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Palmoplantar psoriasis is a type of psoriasis that affects the palms of the hands and soles of the feet, causing thick, scaly skin and sterile pustules. Treatment may include topical creams, light therapy, and oral medications. Severe cases can be painful and debilitating.
Palmoplantar psoriasis is a skin condition that affects the palms of the hands and soles of the feet. Symptoms of this type of psoriasis include thick, scaly skin in these areas, along with sterile pustules. This type of psoriasis can be very debilitating as well as embarrassing. Treatment can be difficult and may include topical creams, light therapy, and oral medications.
Psoriasis is a type of chronic inflammatory disease and usually causes thick, scaly skin. The most common type of psoriasis, plaque psoriasis, can affect virtually any part of the body. Palmoplantar psoriasis, on the other hand, typically develops only on a person’s palms and soles. It is sometimes referred to as psoriasis of the hands and feet.
Most types of psoriasis have similar symptoms, including redness and peeling of the skin. Palmoplantar psoriasis is considered pustular psoriasis. In addition to the redness and peeling of the skin, pustules will also form.
Palmar-plantar pustules will often be filled with yellowish pus. Although it usually appears to be some kind of infection, the pus inside the pustules is sterile. Sometimes these pustules weep and will eventually turn brown and fall off. A little later, new pustules will appear in the same place.
Mild to moderate cases of palmoplantar psoriasis can be quite embarrassing. Since the hands are almost always visible, some patients may even find it difficult to find employment, especially in customer service or food industries. Severe palmoplantar psoriasis, on the other hand, can not only be embarrassing, it can also be quite painful. Severe hand psoriasis can often be very painful as well, which can prevent a person from using their hands.
Foot psoriasis can also be quite painful. People with this type of psoriasis may have trouble walking. Standing for long periods of time can also be very uncomfortable.
Treatment for palmoplantar psoriasis may include topical lotions or creams. Steroid creams, for example, are commonly used as a treatment for psoriasis. Palmoplantar psoriasis, however, may be resistant to these creams and further treatment may be required.
Ultraviolet (UV) light is also sometimes used to treat palmoplantar psoriasis. During this type of treatment, a patient’s palms and soles are exposed to different types of UV light. Low doses of a drug called psoralens may also be given. This drug makes the treatment more effective, as it increases the skin’s sensitivity to light.
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