Confusable diagnoses · PANCE / PANRE

Atopic Dermatitis vs Psoriasis

Atopic Dermatitis and Psoriasis are easy to mix up on the boards. Here's a side-by-side comparison — presentation, workup, imaging, and first-line treatment — drawn from our full outlines.

Atopic Dermatitis vs Psoriasis at a glance

  • Atopic Dermatitis: Chronic relapsing pruritic inflammatory dermatosis driven by skin barrier dysfunction and Th2 immune skewing; part of the atopic march.
  • Psoriasis: Chronic immune-mediated inflammatory disorder with well-demarcated erythematous plaques and silvery scale; systemic comorbidities.
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Side-by-side comparison

FeatureAtopic DermatitisPsoriasis
At a glanceChronic relapsing pruritic inflammatory dermatosis driven by skin barrier dysfunction and Th2 immune skewing; part of the atopic march.Chronic immune-mediated inflammatory disorder with well-demarcated erythematous plaques and silvery scale; systemic comorbidities.
Classic presentationFlexural eczematous patches with lichenification in a child or adolescent with personal/family atopy.; Intense pruritus — required feature; often worse at…Auspitz sign (pinpoint bleeding after scale removal); Koebner phenomenon (plaques at sites of trauma); silvery micaceous scale.; Pruritus (often less intense…
Workup / key labsHanifin and Rajka criteria (3 major + 3 minor) or AAD simplified criteria. Essential features: pruritus + eczematous dermatitis in age-typical distribution +…Clinical diagnosis based on lesion morphology and distribution; severity by BSA, PASI, and impact (DLQI). Mild: BSA <3%; moderate: 3-10%; severe: >10% OR…
ImagingNot indicatedNot routinely indicated for skin disease; Joint X-rays/MRI for suspected PsA: 'pencil-in-cup' deformity, periostitis, ankylosis
First-line treatmentSkin barrier repair: emollient/moisturizer (ceramide-containing, petrolatum-based) applied liberally ≥2x/day and immediately after bathing ('soak and seal');…Mild-moderate (limited BSA): topical corticosteroid potency by site — clobetasol 0.05% (high; trunk/extremities, 2 wks then taper), triamcinolone 0.1% (mid),…

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Educational use only. This outline is a study aid for PA students and is not medical advice or a substitute for clinical judgment. FirstPassPA is an independent study tool and is not affiliated with, endorsed by, or sponsored by NCCPA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.