness, blisters, scaling, cracking


Typically mild to moderate itching

Often intense itching


May develop gradually or suddenly

Often gradual onset


Stress, trauma, infections, medications

Contact with irritants or allergens, genetics


Often associated with psoriasis elsewhere

May be associated with atopic dermatitis

Response to treatment

May respond well to topical steroids

Response varies, may require avoidance of triggers


Can recur intermittently

May recur frequently, especially with exposure

Risk factors

Family history of psoriasis

Occupational exposure, personal or family history of eczema


Nail changes, joint pain (psoriatic arthritis)

Secondary bacterial or fungal infections

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What is Palmar Psoriasis?

Palmar psoriasis affects both the palms of your hands and the soles of your feet. It's an autoimmune disorder that results in fast skin cell turnover. Symptoms include red, inflammatory areas of thick, scaly skin that can split and bleed. Unlike hand eczema, it frequently has well-defined boundaries and small pits (pitting) on the afflicted skin.

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Key Features of Palmar Psoriasis:

  • The most noticeable characteristic is the formation of well-defined, red, scaly plaques on the palms.
  • These swollen areas can be unpleasant, especially under pressure or friction. Burning discomfort is also a typical complaint.
  • The afflicted skin becomes dry and brittle, resulting in painful cracks and fissures that may bleed.
  • Tiny pits may form on the afflicted skin, exacerbating the irritation.

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What is Hand Eczema?

Hand eczema is a common inflammatory skin disorder caused by irritants (such as harsh cleansers or allergies). It appears as dry, itchy, and cracked skin, occasionally with blisters or leaking. Unlike palmar psoriasis, it frequently lacks clear boundaries and pitting and is more widespread across the hands, including the fingertips and the spaces between them.

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Key Features of Hand Eczema:

  • Dryness and extreme itching are common signs of hand eczema. Scratching can exacerbate the problem and cause further pain and inflammation.
  • The afflicted skin may become red, irritated, and covered with scaly areas. In extreme situations, blisters or oozing may develop.
  • Dryness and irritation can cause cracked skin, which can be uncomfortable and prone to infection.
  • Inflamed skin can be sensitive and painful, particularly when moved or exposed to irritants.

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Similarities Between Palmar Psoriasis and Hand Eczema

  • Palmar psoriasis and hand eczema are two disorders that can cause discomfort, suffering, and interfere with everyday tasks.
  • Both conditions may entail hand skin irritation.
  • Both disorders are commonly treated with topical medicines, moisturisers, and avoiding triggers.
  • Both illnesses may have phases of aggravation and remission.
  • A dermatologist's accurate diagnosis is critical for the successful therapy of both disorders.
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What is Palmar Psoriasis and Hand Eczema?

Palmar psoriasis is a chronic autoimmune condition characterized by red, scaly patches on the palms of the hands. Hand eczema, on the other hand, refers to various forms of dermatitis that affect the hands, leading to redness, itching, and sometimes blistering.

How are Palmar Psoriasis and Hand Eczema similar?

Both conditions can cause discomfort, itching, and redness on the palms and hands. Additionally, they may both worsen with exposure to certain triggers like irritants or allergens.

What are the key differences between Palmar Psoriasis and Hand Eczema?

Palmar psoriasis typically presents with thick, scaly patches on the palms, often accompanied by nail changes. Hand eczema, however, may manifest as redness, blistering, and dryness, and is often linked to environmental factors or allergic reactions.

Can Palmar Psoriasis or Hand Eczema be contagious?

No, neither Palmar Psoriasis nor Hand Eczema are contagious conditions. They are both related to underlying immune system dysfunction or environmental triggers rather than being caused by pathogens.

What are the common triggers for Palmar Psoriasis and Hand Eczema flare-ups?

Both conditions can flare up due to exposure to irritants such as harsh chemicals, detergents, or frequent hand washing. Stress, weather changes, and certain foods may also exacerbate symptoms.

How are Palmar Psoriasis and Hand Eczema diagnosed?

Diagnosis typically involves a physical examination by a dermatologist, sometimes supplemented by skin biopsies or patch testing to identify potential allergens or irritants.

What treatment options are available for Palmar Psoriasis and Hand Eczema?

Treatment may include topical corticosteroids, moisturizers, and avoidance of triggers. In severe cases, phototherapy or systemic medications may be prescribed.

Can lifestyle changes help manage Palmar Psoriasis and Hand Eczema?

Yes, adopting a gentle skincare routine, avoiding known triggers, wearing protective gloves when dealing with irritants, and managing stress can all help alleviate symptoms and prevent flare-ups.