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Conditions

Palmar Plantar Psoriasis

Palmar-Plantar Psoriasis

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Palmar-Plantar Psoriasis also known as hand and foot psoriasis is a particularly difficult form of the disease to treat. The soles of the feet or the palm of the hands become thick, cracked and filled with
sores. Treatments for the condition include the regular course for psoriasis such as topical creams containing steroids, or in more severe cases ultraviolet light treatments can also be used. The key with the treating Palmar-Plantar Psoriasis is to be persistent and patient, and seeking the advice of your GP or dermatologist.

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I have had palma plantar psoriasis for 20 years now. I have been lucky to never get the pustules but the thickening, cracking and bleeding has plagued me for 20 years. At times where I could not walk without pain. I was misdiagnosed with athletes feet beginning in the military and for a few years following until I saw a real dermatologist who diagnosed it in 5 minutes. I tried just about everything there is with mild results. It just slows it down and did not hold it at bay. My solotuion now for the last 7 years has been a pedicure every two weeks for callous treatment. My salon knows me well and how to handle my hooves. It is enjoyable and rarely do I ever get a Crack now. Only when I am traveling and miss my sessions at the 3 week it starts to Crack and at 4 week mark my feet are too far gone. I stay on top of it now and live a normal life.





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I've been on enbril for a full month. Starting second month 2 shots twice a week. For 3 months no results yet. I've tried methotrexate which was working but had to go off because I was on such a high dose for too long. I'm in so much pain. Feet cracked and bleeding. I work on my feet. Anybody try enbril? Am I wasting my time?





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I have hard s kin o the bottem of both my feet and font now hos to get it sorted, i have tierd scrubbing them both withdifferent products, and ig doest work. And the back of my hands are dry i do mosturise my hands and feet but it diesnt work, can any one help.





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Q above doese not make sence due to me looking at the keyboard and not the screne., I have hard skin on the bottem of both my feet, and dont now why, i need it sorted, i have tried alsortes and does not work, and on the back of my hands they r really dry i mosgtarise as much as i can but hastnt worked can any one help.

I have severe PPP on my right hand and mild psoriasis elsewhere. Being right handed means this is a bit embarrassing whenever I have to shake hands or take change. I've tried everything, gel gloves, creams, light treatment, sandpaper (I know that's really bad!) but not the pills from the dermatologist. I didn't want those because he said they'd probably affect my good skin in a bad way 😟 Anyhow, the only thing that I have found that gives immediate relief from the keens (small, deep cracks and very painful) and the intense itching is Tescos blister plasters. They have a hydrocolloid gel pad which gives instant relief. After a couple of days they don't look very nice and can be difficult to remove. My only issue is they aren't big enough to cover my palm so I end up using four or five each time making it quite expensive.





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I have severe PPP on my fingers and soles of my feet. My specialist put me onto Methotrexate in July last year and I didn't feel it was doing anything so went off it fir 2 weeks in December. Problem was, the PPP took off and got worse in a rush. So then I was back on the Methotrexate and that slowed it down. The specialist then told me that any thick ointment would help....so I tried heaps. One lady I spoke to told me she had PPP years ago as a young person and an old farmer told her to use Coal Tar. Within 3 days her's had gone and it has never recurred. Since then I have been using Egosoryl (a Coal Tar ointment) on my hands and then I cover that with pure Lanolin. I am winning, up to a point. Normally my hands break open every 2 weeks but even though the cold weather is now here, they have been really good for the past 6 weeks and haven't broken open since March 16. I religiously keep putting on the ointments and especially at night, but also have to use gloves all the time. The soles of my feet feel terrible....like melted plastic stuck to my feet, so I use one of those Scholl foot machines to try and reduce the thicknessing. I'm not winning there but at least I get a little comfit form that treatment. I will persist, but I hope my small amount of success will maybe help someone else. I went to the Psoriasis Clinic last week and they want my doc to try Neotigason, so my new doctor ( I moved house, too far from my other doctor) has done some research on this medication and also wants me to try it. I wonder if anyone else has tried it here?

you could try extra thin duoderm which is a hydrocolloid dressing It can be expensive you would be best to ask your gp to prescribe it I use it on my feet when my ppp exacerbates for relief from pain.

I've had this condition now for 5 years, i went to the doctors surgery on numerous occasions and i was told it was athletes foot, poor foot hygiene, cracked heels, you name it, and the final time the doctor told me it was a type of psoriasis, which he prescribed diprosalic cream, and for the first time that helped, i could walk without pain now, but once every 4 or 5 weeks i would get a flair up and the cream was useless against a flair up, the flare up would last anywhere up to 10 days, so last year i took it upon myself to buy a narrowband ultra violet light, followed the instructions VERY careful, it took a few weeks to work but now i don't have any problems, i still have the Psoriasis on my feet to a small degree but it's not affecting my life now, as before, i used to walk to work with bandages and plasters on my feet to cushion it and to help the bleeding, even tried to walk on my toes, and now i can even go out running again, hope this helps





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Have had this for six years. The only thing keeping it under control is Dapsone.... Miracle drug. Around for 60+ years and inexpensive. If I miss it for one day, it starts to come back. Also Triamcinolone ointment helps.

Where did you buy the ultraviolet light?

Hi All, I've suffeted PPP and Rheumatoid Arthrotis now for 8 months. It's crippling and depressimg. There's no cure and I've tried everything but nothing works. There's no support networks out there and is very rare. I made a Facebook group called Palmer Planter Psoriasis so please joing so we can start to help each other with treatments.





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Hi Kim, I have been dealing with PPP for 26 years with little success. My Dermotologist gives me a Kenelog shot every 3 or 4 mos and it does geat for about 3 weeks. Also on methatrexate (15mg) per week. It helps with the psoriatic arthritis which I have in hands and feet. Use topicort regularly but that does nothing unless you wrap with plastic to make airtight. PPP is very rare in the psorisis realm, only 30% have PPP or psoriatic arthritis. I will look up your FB Group.

Someone is promoting derma rescue on this site- it has been around for ages and actually does nothing, unless you just have normal dry skin. It's not a 'new miracle cream". There is research in Scotland at present, looking into causes of Keratoderma -like conditions (of which this is one) - let's hope they find something- so far, science has little. Just wondering though- has anyone tried Botulism toxin-? This would perhaps stop the sweat glands producing the blistering/itch (theoretically)? Any experience of it? Notice Embarrassing Bodies always say they can cure this with a bit of steroid cream! LOL





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Hi All When my PPP is really sore and i struggle to walk i try this. 1. Apply usual creams and ointments. 2. Cut a ZipZok stocking (impregnated with an ointment containing 20 % zinc oxide) in 2. 3. Slide onto foot to make an ankle sock (1 stocking makes 2 socks). Fold top over to give double layer to heel. 4. Cover with thin cotton sock. This keeps your skin soft and moisturised do at least you can walk and get some pain releif. I sometimes form the bandage into a hand mitt and wear overnight as well.

That was me advising Derma Rescue I seen it on the doctors show and they advertised it as the 3rd best treatment. Out of all the steroid creams and other creams it seems to working best on my PPP but I've only used it for a month.

I too have this PPP luckily only on the heels of my feet.Have been prescribed Clobetasol Dipropionate plus salicylic acid cream for night application.





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Hey Dr...how long have you had it? Mine use to be just the instep. Now, after 26 years, it's all over the foot and trying to climb on top too. Let us know if the Clobetsol works. I have nver tried that one.

I have had this for about two years now. The clobetasol has helped me. Mine started in small circles in different parts of the soles of my feet. Now it is covering the soles, heels and starting to go up both sides of my ankles.

I have had PPP for a few years, it seems to get worse during the winter months because of socks and my feet sweat. It is truly embarassing but I think I have a little bit of relief. I have been using a health supplement called Probio5 and melaleuca oil on my feet at night and I seem to be getting somewhere. I havent had a bad flare up, it is nit completely gone but it has reduced some of the symptoms.





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Google derma rescue it was on the doctors show and apparently cure PP I just ordered 2 tubes yesterday and they'll ger delivered this week in so excited as I've tried everything!!! Kim

Hi, I have PP was diagnosed 6 months ago and also got spinal arthritis. It's the worst thing in the world. It's to the pointt where I can't even walk some days it's hotrebdous. I also work full time and have a 5 year old I just feel like it takes so much of my life away. To hear the people have been suffering this for years it's just not fair as I can't continue with it anymore it's life stopping. I've tried the steroid freaks, moisturisers, the light treatment, bio carbs everything and nothing works. I'm sick of it and the doctors and specialist don't seem to care and I can't find anyone else that suffers this disease. I would really like to get in contact with others to hear about their techniques as I'll try anything. I've spent thousands on this disease and nothing works!!! It's depressing and in only 30 and its so embarrassing.





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Thrre is many things you can do and not all treatments are going to work the same with every person.first you need to examine your feet to see where it is primarily located and when is it at its best and when is it at its worst ie does it get worse when you wear yoyr tennis shoes or is it better if exposed to air and light. The worst thing you can do is soak your feet in hot water it causes further dehydration and damage to your skin make sure you use tepid or slightly warm water. Make sure you are washing and disinfecting your foot pan do not use the foot siaks they are epsom salts and dry your feet further just aggravating the symptoms. Many people get relief with soaking their feet one to two times a a week in a very weak bleach or dakuns solution that is one part household bleach to one hundred parts of water. Rinse your feet well after a shower and pat feet dry paying special attention to between your toes. You can apply vicks salve to the areas after a soak and keep the soaks to less than 10 minutes. Do not scrub off the dry skin your skin is your first layer of defense. Socks should be white non constrictive and changd daily. Sandles are a no no because you pick up all kinds of bugs thatlove those cracks in your feet making your dilemna even worse. Remember there is not a cure for everything only forms treatment and if your one of the lucky ones you get a reprieve. Dont self diagnosefungal infections or other health issues the internet is a good education tool after the dr has given you the diagnosis but not a self diagnostic tool that causes more difficulty in an effective diagnosis and treatment from your physician

Thank you for your tips and encouragement

Oh my dear, I am so sorry for you. I have had this condition since 2006. Like you I have tried every and all offered treatments to no avail. The best thing I have used for daily therapy is an Epsom-salt foot soak - dry feet very well, apply petroleum jelly, put on diabetic socks. I also have joint and spinal pain. However, my child is grown and gone. Treat yourself kindly - pamper YOU when you can, plenty of rest when you can. You are not alone!

Please have your doctor try Dapsone. It was our last hope and it worked. No side effects...inexpensive....antibiotic. I also use Triamcinolone ointment but the Dapsone did it. Took 8 months of unbelievable pain.... Hands and feet both bleeding, wearing white glove and socks, soaking my feet in salt water.... Finally got motorized wheelchair..couldn't walk or spin wheels on regular chair. Now my hands and feet are almost completely normal and I'm back at work.

I, I have something, that sounds like what your describing, I have only had this for 2 years,which first they said it was eczema, gave me all these creams and no relief, then they did a Patch test on my back to see if I was allergic to something I may be coming in contact with, no allergies, test came back fine, I truly think I have Palmar Psoriasis, I keep researching this and I have found that people are getting much better by using ultra-violet lights. My next dermo. appt. I am going toask her about this treatment. I think it is worth looking into.

I too have been dealing with this problemfor the last two years and finally had it diagnosed correctly no creams that were recommended worked and now I use coal tar solution 20% every five days I put it on my feet and there is noticeable improvement. Good luck and it is $100 for a bottle but it will last me for a very very long time and well worth the money right now I have spent way more than that on prescription creams that did not work at all.





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