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Conditions

Palmar Plantar Psoriasis

Palmar-Plantar Psoriasis

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.

Watch the Live from the Clinic interactive case video on psoriasis >

Comments and Questions

The EB doctors have been looking at your comments and have answered some of the common questions below. Remember that it is always best to check with a health professional if you have any concerns about your health.

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Hi. I am 47 and have ppp for 10 yrs. I have done uv raptiva embral ramacad humira. Nothing works. I have been on ssd for the past 6yrs. It is in my bones spine and I have other forms of psoriasis since I was 18. At this point I can not wear socks n shoes for more than a hour sweat walk or stand on my feet for more than 30 min.I could go on and on for years 29 to be more precise.I would like some real help and not whats at the derms front desk. All that suffer with any of this I too feel you pain.





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I have had this for 23 yrs, was misdiagnosed as eczema, about four months ago my rheumatologist saw my hands during a visit for fibro and i asked if he can give me something for my eczema and he straight out told me it was palmar pustular psoriasis he put me on methotrexate injections weekly and about two months in i developed shingles on my buttocks ugh i mean can it get any worse? Turns out two patches of about 5-6 dark scars i got from last yr were also patches possibly of shingles, i used to get it only on my hands but at about 26-28 started getting it on the palms and soles, he told me i am lucky i still have hands and feet due to infection, i was seeing numerous dermatologists and they all misdiagnosed me and i did light therapy which did not help, it comes and goes, this has been about 4-5 months now and the methotrexate injections work, but i had to stay off them due to it lowering my immune system this resulting in shingles, i have to say with fibro, ptsd, melasma on my face, now this long lasting flare up i have just about had it! I am 44 and with all the meds i have no energy and my depression is getting worse and i have a 4 yr old to care for and she wants the pool at our complex everyday and its difficult to say the least, i am usually the "fun" one taking her on adventures and it just kills me to go to the pool as i should not be in the sun and people stare like i may be contagious :( i am just done





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I can totally understand how you feel, I have 4 children the 3 oldest are now in high school but my youngest is nearly 3 and I can't do as much as I would like to with him with having it on the soles of my feet, I also have sciatica and due to infections in my feet have lymphadema now aswel, so my depression just seems to get worse, i wish they could find a cure sooner rather than later x

My husband has a hard callous type spot its cracked on his hand on a knuckle. his finger feels stiff and bit swollen any idea what it could be





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My husband has a hard callous type spot its cracked on his hand on a knuckle. his finger feels stiff and bit swollen any idea what it could be





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My husband has a hard callous type spot its cracked on his hand on a knuckle. his finger feels stiff and bit swollen any idea what it could be





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Hi im 38 and iv suffered with pp of the feet now for about 8 years , it gets me down a lot of the time, I've tried all sorts of creams had light treatment 3 times been on acitretin tablets but because I was losing a lot of hair they changed my tablets to methotrexate which I've been on about 2 month now with no change but still early days I suppose! I now suffer with lymphadema as I got so many infections in the cracks of my feet and ended up getting cellulitis and as doctors were struggling to diagnose the cellulitis they wrnt treating me with the right antibiotics and now that they have its too late my foot is permanently swollen and I'm supposed to wear a stocking everyday which is really depressing me especially when my youngest child is only 2, I really hope i find a treatment that works and good luck to everyone else suffering.





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i suffer from feet and hands...go to walmart or drug store..purchase a Homedics infrared foot spa...put vinegar and the yellow listerine in the water...soak for at least 30 mins twice a day..take D3 5,000 and a combination of omega 3-6-9..fish, flax and Borage oil..you can open the soft gel caps and apply on feet..at night, put eucerin lotion on your feet and cover with suran wrap...this will help soooo much! I feel your pain!

Hi im 38 and iv suffered with pp of the feet now for about 8 years , it gets me down a lot of the time, I've tried all sorts of creams had light treatment 3 times been on acitretin tablets but because I was losing a lot of hair they changed my tablets to methotrexate which I've been on about 2 month now with no change but still early days I suppose! I now suffer with lymphadema as I got so many infections in the cracks of my feet and ended up getting cellulitis and as doctors were struggling to diagnose the cellulitis they wrnt treating me with the right antibiotics and now that they have its too late my foot is permanently swollen and I'm supposed to wear a stocking everyday which is really depressing me especially when my youngest child is only 2, I really hope i find a treatment that works and good luck to everyone else suffering.





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I too suffer with this disease now for 5 yrs. I have tried everything and nothing works. I have currently started stelara and it only works for a month and I break out again. I am thankful for the one month that I am not in pain,but it seems like it just comes right back.It is the most horrendous disease I have ever seen. Relentless and agonizing. What puzzles me is if anyone is doing any research on the disease.It just seems to me that no one really cares.I realize that studies are expensive but just because 80% of the population suffers from the glutate type and only 3% from PPPP should not be a reason to not research this disease. anyone have a clue what is being done I would love to know





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Hi I have had this condition for 4 years now. I use doublebase gel ALL day, water is a particular irritant to me so I avoid where possible and use doublebase straight after where not. Washing up liquid and shampoos and showergels can also trigger it so I use washing up gloves in shower to wash hair. I try and avoid moisturising creams and stick to the gels or oil based ones and I have dermovate gel (I think its dermovate) as it's a gel not cream. For some reason creams really irritate. The obvious one is try and cut out stress, I am not a stressed person I never feel stressed but boy does my skin flare up if a situation arises! I have had light therapy to no avail but it hasn't ever gone away in 4 years! It's under control now thanks to the above so I hope this helps someone! Moisturise moisturise Moisturise!





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Hi My daughter suffers badly from nail /feet psoriasis but it has been so much better after using Epaderm cream & also Flexitol this is a cream for dry feet with 25% urea in it. I think it helps by letting the moisturising properties of both cream reach deeper into epidermis. Fingers crossed this will control it for many years. She had light therapy & loads of steroid cream before this & nothing helped until we found this combo.





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It looks like no one else has asked this question, so please fill in the rest of your details below.





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