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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 peeled a jackfruit 8 months ago. Its white juice has hardened the skin of my hands. After some days when I consulted to the doctor, he told me that this is a case of palmoplanter psoriasis. He prescribed me treatment (clop-S and terbicrat cream)which I am using for the last 7 months. No relief. There is white scaling coming up in the fingers and palm of my hands and painful cracks. This ailment affecting my nails and fingers tows and gradually spreading to my feet (nails and under thumb areas). Kindly advice what treatment should I take.





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Hi... I've been suffering with PPP due to a side effect of Infliximab medication to control my Ulcerative Colitis. It flares up now & again... took doctors ages to work out what it was.. had to go private in the end as got so bad! Got prescribed with a Double base Gel & Dermovate cream. Soak feets twice a day in soapy water.. apply Double base Gel.. leave 10 mins & apply Dermovate cream. Routine has to be religious though.. but works give it time! As for hands.. apply Double base gel and get some surgical gloves to wear over night.. Anybody out there who has suffered with this through Ulcerative Colitis & have had the operation... does PPP go? Would like to hear from all who's affected.





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I have had PPP on the heal of my foot and on both of the palms of my hands for about 4 years and it has reacurred with avengence this past month. My doctor prescribed another steroid cream, and I also been to a dermatologist and she gave me something to totally kill my immune system. But nothing seems to help. I have severe pain and itching I can hardly handle it anymore! Please if anyone can give me some advice I would really appreciate it!





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Buy some black soap from the med, it totally got rid of mine. It takes a few weeks but it worked for me.... Good luck!

Hi my is tom and i too have been on infliximab which has also left me with ppp on both feet and both hands with mild patches on legs. I have crohns with fistulas and recently found out i have illeittis and pancolitis also. I had infliximab 3 times when i started getting blisters on my hands and stopped treatment immediately but now the ppp is all over my palms on hands soles on feet and sides of ankles using dovobet gel and dermol to ease itching. With no luck yet. I hope this helps you to know your not alone as its helped me knowing im not the only 1 with this wierd side effect ☺

Hi I think I have ppp on my feet they are so painful I don't want to get out of bed some days could you help me with my problem please as it is getting me down and depressed thank you





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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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hi been struggling with ppp for 6 year now tryed sun bed tratment and loads of different steroid creams nothing works untill i done research and found out to try omega 3 6 9 2 pills a day along with vitamin a c e with zinc been on these for 4 weeks now and all the blisters have gone only very slight cracking and still a bit dry but what a difference maybe early days but cant remember having a spell for this long without appling creams all the time and some days i couldnt walk

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 had this horrible condition for 17 years. I use DiproSalic ointment from my GP and put it on at night then wrap both feet in poly bags, securing with adhesive tape**. By morning the skin has softened enough to be pumiced off in the shower... but don't be too harsh...little and often is best I find. The key to living a normal-as-possible life is regular maintenance. I also use a fantastic soft but very strong adhesive tape called Hypafix** to hold my skin and any cracks together so they don't move when I walk and can heal better. It really is a brilliant product and can be bought on 'Amazon', 'Firstaid4sport' and other pharma sites. Also over the counter from Boots the Chemist in the UK if you ask them to order it in. Aveeno moisturizer is great for daily moisturizing my hands and feet. I get it on prescription from my GP but it's on sale at most High Street chemists. Hope this is helpful.

I use a exfoliating micro screen called silk feet at bed bath & beyond , I use it almost daily and apply a hemp cream and tee tree oil for itching, I have my life back...

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?

Your results with the light is encouraging. I'm going to try it.

I just went to eBay and got a medical ultra violet light, cost about £60 but its worth it, as I said, takes a little while to work, and together with the diprosaylic creme I got from the doctor then you won't have a problem, you'll still have the problem to a degree but its manageable

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.


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