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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

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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'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 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

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Hi, this sounds very much like what I have. After spending around $800 on appointments/tests & around $300 on different creams. The skin clinic could not give me anything that would help longer than 2 weeks or couldn't even tell me what I had. Anyway long story short - I had left the cream I was using at a friends house and had got to the point of not walking when I sent my son to the shop just to get some kind of cream just for some relief. For me he had found the miracle! A $4 tub of REDWIN - Vitamin E with evening primrose oil! No this is not a cure but I have been using it for just over 2 years now & have not used anything that has come close. Also just to add my friends horse was having coronet band issues & I referred her to try this cream & it worked for the horse too. All I can say is give it a go $4 isn't much to loose. Good luck everyone.





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Thank you very much I will look into it. I actually was watching that American doctor show and the disease came on and they have discovered this brand bee amazing cream called derma rescue it has cured PPP after years and years for people. I've just ordered 2 tubes today and waiting for the arrival of them. Seriously look it up and read the testimonials it sounds amazing.

Like you all I have it PPP - mine is on soles of feet, awful, so painful, tried everything, don't want mexo as rarely meet anyone who gets better on it. Docs have no idea about cause of our disease. I can't go in water without feet peeling and hurting. Sun and water do nothing in my case, although I have not yet tried the Dead sea. . I have had it on and off for 20 years; last 7 years constant. Steroid tabs short term gave relief- but it flared when I went off them. Ciclosporin did nothing. I am about to give up, too. What IS this disease??? I can't work, can't walk my dogs without pain, can't get benefits! Even walking around the house HURTS. I'm sitting here now, with feet up, dry cracked blistered and bleeding. HELP!





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I was watching the American doctors show the other day and our disease was on it and all I can say is there is this new miracle cream called derma rescue that is actually cure PP so I just ordered 2 tubes and they are getting delivered this week. Google it and check it out!!!

yes I have the same thing. hands and feet severe,deep cracks on bottom of feet. Feet throb with pain. I can hardly walk at times. Been on humira for 2 years. My feet did completey clear up for about two months, hand not so much. Back in full force again on hand and feet. Very depressing. HELP

would someone out there create a cure for this disease. PLEASE





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i too have this problem , your decription is exactly the sa me as mine. i have been prescibed so many diffrent ptions. i am so fed up, this has been going on for 3years. i have tried honey wrapping feet with cling film . nothing helps except sunshine and sea water.

Google derma rescue it's suppose to be the bew cure seen it on the doctors show





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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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