Psoriasis may be localised to the palms and soles or part of generalised plaque psoriasis. About 1025 of people with palmoplantar pustulosis also have plaque psoriasis. Palms and soles affected by psoriasis tend to be partially or completely red, dry and thickened, often with deep painful cracks (fissures). Dithranol is too messy and irritating for routine use on hands and feet. PPP is normally recognisable by large yellow pustules up to 5mm in diameter in fleshy areas of hands and feet, such as the base of the thumb and the sides of the heels. Palmoplantar psoriasis (PPP) is a localized form of psoriasis and can manifest in many different morphologic patterns, from predominantly pustular lesions to thickened, hyperkeratotic plaques and anything in between. These symptoms may significantly interfere with activities, inhibiting patients from closing their hands or walking comfortably on their feet, leading to major disability and reduction in quality of life. 5,7,12 While the palms and soles represent a relatively small body surface area, their involvement may lead to severe disease. 27 Side effects of PUVA include the risk of phototoxicity and pigmentary changes, including hyper and hypopigmentation.
, has a form of psoriasis called palmoplantar pustular psoriasis. When it flares up, she develops painful blisters on the palms of her hands and the soles of her feet. This type of pustular psoriasis poses obvious challenges it is difficult to walk or handle objects during flares. Palmoplantar pustulosis (PPP) is an uncommon chronic skin disorder characterized by recurrent eruptions of pustules on the palms and soles (). Patients with PPP on the soles of the feet may experience difficulty walking, and hand involvement may interfere with other activities. Clinical and epidemiological comparison of patients affected by palmoplantar plaque psoriasis and palmoplantar pustulosis: a case series study. Pustular psoriasis can be localized, commonly to the hands and feet (palmoplantar pustulosis), or generalized with widespread patches occurring randomly on any part of the body. Acrodermatitis continua is a form of localized psoriasis limited to the fingers and toes that may spread to the hands and feet. 15 Pustulosis palmaris et plantaris is another form of localized pustular psoriasis similar to acrodermatitis continua with pustules erupting from red, tender, scaly skin found on the palms of the hands and the soles of the feet.
Sometimes, after one type of psoriasis clears, another type occurs. Can also include genitals, low back, palms of hands, soles of feet and inside of the mouth. It occurs in two forms: localized palmoplantar pustulosis, which affects the palms of the hands and soles of the feet, and generalized pustular psoriasis, which affects large areas of the body. Usually, only one type of psoriasis appears at a time, but some people get different types at the same time. Can also include genitals, low back, palms of hands, soles of feet and inside of the mouth. It occurs in two forms: localized palmoplantar pustulosis, which affects the palms of the hands and soles of the feet, and generalized pustular psoriasis, which affects large areas of the body. Palmoplantar pustulosis is a chronic pustular condition affecting the palms and soles. Punctate-type keratodermas result in tiny bumps on the palms and soles.
Living With Pustular Psoriasis
Palmoplantar pustulosis is also a type in which pustules are formed on the feet and hands. Palmoplantar pustulosis (PPP) also called as localized pustular psoriasisits main feature is the pustules formation on the soles of the feet and on palms. Psoriasis is an inflammatory skin condition that affects about 2 of all Americans. Other types are guttate, inverse, erythrodermic, and pustular. When they form on the palms and soles, the condition is called palmar-plantar pustulosis. Any psoriasis on the palms and soles (hand and foot psoriasis).